Medicaid Provider Spending

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

ANMED HEALTH

NPI: 1285667824 · ANDERSON, SC 29621 · Pediatrics Physician · NPI assigned 07/08/2006

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

Authorized official GRIGSBY, STEPHEN controls 20+ related entities in our dataset. Read more

$10.28M
Total Medicaid Paid
238,190
Total Claims
228,185
Beneficiaries
49
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGRIGSBY, STEPHEN (CFO)
NPI Enumeration Date07/08/2006

Related Entities

Other providers sharing the same authorized official: GRIGSBY, STEPHEN

ProviderCityStateTotal Paid
ANMED HEALTH ANDERSON SC $75.77M
SPRINGHILL HOSPITALS, INC MOBILE AL $5.30M
ANMED HEALTH ANDERSON SC $4.52M
ANMED HEALTH ANDERSON SC $3.63M
ANMED HEALTH ANDERSON SC $3.02M
ANMED HEALTH ANDERSON SC $2.50M
ANMED HEALTH ANDERSON SC $2.10M
ANMED HEALTH CLEMSON SC $1.58M
ANMED HEALTH ANDERSON SC $1.47M
ANMED HEALTH WILLIAMSTON SC $1.27M
ANMED HEALTH ANDERSON SC $1.24M
ANMED HEALTH ANDERSON SC $1.15M
ANMED HEALTH ANDERSON SC $889K
ANMED HEALTH CLEMSON SC $867K
ANMED HEALTH PIEDMONT SC $864K
ANMED HEALTH IVA SC $791K
ANMED HEALTH ANDERSON SC $764K
ANMED HEALTH HONEA PATH SC $713K
ANMED HEALTH ANDERSON SC $513K
ANMED HEALTH ANDERSON SC $512K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 28,720 $1.05M
2019 25,235 $1.04M
2020 23,350 $1.00M
2021 38,457 $1.76M
2022 41,443 $1.83M
2023 45,223 $1.99M
2024 35,762 $1.61M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 93,600 89,598 $4.62M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 24,169 22,917 $2.07M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 6,840 6,686 $631K
90460 Immunization administration through 18 years of age via any route, first or only component 18,641 18,135 $596K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 6,300 6,069 $537K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5,068 4,939 $466K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3,181 3,130 $318K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 8,977 8,843 $223K
99215 Prolong outpt/office vis 1,418 1,345 $176K
90461 7,310 6,590 $160K
G9153 Mapcp demonstration - physician incentive pool 3,090 3,082 $143K
96127 14,898 14,002 $123K
96110 Developmental screening, with scoring and documentation, per standardized instrument 6,417 6,144 $48K
92551 8,437 8,194 $42K
96161 6,166 5,893 $41K
99188 2,078 2,007 $34K
87430 1,032 1,005 $14K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 724 713 $10K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 582 296 $9K
99442 200 188 $5K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 408 339 $3K
94664 269 263 $3K
96160 239 229 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 204 204 $1K
99238 Hospital discharge day management, 30 minutes or less 38 36 $1K
36415 Collection of venous blood by venipuncture 422 408 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 14 13 $990.08
87400 112 55 $972.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 110 95 $415.99
99051 26 25 $328.80
99462 13 12 $261.88
90677 570 550 $257.25
94760 303 273 $232.22
88720 17 13 $101.56
81003 26 24 $69.09
90686 3,845 3,789 $37.76
99173 38 37 $0.00
90734 854 827 $0.00
90715 345 339 $0.00
90670 2,959 2,870 $0.00
90633 908 902 $0.00
90710 174 162 $0.00
90685 30 29 $0.00
90723 2,029 1,967 $0.00
90680 1,505 1,467 $0.00
90651 1,154 1,122 $0.00
90647 2,132 2,049 $0.00
90696 53 45 $0.00
90656 265 265 $0.00