Physician
Spartanburg Medical Center
Spartanburg Medical Center was paid $4.82M by Medicaid between Jan 2019 and Dec 2024, across 47 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 28% of everything it billed.
33Billing provider infoSPARTANBURG MEDICAL CENTER
INMAN, SC 29349
INMAN, SC 29349
33aNPI1265901359assigned 11/19/2018
33bProvider typePediatrics Physician
28Total paid$4.82M
24GClaims78,393
24DCodes billed47
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in South Carolina
Rank by total paid#27 of 471
Median peer was paid$18K
This provider vs. median273×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official DAVIS, BRUCE controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 2,714 | $124K | |
| 2020 | 8,879 | $420K | |
| 2021 | 15,362 | $834K | |
| 2022 | 16,798 | $1.15M | |
| 2023 | 19,561 | $1.27M | |
| 2024incomplete | 15,079 | $1.02M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 28% | 14,026 | 13,117 | $1.36M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 16,766 | 15,455 | $1.17M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10% | 4,560 | 4,515 | $487K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 10% | 3,359 | 3,269 | $484K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.4% | 4,119 | 3,840 | $406K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.2% | 10,447 | 8,935 | $347K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.2% | 2,846 | 2,807 | $301K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.2% | 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 | <1% | 322 | 313 | $34K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,474 | 2,382 | $33K |
| 90461 | <1% | 2,233 | 1,823 | $33K | |
| 87428 | <1% | 276 | 274 | $17K |
35 more codes
| 99188 | <1% | 755 | $12K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,953 | $9K |
| 83655 | <1% | 591 | $7K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 25 | $5K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 545 | $4K |
| 85018 | <1% | 1,308 | $3K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 135 | $3K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 49 | $2K |
| 99383 | <1% | 12 | $1K | |
| 99177 | <1% | 163 | $780.58 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 71 | $635.39 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 13 | $497.95 |
| 87807 | <1% | 32 | $378.96 | |
| 90651 | <1% | 341 | $164.25 | |
| 87075 | <1% | 13 | $68.20 | |
| 92551 | <1% | 31 | $40.01 | |
| 90670 | 0% | 2,305 | $0.00 | |
| 90633 | 0% | 1,259 | $0.00 | |
| 90700 | 0% | 262 | $0.00 | |
| 90710 | 0% | 239 | $0.00 | |
| 90734 | 0% | 78 | $0.00 | |
| 90715 | 0% | 30 | $0.00 | |
| 90707 | 0% | 67 | $0.00 | |
| 90647 | 0% | 662 | $0.00 | |
| 90723 | 0% | 612 | $0.00 | |
| 90716 | 0% | 92 | $0.00 | |
| 90680 | 0% | 1,439 | $0.00 | |
| 90619 | 0% | 50 | $0.00 | |
| 90686 | 0% | 1,002 | $0.00 | |
| 90677 | 0% | 190 | $0.00 | |
| 90696 | 0% | 212 | $0.00 | |
| 90656 | 0% | 138 | $0.00 | |
| 90697 | 0% | 36 | $0.00 | |
| 90688 | 0% | 330 | $0.00 | |
| 90620 | 0% | 17 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialDAVIS, BRUCE (CHIEWF FINANCIAL OFFICER)
Parent organizationSPARTANBURG REGIONAL HEALTH SERVICES DISTRICT, INC.
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.