NPI: 1356772776 · SUMTER, SC 29150 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,355 | $539K |
| 2019 | 210 | $27K |
| 2020 | 500 | $57K |
| 2021 | 1,601 | $133K |
| 2022 | 1,947 | $185K |
| 2023 | 1,603 | $227K |
| 2024 | 697 | $114K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 4,697 | 4,124 | $520K |
| 99213 | 2,474 | 2,227 | $394K | |
| 99214 | 1,108 | 1,072 | $245K | |
| 99212 | 300 | 290 | $46K | |
| J1050 | Medroxyprogesterone acetate | 399 | 392 | $32K |
| 76805 | 211 | 210 | $14K | |
| 76816 | 297 | 270 | $13K | |
| 76801 | 183 | 179 | $10K | |
| 76830 | 49 | 46 | $3K | |
| 76817 | 57 | 54 | $2K | |
| 76819 | 26 | 16 | $949.86 | |
| 83036 | 163 | 149 | $565.56 | |
| 90686 | 40 | 39 | $531.75 | |
| 81025 | 12 | 12 | $15.42 | |
| 85018 | 14 | 14 | $8.67 | |
| 3074F | 30 | 26 | $0.02 | |
| 1160F | 310 | 281 | $0.01 | |
| 3008F | 260 | 233 | $0.00 | |
| 1036F | 122 | 108 | $0.00 | |
| 3078F | 87 | 79 | $0.00 | |
| 1159F | 74 | 68 | $0.00 |