Clinic
Charleston Medical Associates
Charleston Medical Associates was paid $760K by Medicaid between Jul 2018 and Jun 2023, across 31 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoCHARLESTON MEDICAL ASSOCIATES
CHARLESTON, SC 29407
CHARLESTON, SC 29407
33aNPI1376033829assigned 05/10/2018
33bProvider typePrimary Care Clinic/Center
28Total paid$760K
24GClaims17,816
24DCodes billed31
24AFirst – last monthJul 2018 – Jun 2023
Compared with peers
Next to other Primary Care Clinic/Center providers in South Carolina
Rank by total paid#9 of 38
Median peer was paid$200K
This provider vs. median3.8×
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 | 1,284 | $45K | |
| 2019 | 2,341 | $93K | |
| 2020 | 3,013 | $120K | |
| 2021 | 4,640 | $206K | |
| 2022 | 4,714 | $220K | |
| 2023 | 1,824 | $77K |
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 | 33% | 4,588 | 4,162 | $248K |
| 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 | 25% | 2,391 | 2,161 | $188K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 13% | 3,281 | 3,055 | $101K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.6% | 600 | 529 | $50K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.3% | 460 | 434 | $40K |
| 87428 | 4.0% | 534 | 503 | $31K | |
| 90461 | 2.8% | 887 | 833 | $22K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.6% | 228 | 204 | $20K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 1.9% | 773 | 736 | $14K |
| 92552 | 1.2% | 677 | 619 | $9K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.1% | 177 | 170 | $9K |
| G9153 | Mapcp demonstration - physician incentive pool | <1% | 675 | 619 | $7K |
19 more codes
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 104 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 40 | $4K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 270 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 180 | $2K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 29 | $2K |
| 85018 | <1% | 539 | $1K | |
| 90686 | <1% | 879 | $1K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 25 | $1K |
| 99174 | <1% | 151 | $763.97 | |
| 0071A | <1% | 14 | $560.00 | |
| 0072A | <1% | 14 | $560.00 | |
| 0002A | <1% | 13 | $521.20 | |
| 90672 | <1% | 101 | $271.04 | |
| 99188 | <1% | 16 | $259.20 | |
| 96161 | <1% | 14 | $105.82 | |
| 91300 | <1% | 16 | $0.10 | |
| 90670 | 0% | 35 | $0.00 | |
| 99072 | 0% | 82 | $0.00 | |
| 90744 | 0% | 23 | $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 officialKORNEGAY, MATTHEW (MANAGING PARTNER)
Parent organizationCHARLESTON MEDICAL ASSOCIATES