Carolinas Medical Alliance INC
Carolinas Medical Alliance INC was paid $62K by Medicaid between Jan 2018 and Feb 2019, across 8 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 49% of everything it billed.
FLORENCE, SC 29501
Next to other General Practice Physician providers in South Carolina
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,643 | $51K | |
| 2019 | 356 | $11K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 49% | 1,012 | 135 | $30K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 452 | 420 | $13K |
| 95886 | 12% | 153 | 142 | $8K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 9.5% | 144 | 139 | $6K |
| 95913 | 4.1% | 26 | 25 | $3K | |
| 99222 | Initial hospital care, per day, moderate complexity | 2.3% | 24 | 24 | $1K |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.3% | 17 | 16 | $813.37 |
| 36415 | Collection of venous blood by venipuncture | <1% | 171 | 163 | $272.14 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Oak Hill Clinic Corp | Oak Hill, WV | $2.28M |
| Cleveland Medical Clinic INC | Cleveland, TN | $1.75M |
| Carolinas Medical Alliance INC | Florence, SC | $761K |
| Lake Area Physician Services LLC | Lake Charles, LA | $666K |
| Moberly Medical Clinics INC | Moberly, MO | $372K |
| Dyersburg Clinic Corp | Dyersburg, TN | $259K |
| Madison Clinic Corp | Jackson, TN | $132K |
| Carolinas Medical Alliance INC | Florence, SC | $73K |
| Franklin Hospital Corporation | Franklin, VA | $20K |
| DCF | Abilene, TX | $20K |
| Carolinas Medical Alliance INC | Pamplico, SC | $11K |
| Carolinas Medical Alliance INC | Florence, SC | $9K |
| Carlsbad Medical Center LLC | Carlsbad, NM | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.