Behavioral
Eau Claire Cooperative Health Center, INC.
Eau Claire Cooperative Health Center, INC. was paid $84.47M by Medicaid between Jan 2018 and Dec 2024, across 151 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 36% of everything it billed.
33Billing provider infoEAU CLAIRE COOPERATIVE HEALTH CENTER, INC.
COLUMBIA, SC 29204
COLUMBIA, SC 29204
33aNPI1346249430assigned 07/20/2005
33bProvider typeSocial Worker
28Total paid$84.47M
24GClaims904,705
24DCodes billed151
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Social Worker providers in South Carolina
Rank by total paid#1 of 18
Median peer was paid$66K
This provider vs. median1,287×
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 | 112,361 | $12.30M | |
| 2019 | 116,843 | $12.29M | |
| 2020 | 99,997 | $9.79M | |
| 2021 | 138,017 | $11.67M | |
| 2022 | 148,287 | $12.12M | |
| 2023 | 160,288 | $14.44M | |
| 2024incomplete | 128,912 | $11.86M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 36% | 203,122 | 176,039 | $30.04M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 112,498 | 104,842 | $20.43M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.6% | 35,082 | 31,432 | $6.46M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.4% | 28,963 | 28,477 | $5.40M |
| 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 | 6.0% | 27,935 | 27,117 | $5.04M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.4% | 24,548 | 24,041 | $4.55M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.4% | 20,575 | 19,489 | $3.71M |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.8% | 17,341 | 16,887 | $3.20M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.6% | 61,490 | 58,295 | $1.34M |
| 87428 | 1.1% | 15,584 | 15,170 | $942K | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 3,294 | 2,802 | $580K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 2,225 | 1,767 | $390K |
139 more codes
| G9153 | Mapcp demonstration - physician incentive pool | <1% | 7,321 | $352K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 4,273 | $334K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 328 | $331K |
| 99460 | <1% | 3,506 | $275K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 3,172 | $196K |
| 96160 | <1% | 3,472 | $86K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 492 | $82K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 339 | $57K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 313 | $51K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 1,152 | $45K |
| D1110 | Prophylaxis - adult | <1% | 832 | $40K |
| 97802 | <1% | 192 | $34K | |
| 99051 | <1% | 2,680 | $30K | |
| D0274 | Bitewings - four radiographic images | <1% | 1,118 | $28K |
| G0467 | Community health center visit, returning patient | <1% | 134 | $27K |
| 96127 | <1% | 47,482 | $25K | |
| 59514 | <1% | 27 | $25K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 792 | $22K |
| D0120 | Dental checkup, returning patient | <1% | 792 | $18K |
| D0330 | Panoramic radiographic image | <1% | 344 | $17K |
| 96161 | <1% | 684 | $17K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 27,397 | $17K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 184 | $16K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 92 | $15K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 85 | $15K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 241 | $14K |
| D1206 | Topical application of fluoride varnish | <1% | 802 | $13K |
| 99462 | <1% | 445 | $12K | |
| D1120 | Dental cleaning, child | <1% | 356 | $12K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 53 | $11K |
| 99383 | <1% | 58 | $11K | |
| 0071A | <1% | 256 | $10K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 4,629 | $10K |
| 0072A | <1% | 231 | $9K | |
| 90715 | <1% | 1,591 | $8K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 205 | $8K |
| 90688 | <1% | 639 | $7K | |
| 99443 | <1% | 334 | $7K | |
| 99442 | <1% | 436 | $7K | |
| 98968 | <1% | 337 | $6K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 542 | $6K |
| 90677 | <1% | 1,965 | $6K | |
| 99384 | <1% | 34 | $6K | |
| 92552 | <1% | 4,330 | $5K | |
| 90461 | <1% | 18,264 | $5K | |
| 0012A | <1% | 110 | $4K | |
| 90686 | <1% | 27,164 | $4K | |
| 0011A | <1% | 101 | $3K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 82 | $3K |
| 99441 | <1% | 489 | $3K | |
| 0004A | <1% | 77 | $3K | |
| 99201 | <1% | 16 | $3K | |
| 80305 | <1% | 286 | $3K | |
| 81003 | <1% | 11,120 | $2K | |
| 90480 | <1% | 274 | $2K | |
| 99205 | Prolong outpt/office vis | <1% | 12 | $2K |
| 99245 | <1% | 12 | $2K | |
| 0064A | <1% | 54 | $2K | |
| D0272 | Bitewings - two radiographic images | <1% | 94 | $2K |
| 90674 | <1% | 89 | $2K | |
| 0001A | <1% | 45 | $2K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 18 | $1K |
| 0082A | <1% | 44 | $1K | |
| 90670 | <1% | 15,907 | $1K | |
| 0002A | <1% | 28 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 14,131 | $1K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 13 | $998.74 |
| 0081A | <1% | 40 | $988.48 | |
| 81025 | <1% | 2,334 | $949.50 | |
| 85018 | <1% | 11,091 | $947.16 | |
| 90620 | <1% | 1,019 | $773.56 | |
| 90671 | <1% | 833 | $768.13 | |
| 92551 | <1% | 4,365 | $755.06 | |
| 99354 | <1% | 73 | $705.26 | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 14 | $701.26 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 4,292 | $678.60 |
| 76801 | <1% | 13 | $659.29 | |
| 59025 | Fetal non-stress test | <1% | 69 | $566.81 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 171 | $501.48 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,632 | $451.13 |
| 0083A | <1% | 13 | $440.00 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 13 | $431.82 |
| 98967 | <1% | 28 | $367.51 | |
| 0124A | <1% | 14 | $360.00 | |
| 90647 | <1% | 7,022 | $349.89 | |
| 0171A | <1% | 12 | $320.00 | |
| 90661 | <1% | 305 | $315.54 | |
| 90651 | <1% | 3,872 | $287.16 | |
| 87807 | <1% | 1,037 | $272.14 | |
| 91322 | <1% | 28 | $251.90 | |
| 90681 | <1% | 2,369 | $229.89 | |
| 90630 | <1% | 12 | $185.60 | |
| 11721 | <1% | 28 | $123.91 | |
| 99406 | <1% | 14 | $115.34 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 228 | $89.49 |
| 82948 | <1% | 248 | $86.51 | |
| 99188 | <1% | 164 | $84.58 | |
| 90687 | <1% | 17 | $83.51 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 13 | $71.63 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 590 | $71.44 |
| 90656 | <1% | 503 | $49.35 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 323 | $46.72 |
| 99070 | <1% | 101 | $27.84 | |
| 90685 | <1% | 211 | $18.29 | |
| 90633 | <1% | 6,176 | $9.23 | |
| 36416 | <1% | 11,617 | $8.36 | |
| 90723 | <1% | 8,375 | $6.94 | |
| 99173 | <1% | 32,997 | $2.71 | |
| 3008F | <1% | 7,517 | $2.33 | |
| 3074F | <1% | 6,878 | $2.00 | |
| 1159F | <1% | 5,152 | $0.01 | |
| 91321 | <1% | 128 | $0.01 | |
| 90734 | 0% | 1,191 | $0.00 | |
| 1160F | 0% | 5,018 | $0.00 | |
| 90710 | 0% | 741 | $0.00 | |
| 90707 | 0% | 352 | $0.00 | |
| 3078F | 0% | 6,193 | $0.00 | |
| 90700 | 0% | 305 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 164 | $0.00 |
| 3077F | 0% | 66 | $0.00 | |
| 90655 | 0% | 60 | $0.00 | |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | 0% | 261 | $0.00 |
| 90756 | 0% | 55 | $0.00 | |
| 87210 | 0% | 12 | $0.00 | |
| 90672 | 0% | 51 | $0.00 | |
| 90658 | 0% | 29 | $0.00 | |
| 90619 | 0% | 667 | $0.00 | |
| 99000 | 0% | 339 | $0.00 | |
| 90696 | 0% | 446 | $0.00 | |
| 90716 | 0% | 401 | $0.00 | |
| D0603 | 0% | 307 | $0.00 | |
| 91307 | 0% | 29 | $0.00 | |
| 3075F | 0% | 50 | $0.00 | |
| 3079F | 0% | 93 | $0.00 | |
| 1126F | 0% | 48 | $0.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 26 | $0.00 |
| 91301 | 0% | 17 | $0.00 | |
| 95117 | 0% | 34 | $0.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 25 | $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 officialCANTAVE, DELGADO (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Eau Claire Cooperative Health Center ,INC. | Columbia, SC | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.