Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

EDISTO REGIONAL HEALTH SERVICES INC.

NPI: 1396976700 · ST MATTHEWS, SC 29135 · Family Medicine Physician · NPI assigned 08/03/2009

$205K
Total Medicaid Paid
4,618
Total Claims
3,598
Beneficiaries
8
Codes Billed
2018-01
First Month
2023-02
Last Month

Provider Details

Authorized OfficialFULMER, CHRISTAL (REVENUE INTEGRITY MANAGER)
Parent OrganizationEDISTO REGIONAL HEALTH SERVICES INC.
NPI Enumeration Date08/03/2009

Related Entities

Other providers sharing the same authorized official: FULMER, CHRISTAL

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,086 $39K
2019 810 $34K
2020 711 $31K
2021 891 $38K
2022 883 $47K
2023 237 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 2,611 1,944 $122K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,401 1,160 $73K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 156 134 $10K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 29 27 $152.62
90756 13 12 $122.04
36415 Collection of venous blood by venipuncture 38 36 $90.45
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 350 272 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 20 13 $0.00