Clinic
Edisto Regional Health Services INC
Edisto Regional Health Services INC was paid $596K by Medicaid between Jan 2018 and Jun 2022, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 71% of everything it billed.
33Billing provider infoEDISTO REGIONAL HEALTH SERVICES INC
SANTEE, SC 29142
SANTEE, SC 29142
33aNPI1467550087assigned 09/20/2006
33bProvider typeUrgent Care Clinic/Center
28Total paid$596K
24GClaims11,428
24DCodes billed7
24AFirst – last monthJan 2018 – Jun 2022
Compared with peers
Next to other Urgent Care Clinic/Center providers in South Carolina
Rank by total paid#22 of 36
Median peer was paid$695K
This provider vs. median0.9×
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 | 2,930 | $141K | |
| 2019 | 3,305 | $161K | |
| 2020 | 2,037 | $110K | |
| 2021 | 2,234 | $125K | |
| 2022 | 922 | $59K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 71% | 7,553 | 6,954 | $421K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 11% | 747 | 658 | $65K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.8% | 1,383 | 1,296 | $52K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.1% | 921 | 819 | $48K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.2% | 86 | 78 | $7K |
| 36415 | Collection of venous blood by venipuncture | <1% | 726 | 657 | $2K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 12 | 12 | $73.00 |
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 officialFULMER, CHRISTAL (MANAGER)
Parent organizationTHE REGIONAL MEDICAL CENTER OF ORANGEBURG AND CALHOUN COUNTIES
| Provider | Location | Paid |
|---|---|---|
| Edisto Regional Health Services INC. | St Matthews, SC | $205K |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.