Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SC HOUSE CALLS INC

NPI: 1518048859 · COLUMBIA, SC 29203 · Family Medicine Physician · NPI assigned 10/17/2006

$11.60M
Total Medicaid Paid
548,578
Total Claims
377,048
Beneficiaries
93
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHELMS, MACKENZIE (VP OF PROVIDER AND PAYER RELATIONS)
NPI Enumeration Date10/17/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 40,342 $414K
2019 44,451 $642K
2020 50,742 $1.03M
2021 86,639 $1.74M
2022 117,520 $2.34M
2023 100,743 $2.62M
2024 108,141 $2.81M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99349 132,310 88,142 $4.71M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 37,031 27,110 $1.35M
99309 Subsequent nursing facility care, per day, low to moderate complexity 89,478 47,495 $1.11M
99336 24,281 13,950 $712K
99354 29,260 20,922 $710K
99490 Ccm add 20min 22,626 20,289 $498K
99439 16,722 15,021 $319K
99350 Prolong home eval add 15m 7,252 5,357 $251K
99497 21,591 15,926 $244K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,112 6,846 $215K
99310 Prolong nursin fac eval 15m 13,357 8,863 $213K
99308 Subsequent nursing facility care, per day, straightforward 19,726 11,115 $186K
99337 4,810 3,142 $167K
99335 6,294 4,337 $151K
99443 10,433 8,218 $144K
99215 Prolong outpt/office vis 1,945 1,598 $91K
99358 Prolong nursin fac eval 15m 9,514 7,889 $74K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 2,940 2,260 $74K
99348 3,150 2,201 $69K
99489 Ccm add 20min 20,450 20,180 $68K
99334 1,141 751 $33K
99442 2,845 2,525 $32K
90837 Psychotherapy, 53 minutes with patient 464 282 $23K
99356 1,422 932 $23K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 938 747 $19K
90792 Psychiatric diagnostic evaluation with medical services 294 268 $14K
99307 1,309 728 $11K
97530 Therapeutic activities, direct patient contact, each 15 minutes 900 287 $9K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1,096 342 $7K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,973 752 $6K
99306 Prolong nursin fac eval 15m 106 96 $6K
99344 110 69 $6K
90686 1,107 763 $5K
90832 Psychotherapy, 30 minutes with patient 186 133 $5K
99305 127 121 $5K
90847 Family psychotherapy with the patient present, 50 minutes 120 96 $3K
99201 129 103 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 239 118 $3K
99441 529 509 $3K
99347 128 94 $3K
90791 Psychiatric diagnostic evaluation 50 50 $2K
83036 Hemoglobin; glycosylated (A1C) 1,478 674 $2K
80305 545 425 $2K
99233 Prolong inpt eval add15 m 36 12 $1K
99406 455 333 $1K
99326 32 27 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 459 280 $1K
99487 Ccm add 20min 21,235 20,964 $1K
82962 3,055 1,355 $1K
90834 Psychotherapy, 45 minutes with patient 26 24 $1K
99304 73 68 $1K
97535 Self-care/home management training, each 15 minutes 183 49 $878.40
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 250 242 $841.13
90732 40 29 $828.42
0064A 32 26 $821.52
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 126 33 $560.45
80061 Lipid panel 249 164 $526.40
99355 341 270 $226.08
97116 561 147 $208.56
36416 2,162 962 $183.78
90656 20 17 $151.48
36415 Collection of venous blood by venipuncture 258 146 $150.32
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 55 12 $147.60
M0201 Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home 17 17 $134.90
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 134 129 $99.74
90662 144 54 $70.22
J1030 Injection, methylprednisolone acetate, 40 mg 222 53 $56.15
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 24 24 $41.38
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 53 24 $41.32
J1100 Injection, dexamethasone sodium phosphate, 1 mg 131 97 $35.69
86580 28 20 $33.88
J1885 Injection, ketorolac tromethamine, per 15 mg 26 24 $22.65
J0696 Injection, ceftriaxone sodium, per 250 mg 31 12 $14.02
81003 118 27 $11.98
3077F 117 79 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 7,302 3,330 $0.00
3078F 800 499 $0.00
1160F 1,911 1,368 $0.00
1159F 1,371 1,022 $0.00
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans 12 12 $0.00
11721 22 16 $0.00
3725F 18 12 $0.00
99484 586 583 $0.00
1036F 1,093 666 $0.00
3079F 205 153 $0.00
3008F 1,173 895 $0.00
1125F 349 227 $0.00
3074F 644 397 $0.00
1126F 507 282 $0.00
G0008 Administration of influenza virus vaccine 272 61 $0.00
99000 59 55 $0.00
3075F 20 12 $0.00
99407 23 12 $0.00