Medicaid Provider Spending

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

CURANA HEALTH OF SOUTH CAROLINA PC

NPI: 1316477896 · NORTH CHARLESTON, SC 29405 · Internal Medicine Physician · NPI assigned 06/15/2017

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

Authorized official HOWARD, NICOLE controls 20+ related entities in our dataset. Read more

$6.39M
Total Medicaid Paid
291,165
Total Claims
174,781
Beneficiaries
35
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHOWARD, NICOLE (SVP OF ADMIN SERVICES)
NPI Enumeration Date06/15/2017

Related Entities

Other providers sharing the same authorized official: HOWARD, NICOLE

ProviderCityStateTotal Paid
CURANA HEALTH OF LOUISIANA LLC BATON ROUGE LA $4.87M
CURANA HEALTH OF MASSACHUSETTS LLC SPRINGFIELD MA $2.59M
PHYSICIANS ELDERCARE PA DURHAM NC $2.57M
CURANA HEALTH OF MISSOURI-KANSAS LLC LEES SUMMIT MO $1.45M
CURANA HEALTH OF MISSISSIPPI LLC FLOWOOD MS $1.35M
KENTWOOD FAMILY CLINIC LLC KENTWOOD LA $1.19M
CURANA HEALTH MEDICAL GROUP LLC AUSTIN TX $778K
CURANA HEALTH OF NEW MEXICO LLC ESPANOLA NM $771K
CURANA HEALTH OF NORTH CAROLINA PLLC DURHAM NC $740K
CURANA HEALTH OF NEVADA PLLC RENO NV $696K
CURANA HEALTH OF ARKANSAS LLC BENTONVILLE AR $522K
CURANA HEALTH OF IOWA PLLC OSCEOLA IA $425K
CURANA HEALTH OF TENNESSEE LLC MEMPHIS TN $318K
CURANA HEALTH OF ALABAMA LLC BIRMINGHAM AL $185K
CURANA HEALTH OF INDIANA LLC CORYDON IN $176K
CH SPECIALTY SERVICES NV REQUEIJO PC CARSON CITY NV $125K
CH SPECIALTY SERVICES TX PLLC AUSTIN TX $101K
CH SPECIALTY SERVICES MO LLC LEES SUMMIT MO $93K
CURANA HEALTH OF WEST VIRGINIA LLC MARTINSBURG WV $88K
CH SPECIALTY SERVICES MA PC SPRINGFIELD MA $79K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,484 $124K
2019 6,131 $327K
2020 15,967 $569K
2021 69,281 $1.42M
2022 75,853 $1.52M
2023 60,490 $1.19M
2024 60,959 $1.25M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99309 Subsequent nursing facility care, per day, low to moderate complexity 175,013 101,088 $3.69M
99310 Prolong nursin fac eval 15m 61,705 36,910 $1.80M
99308 Subsequent nursing facility care, per day, straightforward 31,509 19,652 $403K
99306 Prolong nursin fac eval 15m 3,999 3,601 $270K
99305 2,456 2,221 $136K
99497 1,603 1,398 $21K
99318 604 595 $20K
99307 1,674 1,398 $16K
99490 Ccm add 20min 2,137 2,005 $16K
99358 Prolong nursin fac eval 15m 577 528 $6K
99304 76 69 $3K
99349 130 96 $3K
11043 116 49 $2K
99326 29 29 $2K
90792 Psychiatric diagnostic evaluation with medical services 86 79 $1K
99336 30 27 $1K
90791 Psychiatric diagnostic evaluation 22 21 $780.79
99335 14 13 $604.67
1160F 2,413 1,367 $0.00
1159F 2,445 1,392 $0.00
3077F 45 39 $0.00
3078F 900 486 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 802 328 $0.00
G8482 Influenza immunization administered or previously received 87 64 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 21 12 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 62 39 $0.00
1123F 1,509 599 $0.00
3075F 57 36 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 188 150 $0.00
3074F 659 350 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 21 14 $0.00
3079F 47 32 $0.00
G0317 Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99306, 99310 for nursing facility evaluation and management services). (do not report g0317 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418). (do not report g0317 for any time unit less than 15 minutes) 48 41 $0.00
G8433 Screening for depression not completed, documented patient or medical reason 49 25 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 32 28 $0.00