Clinic
Walterboro Adult & Pediatric Medicine, LLC
Walterboro Adult & Pediatric Medicine, LLC was paid $2.20M by Medicaid between Jan 2018 and Dec 2024, across 5 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoWALTERBORO ADULT & PEDIATRIC MEDICINE, LLC
WALTERBORO, SC 29488
WALTERBORO, SC 29488
33aNPI1376873802assigned 01/06/2010
33bProvider typeRural Health Clinic/Center
28Total paid$2.20M
24GClaims34,488
24DCodes billed5
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in South Carolina
Rank by total paid#11 of 81
Median peer was paid$302K
This provider vs. median7.3×
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 | 4,053 | $255K | |
| 2019 | 5,046 | $267K | |
| 2020 | 6,186 | $307K | |
| 2021 | 5,076 | $338K | |
| 2022 | 5,129 | $375K | |
| 2023 | 5,087 | $369K | |
| 2024incomplete | 3,911 | $292K |
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 | 100% | 33,786 | 26,138 | $2.19M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 55 | 55 | $5K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 37 | 36 | $2K |
| 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 | <1% | 19 | 19 | $1K |
| 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% | 591 | 211 | $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 officialLUTZ, LARRY (OFFICE MANAGER)