Physician
Edisto Regional Health Services INC.
Edisto Regional Health Services INC. was paid $205K by Medicaid between Jan 2018 and Feb 2023, across 8 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 59% of everything it billed.
33Billing provider infoEDISTO REGIONAL HEALTH SERVICES INC.
ST MATTHEWS, SC 29135
ST MATTHEWS, SC 29135
33aNPI1396976700assigned 08/03/2009
33bProvider typeFamily Medicine Physician
28Total paid$205K
24GClaims4,618
24DCodes billed8
24AFirst – last monthJan 2018 – Feb 2023
Compared with peers
Next to other Family Medicine Physician providers in South Carolina
Rank by total paid#146 of 696
Median peer was paid$14K
This provider vs. median14×
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 | 1,086 | $39K | |
| 2019 | 810 | $34K | |
| 2020 | 711 | $31K | |
| 2021 | 891 | $38K | |
| 2022 | 883 | $47K | |
| 2023 | 237 | $15K |
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 | 59% | 2,611 | 1,944 | $122K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 36% | 1,401 | 1,160 | $73K |
| 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 | 4.8% | 156 | 134 | $10K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 29 | 27 | $152.62 |
| 90756 | <1% | 13 | 12 | $122.04 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 38 | 36 | $90.45 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 350 | 272 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 20 | 13 | $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 officialFULMER, CHRISTAL (REVENUE INTEGRITY MANAGER)
Parent organizationEDISTO REGIONAL HEALTH SERVICES INC.
| Provider | Location | Paid |
|---|---|---|
| Edisto Regional Health Services INC | Santee, SC | $596K |
| The Regional Medical Center of Orangeburg and Calhoun Counties | Orangeburg, SC | $43K |
| The Regional Medical Center of Orangeburg and Calhoun Counties | Orangeburg, SC | $12K |
| Regional Medical Center of Orangeburg and Calhoun Counties | Orangeburg, SC | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.