Physician
Doctors Care, PA
Doctors Care, PA was paid $50.72M by Medicaid between Jan 2018 and Oct 2024, across 43 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 32% of everything it billed.
33Billing provider infoDOCTORS CARE, PA
COLUMBIA, SC 29201
COLUMBIA, SC 29201
33aNPI1366499048assigned 05/28/2006
33bProvider typeOrthopaedic Surgery Physician
28Total paid$50.72M
24GClaims1,002,065
24DCodes billed43
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Orthopaedic Surgery Physician providers in South Carolina
Rank by total paid#1 of 49
Median peer was paid$23K
This provider vs. median2,196×
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 | 137,245 | $6.96M | |
| 2019 | 150,687 | $8.18M | |
| 2020 | 90,252 | $5.31M | |
| 2021 | 139,857 | $7.24M | |
| 2022 | 180,770 | $9.05M | |
| 2023 | 192,426 | $8.84M | |
| 2024incomplete | 110,828 | $5.13M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 32% | 226,403 | 215,453 | $16.37M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 200,366 | 190,563 | $9.62M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 16% | 113,708 | 105,118 | $7.94M |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 13% | 99,815 | 94,260 | $6.49M |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 12% | 136,009 | 126,821 | $6.09M |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.9% | 18,524 | 17,488 | $1.98M |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.7% | 79,190 | 76,187 | $883K |
| 99051 | 1.2% | 50,871 | 49,447 | $600K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 5,118 | 4,986 | $276K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 4,822 | 4,778 | $145K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 8,443 | 8,122 | $61K |
| 81003 | <1% | 30,031 | 28,901 | $59K |
31 more codes
| 71046 | Radiologic examination, chest; 2 views | <1% | 1,397 | $31K |
| 81025 | <1% | 4,336 | $29K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 9,749 | $22K |
| 87905 | <1% | 1,825 | $18K | |
| 87808 | <1% | 1,499 | $17K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 908 | $16K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 3,438 | $14K |
| 73610 | <1% | 450 | $10K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 691 | $9K |
| 0001A | <1% | 214 | $8K | |
| 73630 | <1% | 281 | $6K | |
| 0002A | <1% | 141 | $6K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 386 | $4K |
| 81001 | <1% | 957 | $3K | |
| 93000 | <1% | 255 | $3K | |
| 73110 | <1% | 55 | $1K | |
| 73130 | <1% | 43 | $1K | |
| 82947 | <1% | 275 | $1K | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 687 | $877.58 |
| A4550 | Surgical trays | <1% | 121 | $786.00 |
| 86308 | <1% | 164 | $782.78 | |
| 0003A | <1% | 17 | $680.80 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 230 | $446.46 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 26 | $396.74 |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 15 | $395.33 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 418 | $346.63 |
| 87220 | <1% | 56 | $268.06 | |
| 85027 | <1% | 27 | $145.99 | |
| 90674 | <1% | 12 | $111.60 | |
| 94760 | <1% | 73 | $98.32 | |
| 87210 | <1% | 19 | $89.99 |
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 officialJANSSEN, SHELLEY (CHIEF MEDICAL OFFICER)