Physician
Southern Coast Spine and Pain Specialists LLC
Southern Coast Spine and Pain Specialists LLC was paid $618K by Medicaid between Jul 2022 and Nov 2024, across 30 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoSOUTHERN COAST SPINE AND PAIN SPECIALISTS LLC
BEAUFORT, SC 29902
BEAUFORT, SC 29902
33aNPI1508518069assigned 01/25/2022
33bProvider typePain Medicine (Anesthesiology) Physician
28Total paid$618K
24GClaims20,995
24DCodes billed30
24AFirst – last monthJul 2022 – Nov 2024
Compared with peers
Next to other Pain Medicine (Anesthesiology) Physician providers in South Carolina
Rank by total paid#4 of 25
Median peer was paid$41K
This provider vs. median15×
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 | |
|---|---|---|---|
| 2022 | 1,801 | $79K | |
| 2023 | 9,764 | $287K | |
| 2024incomplete | 9,430 | $252K |
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 | 42% | 7,658 | 6,968 | $260K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 20% | 3,423 | 3,243 | $121K |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed | 15% | 2,211 | 2,077 | $90K |
| 62323 | 5.3% | 435 | 407 | $33K | |
| 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 | 3.7% | 355 | 350 | $23K |
| 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 | 3.4% | 494 | 457 | $21K |
| 99152 | 2.7% | 1,064 | 953 | $17K | |
| 64483 | 1.7% | 147 | 135 | $11K | |
| 62321 | 1.4% | 92 | 86 | $8K | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 788 | 733 | $6K |
| 77002 | <1% | 156 | 148 | $4K | |
| 64493 | <1% | 84 | 77 | $4K |
18 more codes
| 64635 | <1% | 29 | $4K | |
| 20610 | <1% | 122 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 46 | $3K |
| 72110 | <1% | 90 | $2K | |
| 64636 | <1% | 28 | $1K | |
| 72190 | <1% | 85 | $1K | |
| 64494 | <1% | 51 | $1K | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 225 | $898.87 |
| 72050 | <1% | 31 | $621.46 | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 507 | $527.15 |
| 64484 | <1% | 17 | $466.30 | |
| 73564 | <1% | 31 | $351.20 | |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | <1% | 1,173 | $198.26 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | <1% | 1,285 | $173.04 |
| 80305 | <1% | 13 | $154.57 | |
| J3490 | Unclassified drugs | <1% | 153 | $27.18 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 190 | $0.00 |
| G0481 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed | 0% | 12 | $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 officialSCHUYLER, WALTER (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Southern Coast Pain Specialists | Beaufort, SC | $473K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.