Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MCLEOD LORIS SEACOAST HOSPITAL

NPI: 1265708119 · LORIS, SC 29569 · Emergency Medical Services (Emergency Medicine) Physician · NPI assigned 03/26/2012

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official ERVIN, SAMUEL controls 20+ related entities in our dataset. Read more

$247K
Total Medicaid Paid
8,004
Total Claims
4,510
Beneficiaries
11
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialERVIN, SAMUEL (SR VP AND CFO)
Parent OrganizationMCLEOD HEALTH
NPI Enumeration Date03/26/2012

Related Entities

Other providers sharing the same authorized official: ERVIN, SAMUEL

ProviderCityStateTotal Paid
MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC. FLORENCE SC $90.94M
MCLEOD LORIS SEACOAST HOSPITAL LORIS SC $24.76M
MCLEOD MEDICAL CENTER-DILLON DILLON SC $13.63M
MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC FLORENCE SC $12.62M
MCLEOD HEALTH CLARENDON MANNING SC $10.05M
MCLEOD HEALTH CHERAW CHERAW SC $6.77M
MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC. FLORENCE SC $5.72M
MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC FLORENCE SC $2.73M
MCLEOD HEALTH CLARENDON MANNING SC $1.43M
MCLEOD HEALTH CHERAW CHERAW SC $1.37M
MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC. FLORENCE SC $1.32M
MCLEOD HEALTH CHERAW BENNETTSVILLE SC $912K
MCLEOD HEALTH CHERAW DARLINGTON SC $653K
MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC. DARLINGTON SC $582K
MCLEOD HEALTH CLARENDON KINGSTREE SC $440K
MCLEOD HEALTH CLARENDON JOHNSONVILLE SC $438K
MCLEOD HEALTH CLARENDON TIMMONSVILLE SC $382K
MCLEOD HEALTH CLARENDON MANNING SC $334K
MCLEOD HEALTH CHERAW MULLINS SC $283K
MCLEOD HEALTH CLARENDON MANNING SC $273K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 952 $14K
2019 1,590 $57K
2020 1,197 $39K
2021 1,289 $46K
2022 2,429 $67K
2023 301 $12K
2024 246 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 4,105 1,565 $129K
99233 Prolong inpt eval add15 m 1,407 726 $56K
99223 Prolong inpt eval add15 m 516 454 $41K
99239 Hospital discharge day management, more than 30 minutes 379 338 $15K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 791 747 $3K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 647 552 $1K
99460 34 31 $1K
99222 Initial hospital care, per day, moderate complexity 13 12 $739.11
01916 24 24 $113.47
99231 Subsequent hospital care, per day, straightforward or low complexity 37 12 $87.02
90961 51 49 $19.06