Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › SC › Lancaster › NPI 1275564098
Physician

Carolina Family Care, INC

Carolina Family Care, INC was paid $6.87M by Medicaid between Mar 2019 and Feb 2022, across 93 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 22% of everything it billed.

33Billing provider infoCAROLINA FAMILY CARE, INC
LANCASTER, SC 29720
33aNPI1275564098assigned 07/06/2006
33bProvider typeEmergency Medicine Physician
28Total paid$6.87M
24GClaims193,427
24DCodes billed93
24AFirst – last monthMar 2019 – Feb 2022
Compared with peers

Next to other Emergency Medicine Physician providers in South Carolina

Rank by total paid#5 of 263
Median peer was paid$3K
This provider vs. median2,267×

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 RAE, KARYN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K2018201920202021202220232024
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
YearClaimsPaid
201937,815$1.09M
202057,422$1.90M
202191,437$3.58M
20226,753$302K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 22% 33,069 28,069 $1.51M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 15% 22,365 21,737 $1.02M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 14% 12,040 11,676 $943K
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 11% 15,395 14,007 $750K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 8.4% 16,566 5,512 $581K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3.0% 3,393 3,204 $207K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 3.0% 2,157 2,097 $206K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 2.7% 3,600 1,634 $186K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2.2% 1,296 545 $155K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2.1% 1,741 1,657 $146K
99223 Prolong inpt eval add15 m 1.9% 1,246 1,119 $131K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.7% 3,872 3,628 $115K
81 more codes
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.1% 2,183 $75K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1.1% 18,068 $74K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 836 $66K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) <1% 53 $52K
95886 <1% 713 $44K
81025 <1% 6,028 $40K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 331 $39K
99239 Hospital discharge day management, more than 30 minutes <1% 626 $37K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery <1% 68 $34K
99244 Office or other outpatient consultation, moderate to high complexity <1% 253 $33K
81002 <1% 10,825 $29K
99222 Initial hospital care, per day, moderate complexity <1% 408 $26K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 269 $25K
20610 <1% 1,159 $24K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 990 $22K
99220 <1% 172 $20K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 238 $19K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 287 $15K
81003 <1% 6,790 $14K
99238 Hospital discharge day management, 30 minutes or less <1% 219 $14K
36415 Collection of venous blood by venipuncture <1% 6,115 $14K
43235 <1% 291 $13K
85018 <1% 4,792 $11K
95913 <1% 74 $10K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 143 $10K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 323 $10K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 316 $9K
59025 Fetal non-stress test <1% 277 $8K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 2,017 $8K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 98 $8K
51798 <1% 2,152 $8K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 100 $7K
95718 <1% 115 $7K
93970 <1% 377 $7K
99215 Doctor's office visit, returning patient (complex) <1% 94 $7K
93000 <1% 1,204 $7K
95816 <1% 251 $6K
87480 <1% 354 $6K
87510 <1% 353 $6K
93458 <1% 52 $6K
76801 <1% 56 $5K
87660 <1% 340 $5K
93971 <1% 340 $4K
95911 <1% 32 $4K
76830 Ultrasound, transvaginal <1% 46 $4K
50590 <1% 14 $4K
73564 <1% 177 $3K
81001 <1% 2,678 $3K
J1030 Injection, methylprednisolone acetate, 40 mg <1% 621 $3K
95813 <1% 54 $3K
01961 <1% 12 $2K
93018 <1% 360 $2K
99205 Prolong outpt/office vis <1% 17 $2K
99254 <1% 12 $2K
93016 <1% 164 $1K
93880 <1% 84 $1K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 13 $1K
54150 <1% 14 $1K
11043 <1% 42 $1K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 191 $922.44
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 14 $899.54
99152 <1% 206 $886.29
74420 <1% 113 $846.55
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 75 $757.34
52000 <1% 12 $717.97
90686 <1% 43 $663.78
81015 <1% 526 $650.17
73560 <1% 36 $542.10
73562 <1% 26 $534.88
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 26 $518.02
72110 <1% 16 $469.34
82950 <1% 97 $408.69
73110 <1% 17 $360.03
73521 <1% 16 $345.23
J1040 Injection, methylprednisolone acetate, 80 mg <1% 43 $221.88
73030 <1% 13 $165.56
81000 <1% 79 $158.60
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 12 $117.65
95972 <1% 12 $84.85
99441 <1% 12 $49.59
11720 <1% 12 $17.90

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 officialRAE, KARYN (MANAGER)
Same official

Other billing entities under RAE, KARYN

Full network →
ProviderLocationPaid
Medical University Hospital AuthorityCharleston, SC$241.43M
University Medical Associates of the Medical University of South CarolCharleston, SC$56.50M
Medical University Hospital AuthorityCharleston, SC$32.62M
Medical University Hospital AuthorityCharleston, SC$12.42M
University Medical AssociatesCharleston, SC$9.16M
University Medical Associates of the Medical University of South CarolCharleston, SC$6.15M
University Medical Associates of the Medical University of South CarolCharleston, SC$5.38M
Carolina Family Care, INCFlorence, SC$4.06M
University Medical Associates of the Medical University of South CarolCharleston, SC$3.58M
University Medical Associates of the Medical University of South CarolCharleston, SC$3.53M
University Medical Associates of the Medical University of South CarolCharleston, SC$3.34M
University Medical Associates of the Medical University of South CarolCharleston, SC$2.80M
University Medical Associate of the Medical University of South CaroliCharleston, SC$2.30M
University Medical Associates of the Medical University of South CarolCharleston, SC$1.98M
University Medical Associates of the Medical University of South CarolCharleston, SC$1.88M
University Medical Associates of the Medical University of South CarolCharleston, SC$1.79M
University Medical Associates of the Medical University of South CarolCharleston, SC$1.72M
University Medical Associates of the Medical University of South CarolCharleston, SC$1.57M
Carolina Family Care, INCMt Pleasant, SC$1.31M
University Medical Associates of the Medical University of South CarolCharleston, SC$1.02M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.