STATE OF SOUTH CAROLINA
NPI: 1508940784
· GEORGETOWN, SC 29440
· 251K00000X
$183K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,818 |
$50K |
| 2019 |
1,709 |
$41K |
| 2020 |
1,236 |
$28K |
| 2021 |
1,011 |
$25K |
| 2022 |
757 |
$18K |
| 2023 |
518 |
$11K |
| 2024 |
306 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
1,186 |
1,139 |
$84K |
| 99212 |
|
1,557 |
1,544 |
$44K |
| 99213 |
|
451 |
434 |
$21K |
| 81025 |
|
1,964 |
1,933 |
$13K |
| J1050 |
Medroxyprogesterone acetate |
957 |
956 |
$12K |
| 90460 |
|
603 |
599 |
$8K |
| 99201 |
|
63 |
63 |
$2K |
| Q0111 |
Wet mounts/ w preparations |
52 |
51 |
$171.60 |
| S4993 |
Contraceptive pills for bc |
14 |
14 |
$58.68 |
| 90686 |
|
471 |
467 |
$0.00 |
| 90672 |
|
37 |
36 |
$0.00 |