Carolinas Medical Alliance INC

Carolinas Medical Alliance INC was paid $223K by Medicaid between Jan 2018 and Feb 2019, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.

33Billing provider infoCAROLINAS MEDICAL ALLIANCE INC
LAKE CITY, SC 29560

33aNPI1417354606assigned 12/03/2014

33bProvider typeFamily Medicine Physician

28Total paid$223K

24GClaims5,742

24DCodes billed11

24AFirst – last monthJan 2018 – Feb 2019

Compared with peers

Next to other Family Medicine Physician providers in South Carolina

Rank by total paid#139 of 696

Median peer was paid$14K

This provider vs. median15×

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	4,787	$186K
2019	955	$38K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	46%	2,410	2,240	$102K
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	43%	1,587	1,463	$96K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	7.4%	298	298	$16K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.1%	186	186	$3K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	1.1%	175	100	$2K
36415	Collection of venous blood by venipuncture	<1%	950	881	$2K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	13	13	$520.53
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	31	31	$483.09
90688		<1%	58	53	$387.80
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	15	15	$339.68
81003		<1%	19	19	$38.90

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 officialWRIGHT, PAT (DIRECTOR)

Parent organizationCHS/COMMUNITY HEALTH SYSTEMS, INC.