Physician
Spartanburg Medical Center
Spartanburg Medical Center was paid $16.94M by Medicaid between Jan 2018 and Dec 2024, across 74 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 23% of everything it billed.
33Billing provider infoSPARTANBURG MEDICAL CENTER
SPARTANBURG, SC 29303
SPARTANBURG, SC 29303
33aNPI1326373697assigned 10/05/2009
33bProvider typePediatrics Physician
28Total paid$16.94M
24GClaims294,628
24DCodes billed74
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in South Carolina
Rank by total paid#4 of 471
Median peer was paid$18K
This provider vs. median960×
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.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 31,808 | $1.80M | |
| 2019 | 35,354 | $2.20M | |
| 2020 | 36,383 | $2.43M | |
| 2021 | 48,303 | $3.04M | |
| 2022 | 50,679 | $2.96M | |
| 2023 | 47,487 | $2.57M | |
| 2024incomplete | 44,614 | $1.94M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 97,447 | 90,496 | $3.95M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 18% | 55,268 | 52,241 | $3.13M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 10% | 30,511 | 28,803 | $1.74M |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 9.7% | 1,465 | 1,424 | $1.64M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.1% | 20,865 | 20,604 | $1.37M |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | 7.2% | 7,048 | 3,610 | $1.21M |
| T1001 | Nursing assessment / evaluation | 5.6% | 5,380 | 3,170 | $944K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.5% | 8,984 | 8,854 | $594K |
| 99460 | 2.0% | 4,535 | 4,275 | $342K | |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 1.8% | 6,337 | 5,950 | $303K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.8% | 4,919 | 4,595 | $299K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.2% | 3,915 | 3,390 | $204K |
62 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.2% | 2,632 | $201K |
| 59025 | Fetal non-stress test | 1.0% | 8,780 | $176K |
| 99188 | <1% | 7,279 | $113K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 3,752 | $105K |
| 59430 | <1% | 879 | $88K | |
| 99502 | <1% | 549 | $84K | |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 3,110 | $77K |
| 99284 | Emergency room visit (serious) | <1% | 499 | $51K |
| 76801 | <1% | 908 | $44K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 365 | $42K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 809 | $32K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 265 | $29K |
| 96127 | <1% | 3,680 | $29K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 485 | $28K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,029 | $22K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 793 | $17K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 105 | $14K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 189 | $9K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 158 | $7K |
| 99462 | <1% | 180 | $6K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 169 | $6K |
| 90461 | <1% | 413 | $6K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 4,653 | $5K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 316 | $4K |
| 99463 | <1% | 28 | $3K | |
| 99220 | <1% | 14 | $2K | |
| 85018 | <1% | 32 | $2K | |
| 99177 | <1% | 603 | $2K | |
| 90723 | <1% | 16 | $2K | |
| 99235 | <1% | 12 | $2K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 41 | $1K |
| 81003 | <1% | 12 | $1K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 14 | $1K |
| 54150 | <1% | 12 | $1K | |
| 99217 | <1% | 15 | $946.20 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 125 | $819.20 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | $720.44 |
| 99221 | <1% | 15 | $630.36 | |
| 96160 | <1% | 40 | $428.14 | |
| 92552 | <1% | 277 | $180.90 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 14 | $148.32 |
| 96161 | <1% | 15 | $86.25 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 30 | $63.32 |
| 90671 | 0% | 795 | $0.00 | |
| 90633 | 0% | 368 | $0.00 | |
| 90707 | 0% | 88 | $0.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 42 | $0.00 |
| 90734 | 0% | 25 | $0.00 | |
| 90710 | 0% | 13 | $0.00 | |
| 90700 | 0% | 28 | $0.00 | |
| 90670 | 0% | 22 | $0.00 | |
| 96381 | 0% | 14 | $0.00 | |
| 90716 | 0% | 87 | $0.00 | |
| 90651 | 0% | 25 | $0.00 | |
| 90677 | 0% | 498 | $0.00 | |
| 90656 | 0% | 270 | $0.00 | |
| 90680 | 0% | 1,103 | $0.00 | |
| 90697 | 0% | 1,170 | $0.00 | |
| 90647 | 0% | 27 | $0.00 | |
| 99459 | 0% | 29 | $0.00 | |
| 90696 | 0% | 13 | $0.00 | |
| 1111F | 0% | 13 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialMORROW, CHARLES (CHIEF OPERATING OFFICER)
Parent organizationSPARTANBURG REGIONAL HEALTH SERVICES DISTRICT, INC.
| Provider | Location | Paid |
|---|---|---|
| Spartanburg Medical Center | Spartanburg, SC | $6.27M |
| Spartanburg Medical Center | Greer, SC | $29K |
| Pelham Medical Center | Greer, SC | $510.77 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.