Medicaid Provider Spending

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

CAROLINA HEALTH CENTERS, INC.

NPI: 1306979521 · GREENWOOD, SC 29646 · Family Medicine Physician · NPI assigned 03/14/2007

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

Authorized official GILMER, LISA controls 11+ related entities in our dataset. Read more

$3.30M
Total Medicaid Paid
26,382
Total Claims
23,695
Beneficiaries
13
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGILMER, LISA (PRACTICE ADMINISTRATOR)
NPI Enumeration Date03/14/2007

Related Entities

Other providers sharing the same authorized official: GILMER, LISA

ProviderCityStateTotal Paid
CAROLINA HEALTH CENTERS, INC. GREENWOOD SC $20.19M
CAROLINA HEALTH CENTERS, INC. CLINTON SC $7.66M
CAROLINA HEALTH CENTERS, INC. GREENWOOD SC $992K
CAROLINA HEALTH CENTERS, INC. WATERLOO SC $856K
CAROLINA HEALTH CENTERS, INC. MC CORMICK SC $839K
CAROLINA HEALTH CENTERS, INC. CLINTON SC $584K
CAROLINA HEALTH CENTERS, INC. CALHOUN FALLS SC $380K
CAROLINA HEALTH CENTERS, INC. RIDGE SPRING SC $303K
CAROLINA HEALTH CENTERS, INC. SALUDA SC $238K
CAROLINA HEALTH CENTERS, INC. WARE SHOALS SC $218K
CAROLINA HEALTH CENTERS, INC. GREENWOOD SC $18K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,949 $399K
2019 2,800 $338K
2020 2,364 $275K
2021 4,500 $479K
2022 4,715 $500K
2023 4,616 $672K
2024 3,438 $641K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,085 6,666 $1.21M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,068 5,735 $1.06M
T1015 Clinic visit/encounter, all-inclusive 12,077 10,189 $999K
87428 383 375 $23K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 141 135 $6K
90686 194 191 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 45 40 $50.20
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 28 28 $32.32
36415 Collection of venous blood by venipuncture 87 85 $10.08
3078F 44 41 $0.00
3074F 74 68 $0.00
3008F 143 129 $0.00
83036 Hemoglobin; glycosylated (A1C) 13 13 $0.00