Todd, Marc
Todd, Marc was paid $35K by Medicaid between Jul 2019 and Oct 2019, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoTODD, MARC
IRMO, SC 29063
IRMO, SC 29063
33aNPI1508880568assigned 07/26/2006
33bProvider typeSpecialist
28Total paid$35K
24GClaims903
24DCodes billed13
24AFirst – last monthJul 2019 – Oct 2019
Compared with peers
Next to other Specialist providers in South Carolina
Rank by total paid#49 of 89
Median peer was paid$41K
This provider vs. median0.8×
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 | |
|---|---|---|---|
| 2019 | 903 | $35K |
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 | 46% | 212 | 192 | $16K |
| 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 | 17% | 54 | 51 | $6K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.7% | 28 | 28 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.7% | 28 | 28 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.4% | 13 | 13 | $2K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.4% | 122 | 122 | $2K |
| 90461 | 4.2% | 70 | 70 | $1K | |
| 96127 | 2.2% | 99 | 95 | $751.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.7% | 70 | 70 | $597.24 |
| 80061 | Lipid panel | 1.4% | 41 | 41 | $473.40 |
| 99188 | 1.2% | 26 | 26 | $421.20 | |
| 85018 | <1% | 102 | 102 | $209.10 |
1 more codes
| 90686 | 0% | 38 | $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.