Medicaid Provider Spending

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

WATERWAY PRIMARY CARE,LLC

NPI: 1295165579 · LITTLE RIVER, SC 29566 · Family Medicine Physician · NPI assigned 11/22/2013

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

Authorized official FAILE, ROBERT controls 12+ related entities in our dataset. Read more

$152K
Total Medicaid Paid
4,070
Total Claims
3,302
Beneficiaries
5
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialFAILE, ROBERT (AUTHORIZED OFFICIAL)
NPI Enumeration Date11/22/2013

Related Entities

Other providers sharing the same authorized official: FAILE, ROBERT

ProviderCityStateTotal Paid
COASTAL CAROLINA MULTISPECIALTY ASSOCIATES, LLC SUMMERVILLE SC $4.07M
MEMORIAL FAMILY PRACTICE ASSOCIATES, LLC JACKSONVILLE FL $1.48M
COASTAL INPATIENT PHYSICIANS, LLC CHARLESTON SC $852K
INTEGRATED REGIONAL LABORATORIES PATHOLOGY SERVICES, LLC ORANGE PARK FL $175K
TRI-COUNTY SURGICAL SPECIALISTS LLC CHARLESTON SC $171K
INTEGRATED REGIONAL LABORATORIES PATHOLOGY SERVICES, LLC JACKSONVILLE FL $143K
INTEGRATED REGIONAL LABORATORIES PATHOLOGY SERVICES, LLC JACKSONVILLE FL $39K
AUGUSTA PRIMARY CARE SERVICES LLC AUGUSTA GA $35K
INTEGRATED REGIONAL LABORATORIES PATHOLOGY SERVICES, LLC JACKSONVILLE FL $19K
INTEGRATED REGIONAL LABORATORIES PATHOLOGY SERVICES, LLC JACKSONVILLE FL $10K
SAVANNAH MULTISPECIALTY ASSOCIATES, LLC SAVANNAH GA $8K
INTEGRATED REGIONAL LABORATORIES PATHOLOGY SERVICES, LLC JACKSONVILLE FL $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,605 $52K
2019 657 $25K
2020 557 $23K
2021 431 $18K
2022 363 $14K
2023 343 $14K
2024 114 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,040 1,649 $90K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,939 1,589 $62K
83036 Hemoglobin; glycosylated (A1C) 39 27 $148.23
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 17 13 $63.10
J1030 Injection, methylprednisolone acetate, 40 mg 35 24 $61.22