NPI: 1417027244 · CHARLESTON, SC 29403 · Federally Qualified Health Center (FQHC) · NPI assigned 11/09/2006
91% of spending on code 59409 with only 2 total codes billed. Highly concentrated billing profile.
| Authorized Official | PETTIFORD, REUBEN (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 11/09/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 82 | $87K |
| 2019 | 75 | $80K |
| 2020 | 191 | $209K |
| 2021 | 170 | $187K |
| 2022 | 303 | $304K |
| 2023 | 332 | $308K |
| 2024 | 161 | $121K |