Carolinas Medical Alliance INC
Carolinas Medical Alliance INC was paid $761K by Medicaid between Jan 2018 and Feb 2019, across 48 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.
FLORENCE, SC 29505
Next to other General Practice Physician providers in South Carolina
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 23,520 | $663K | |
| 2019 | 3,285 | $98K |
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 | 28% | 5,111 | 4,600 | $212K |
| 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 | 17% | 2,821 | 2,652 | $126K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 11% | 2,510 | 2,245 | $81K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 6.4% | 2,072 | 836 | $49K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 5.0% | 1,003 | 480 | $38K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 4.9% | 263 | 262 | $37K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 4.0% | 317 | 115 | $31K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 3.6% | 27 | 27 | $27K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 2.9% | 256 | 254 | $22K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 2.4% | 174 | 171 | $18K |
| 81002 | 1.4% | 3,413 | 2,977 | $11K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 1.4% | 130 | 125 | $10K |
36 more codes
| 87510 | 1.0% | 354 | $8K | |
| 87660 | 1.0% | 353 | $8K | |
| 87480 | <1% | 335 | $7K | |
| 81025 | <1% | 907 | $7K | |
| 99223 | Prolong inpt eval add15 m | <1% | 131 | $6K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 409 | $6K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 350 | $6K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 60 | $5K |
| 59430 | <1% | 42 | $4K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,143 | $4K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 80 | $4K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 83 | $4K |
| 85018 | <1% | 1,107 | $3K | |
| 76830 | Ultrasound, transvaginal | <1% | 42 | $3K |
| 20610 | <1% | 131 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 681 | $3K |
| 95816 | <1% | 120 | $2K | |
| 95813 | <1% | 40 | $2K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 25 | $2K |
| 99205 | Prolong outpt/office vis | <1% | 25 | $1K |
| 76813 | <1% | 14 | $1K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 248 | $1K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 15 | $1K |
| 90688 | <1% | 60 | $909.97 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 626 | $889.34 |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 14 | $559.23 |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 22 | $558.33 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 32 | $432.96 |
| 90715 | <1% | 12 | $432.60 | |
| 73564 | <1% | 31 | $418.91 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 81 | $417.85 |
| 99221 | <1% | 13 | $365.63 | |
| 82950 | <1% | 27 | $141.95 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 30 | $81.73 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 45 | $37.28 |
| 1036F | 0% | 20 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Oak Hill Clinic Corp | Oak Hill, WV | $2.28M |
| Cleveland Medical Clinic INC | Cleveland, TN | $1.75M |
| Lake Area Physician Services LLC | Lake Charles, LA | $666K |
| Moberly Medical Clinics INC | Moberly, MO | $372K |
| Dyersburg Clinic Corp | Dyersburg, TN | $259K |
| Madison Clinic Corp | Jackson, TN | $132K |
| Carolinas Medical Alliance INC | Florence, SC | $73K |
| Carolinas Medical Alliance INC | Florence, SC | $62K |
| Franklin Hospital Corporation | Franklin, VA | $20K |
| DCF | Abilene, TX | $20K |
| Carolinas Medical Alliance INC | Pamplico, SC | $11K |
| Carolinas Medical Alliance INC | Florence, SC | $9K |
| Carlsbad Medical Center LLC | Carlsbad, NM | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.