Clinic
Rural Health Services INC
Rural Health Services INC was paid $10.32M by Medicaid between Jan 2018 and Dec 2024, across 101 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.
33Billing provider infoRURAL HEALTH SERVICES INC
AIKEN, SC 29801
AIKEN, SC 29801
33aNPI1447530431assigned 08/22/2011
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$10.32M
24GClaims138,476
24DCodes billed101
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in South Carolina
Rank by total paid#8 of 85
Median peer was paid$746K
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 | 19,730 | $1.80M | |
| 2019 | 18,348 | $1.66M | |
| 2020 | 14,746 | $1.37M | |
| 2021 | 19,269 | $1.39M | |
| 2022 | 23,506 | $1.43M | |
| 2023 | 24,515 | $1.41M | |
| 2024incomplete | 18,362 | $1.26M |
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 | 35% | 24,254 | 22,362 | $3.62M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 14% | 17,913 | 14,878 | $1.42M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 13% | 9,511 | 8,977 | $1.37M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 13% | 8,953 | 7,546 | $1.34M |
| 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 | 4.9% | 3,274 | 3,093 | $508K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.6% | 2,489 | 2,426 | $373K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.6% | 2,416 | 2,347 | $367K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.4% | 1,581 | 1,546 | $245K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.9% | 1,283 | 1,235 | $200K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.4% | 925 | 898 | $141K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.2% | 5,253 | 4,875 | $122K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 1.1% | 1,477 | 1,397 | $114K |
89 more codes
| 99383 | <1% | 708 | $99K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 663 | $94K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 509 | $74K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 249 | $28K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 398 | $19K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 5,032 | $16K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 84 | $13K |
| 81025 | <1% | 3,104 | $10K | |
| 76830 | Ultrasound, transvaginal | <1% | 190 | $10K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,293 | $9K |
| 97802 | <1% | 94 | $9K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 225 | $9K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 340 | $6K |
| 85018 | <1% | 6,713 | $6K | |
| 90715 | <1% | 480 | $6K | |
| 82947 | <1% | 4,585 | $5K | |
| 81003 | <1% | 5,753 | $5K | |
| 99384 | <1% | 24 | $4K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 30 | $4K |
| 90461 | <1% | 1,286 | $4K | |
| 90670 | <1% | 426 | $4K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 26 | $4K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 24 | $4K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 26 | $4K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 70 | $4K |
| 90686 | <1% | 1,329 | $3K | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 77 | $3K |
| 0012A | <1% | 72 | $3K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 33 | $3K |
| 99050 | <1% | 236 | $2K | |
| 99406 | <1% | 299 | $2K | |
| 0011A | <1% | 59 | $2K | |
| 90620 | <1% | 77 | $2K | |
| 0002A | <1% | 55 | $2K | |
| 0001A | <1% | 57 | $2K | |
| 87430 | <1% | 531 | $2K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 26 | $2K |
| 59430 | <1% | 12 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 290 | $2K |
| 90677 | <1% | 119 | $2K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 50 | $2K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 12 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 292 | $1K |
| 82962 | <1% | 719 | $945.90 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,068 | $941.19 |
| 99051 | <1% | 87 | $928.81 | |
| 92015 | Determination of refractive state | <1% | 782 | $894.14 |
| 90674 | <1% | 85 | $772.40 | |
| 76801 | <1% | 12 | $722.02 | |
| 76820 | <1% | 43 | $688.13 | |
| 80305 | <1% | 68 | $666.25 | |
| 90658 | <1% | 59 | $576.35 | |
| 90688 | <1% | 41 | $567.01 | |
| 81005 | <1% | 484 | $490.51 | |
| G9153 | Mapcp demonstration - physician incentive pool | <1% | 13 | $390.00 |
| 90649 | <1% | 76 | $366.48 | |
| 90685 | <1% | 375 | $354.38 | |
| 90661 | <1% | 13 | $330.00 | |
| 90633 | <1% | 424 | $315.51 | |
| 83655 | <1% | 112 | $234.42 | |
| 90651 | <1% | 534 | $214.41 | |
| 1159F | <1% | 2,829 | $192.37 | |
| 90734 | <1% | 266 | $119.90 | |
| 98968 | <1% | 14 | $119.85 | |
| 98967 | <1% | 18 | $87.56 | |
| 90723 | <1% | 192 | $77.40 | |
| 87807 | <1% | 31 | $67.68 | |
| 87400 | <1% | 18 | $43.05 | |
| 90647 | <1% | 239 | $0.22 | |
| 3078F | <1% | 3,235 | $0.22 | |
| 3079F | <1% | 1,343 | $0.08 | |
| 3074F | <1% | 3,487 | $0.01 | |
| 1126F | <1% | 1,784 | $0.01 | |
| 3075F | 0% | 292 | $0.00 | |
| 3008F | 0% | 2,660 | $0.00 | |
| 3080F | 0% | 142 | $0.00 | |
| 1125F | 0% | 109 | $0.00 | |
| 1220F | 0% | 79 | $0.00 | |
| 3044F | 0% | 70 | $0.00 | |
| 1036F | 0% | 30 | $0.00 | |
| 90680 | 0% | 20 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 53 | $0.00 |
| 4037F | 0% | 12 | $0.00 | |
| 90696 | 0% | 12 | $0.00 | |
| 1160F | 0% | 95 | $0.00 | |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | 0% | 426 | $0.00 |
| 3077F | 0% | 249 | $0.00 | |
| 99173 | 0% | 436 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 53 | $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 officialBRANUM, DONALD (CEO)
| Provider | Location | Paid |
|---|---|---|
| Rural Health Services, INC. | Beech Island, SC | $3.97M |
| Rural Health Services INC | Aiken, SC | $946K |
| Rural Health Services, INC. | Aiken, SC | $138K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.