STATE OF SOUTH CAROLINA
NPI: 1497830392
· CHESTERFIELD, SC 29709
· 251K00000X
$205K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,179 |
$56K |
| 2019 |
1,933 |
$51K |
| 2020 |
1,093 |
$28K |
| 2021 |
944 |
$24K |
| 2022 |
1,031 |
$25K |
| 2023 |
475 |
$9K |
| 2024 |
459 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
1,359 |
1,335 |
$95K |
| 99212 |
|
1,339 |
1,325 |
$37K |
| 99213 |
|
556 |
545 |
$26K |
| J1050 |
Medroxyprogesterone acetate |
1,141 |
1,136 |
$15K |
| 81025 |
|
1,863 |
1,833 |
$13K |
| 90460 |
|
834 |
820 |
$12K |
| 99201 |
|
78 |
78 |
$2K |
| 99202 |
|
26 |
26 |
$1K |
| Q0111 |
Wet mounts/ w preparations |
391 |
384 |
$1K |
| 90461 |
|
46 |
46 |
$933.14 |
| S4993 |
Contraceptive pills for bc |
12 |
12 |
$68.07 |
| 90686 |
|
448 |
434 |
$16.42 |
| 90672 |
|
21 |
18 |
$0.00 |