Physician
Mante, Ebenezer
Mante, Ebenezer was paid $82K by Medicaid between Jul 2019 and Oct 2019, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.
33Billing provider infoMANTE, EBENEZER
LANCASTER, SC 29720
LANCASTER, SC 29720
33aNPI1396780953assigned 06/18/2006
33bProvider typePediatrics Physician
28Total paid$82K
24GClaims1,495
24DCodes billed20
24AFirst – last monthJul 2019 – Oct 2019
Compared with peers
Next to other Pediatrics Physician providers in South Carolina
Rank by total paid#109 of 471
Median peer was paid$18K
This provider vs. median4.6×
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 | |
|---|---|---|---|
| 2019 | 1,495 | $82K |
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 | 50% | 392 | 353 | $41K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 259 | 243 | $18K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 8.0% | 58 | 58 | $7K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.0% | 48 | 48 | $5K |
| 90461 | 3.4% | 82 | 81 | $3K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.5% | 160 | 159 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.5% | 13 | 13 | $1K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.5% | 12 | 12 | $1K |
| 97802 | 1.4% | 46 | 46 | $1K | |
| 99051 | 1.4% | 96 | 91 | $1K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.2% | 140 | 138 | $995.40 |
| 97803 | <1% | 44 | 44 | $612.04 |
8 more codes
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.