Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

EDISTO REGIONAL HEALTH SERVICES INC.

NPI: 1487701157 · BRANCHVILLE, SC 29432 · Family Medicine Physician · NPI assigned 01/04/2007

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MASON, CHERYL controls 13+ related entities in our dataset. Read more

$72K
Total Medicaid Paid
1,401
Total Claims
1,241
Beneficiaries
5
Codes Billed
2018-01
First Month
2023-02
Last Month

Provider Details

Authorized OfficialMASON, CHERYL (C.F.O.)
Parent OrganizationEDISTO REGIONAL HEALTH SERVICES INC.
NPI Enumeration Date01/04/2007

Related Entities

Other providers sharing the same authorized official: MASON, CHERYL

ProviderCityStateTotal Paid
THE REGIONAL MEDICAL CENTER OF ORANGEBURG AND CALHOUN COUNTIES ORANGEBURG SC $1.39M
THE REGIONAL MEDICAL CENTER OF ORANGEBURG AND CALHOUN COUNTIES ORANGEBURG SC $635K
THE REGIONAL MEDICAL CENTER OF ORANGEBURG AND CALHOUN COUNTIES ORANGEBURG SC $412K
THE REGIONAL MEDICAL CENTER OF ORANGEBURG AND CALHOUN COUNTIES ORANGEBURG SC $338K
THE REGIONAL MEDICAL CENTER OF ORANGEBURG AND CALHOUN COUNTIES ORANGEBURG SC $324K
EDISTO REGIONAL HEALTH SERVICES INC. ORANGEBURG SC $320K
EDISTO REGIONAL HEALTH SERVICES, INC. HOLLY HILL SC $279K
THE REGIONAL MEDICAL CENTER OF ORANGEBURG AND CALHOUN COUNTIES BAMBERG SC $252K
THE REGIONAL MEDICAL CENTER OF ORANGEBURG AND CALHOUN COUNTIES ORANGEBURG SC $182K
THE REGIONAL MEDICAL CENTER OF ORANGEBURG AND CALHOUN COUNTIES ORANGEBURG SC $27K
EDISTO REGIONAL HEALTH SERVICES INC DENMARK SC $6K
THE REGIONAL MEDICAL CENTER OF ORANGEBURG AND CALHOUN COUNTIES ORANGEBURG SC $2K
THE REGIONAL MEDICAL CENTER OF ORANGEBURG AND CALHOUN COUNTIES ORANGEBURG SC $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 615 $27K
2019 392 $22K
2020 201 $11K
2021 68 $4K
2022 76 $5K
2023 49 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 891 802 $45K
T1015 Clinic visit/encounter, all-inclusive 366 304 $19K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 98 96 $8K
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 34 27 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 12 12 $0.00