Physician
Spartanburg Medical Center
Spartanburg Medical Center was paid $6.27M by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoSPARTANBURG MEDICAL CENTER
SPARTANBURG, SC 29301
SPARTANBURG, SC 29301
33aNPI1508819483assigned 05/19/2006
33bProvider typeFamily Medicine Physician
28Total paid$6.27M
24GClaims114,840
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in South Carolina
Rank by total paid#4 of 696
Median peer was paid$14K
This provider vs. median434×
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 | 13,717 | $520K | |
| 2019 | 13,533 | $503K | |
| 2020 | 7,431 | $364K | |
| 2021 | 16,109 | $937K | |
| 2022 | 21,347 | $1.27M | |
| 2023 | 23,960 | $1.54M | |
| 2024incomplete | 18,743 | $1.13M |
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% | 46,834 | 45,239 | $2.64M |
| 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 | 28% | 21,513 | 20,880 | $1.79M |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 20% | 10,049 | 9,847 | $1.26M |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.8% | 18,768 | 18,326 | $236K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.3% | 9,553 | 5,214 | $146K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 1.3% | 818 | 798 | $81K |
| 87428 | 1.0% | 1,174 | 1,142 | $63K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 560 | 544 | $15K |
| 86738 | <1% | 845 | 825 | $8K | |
| 81001 | <1% | 2,620 | 2,553 | $7K | |
| 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 | <1% | 44 | 42 | $7K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 66 | 62 | $6K |
10 more codes
| 87807 | <1% | 368 | $5K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 313 | $4K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 463 | $3K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 25 | $3K |
| 81025 | <1% | 439 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 34 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 284 | $998.14 |
| 87210 | <1% | 30 | $147.68 | |
| 87081 | <1% | 14 | $98.22 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 26 | $30.49 |
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 officialMORROW, CHARLES (CHIEF OPERATING OFFICER)
Parent organizationSPARTANBURG REGIONAL HEALTH SERVICES DISTRICT INC
| Provider | Location | Paid |
|---|---|---|
| Spartanburg Medical Center | Spartanburg, SC | $16.94M |
| Spartanburg Medical Center | Greer, SC | $29K |
| Pelham Medical Center | Greer, SC | $510.77 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.