Medicaid Provider Spending

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

SPARTANBURG MEDICAL CENTER

NPI: 1265901359 · INMAN, SC 29349 · Pediatrics Physician · NPI assigned 11/19/2018

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

Authorized official DAVIS, BRUCE controls 20+ related entities in our dataset. Read more

$4.82M
Total Medicaid Paid
78,393
Total Claims
73,176
Beneficiaries
47
Codes Billed
2019-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDAVIS, BRUCE (CHIEWF FINANCIAL OFFICER)
Parent OrganizationSPARTANBURG REGIONAL HEALTH SERVICES DISTRICT, INC.
NPI Enumeration Date11/19/2018

Related Entities

Other providers sharing the same authorized official: DAVIS, BRUCE

ProviderCityStateTotal Paid
SPARTANBURG MEDICAL CENTER SPARTANBURG SC $17.13M
UNION MEDICAL CENTER UNION SC $10.73M
SPARTANBURG MEDICAL CENTER SPARTANBURG SC $3.29M
SPARTANBURG MEDICAL CENTER SPARTANBURG SC $2.94M
UNION MEDICAL CENTER UNION SC $2.64M
SPARTANBURG MEDICAL CENTER SPARTANBURG SC $2.50M
UNION MEDICAL CENTER UNION SC $959K
SPARTANBURG MEDICAL CENTER SPARTANBURG SC $743K
SPARTANBURG MEDICAL CENTER SPARTANBURG SC $685K
SPARTANBURG MEDICAL CENTER SPARTANBURG SC $661K
UNION MEDICAL CENTER UNION SC $536K
UNION MEDICAL CENTER UNION SC $356K
UNION MEDICAL CENTER UNION SC $333K
SPARTANBURG MEDICAL CENTER SPARTANBURG SC $312K
SPARTANBURG MEDICAL CENTER SPARTANBURG SC $163K
SPARTANBURG MEDICAL CENTER SPARTANBURG SC $102K
UNION MEDICAL CENTER UNION SC $102K
SPARTANBURG MEDICAL CENTER SPARTANBURG SC $98K
SPARTANBURG MEDICAL CENTER SPARTANBURG SC $67K
SPARTANBURG MEDICAL CENTER SPARTANBURG SC $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 2,714 $124K
2020 8,879 $420K
2021 15,362 $834K
2022 16,798 $1.15M
2023 19,561 $1.27M
2024 15,079 $1.02M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 14,026 13,117 $1.36M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16,766 15,455 $1.17M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4,560 4,515 $487K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 3,359 3,269 $484K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,119 3,840 $406K
90460 Immunization administration through 18 years of age via any route, first or only component 10,447 8,935 $347K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,846 2,807 $301K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 908 900 $106K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 322 313 $34K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,474 2,382 $33K
90461 2,233 1,823 $33K
87428 276 274 $17K
99188 755 749 $12K
36415 Collection of venous blood by venipuncture 2,953 2,751 $9K
83655 591 587 $7K
99244 Office or other outpatient consultation, moderate to high complexity 25 25 $5K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 545 496 $4K
85018 1,308 1,293 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 135 104 $3K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 49 47 $2K
99383 12 12 $1K
99177 163 154 $780.58
83036 Hemoglobin; glycosylated (A1C) 71 68 $635.39
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 13 13 $497.95
87807 32 32 $378.96
90651 341 336 $164.25
87075 13 13 $68.20
92551 31 29 $40.01
90670 2,305 2,249 $0.00
90633 1,259 1,228 $0.00
90700 262 260 $0.00
90710 239 235 $0.00
90734 78 74 $0.00
90715 30 27 $0.00
90707 67 67 $0.00
90647 662 649 $0.00
90723 612 591 $0.00
90716 92 91 $0.00
90680 1,439 1,413 $0.00
90619 50 50 $0.00
90686 1,002 989 $0.00
90677 190 189 $0.00
90696 212 209 $0.00
90656 138 136 $0.00
90697 36 36 $0.00
90688 330 328 $0.00
90620 17 16 $0.00