Supplier
Rosa Clark Medical Center
Rosa Clark Medical Center was paid $454K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 41% of everything it billed.
33Billing provider infoROSA CLARK MEDICAL CENTER
SENECA, SC 29672
SENECA, SC 29672
33aNPI1508903394assigned 01/31/2007
33bProvider typeClinic Pharmacy
28Total paid$454K
24GClaims9,407
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
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 | 659 | $18K | |
| 2019 | 208 | $5K | |
| 2020 | 404 | $10K | |
| 2021 | 1,442 | $51K | |
| 2022 | 1,948 | $110K | |
| 2023 | 2,232 | $141K | |
| 2024incomplete | 2,514 | $120K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 41% | 2,584 | 1,668 | $187K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 1,793 | 1,792 | $63K |
| 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 | 11% | 296 | 294 | $51K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.6% | 238 | 234 | $44K |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 7.9% | 425 | 397 | $36K |
| D1206 | Topical application of fluoride varnish | 7.0% | 1,903 | 1,903 | $32K |
| D1351 | Sealant - per tooth | 4.7% | 697 | 229 | $21K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 1.5% | 114 | 101 | $7K |
| 83036 | Hemoglobin; glycosylated (A1C) | 1.1% | 590 | 561 | $5K |
| D1110 | Prophylaxis - adult | <1% | 38 | 38 | $2K |
| 99442 | <1% | 76 | 73 | $2K | |
| 85018 | <1% | 564 | 535 | $1K |
3 more codes
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 officialLEE, JAMIE (CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Barfield Crescent Dental, INC | Murfreesboro, TN | $248K |
| Centerville Dental | Centerville, TN | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.