SC House Calls INC

SC House Calls INC was paid $11.60M by Medicaid between Jan 2018 and Dec 2024, across 93 billing codes. Its largest line is 99349, — 41% of everything it billed.

33Billing provider infoSC HOUSE CALLS INC
COLUMBIA, SC 29203

33aNPI1518048859assigned 10/17/2006

33bProvider typeFamily Medicine Physician

28Total paid$11.60M

24GClaims548,578

24DCodes billed93

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Family Medicine Physician providers in South Carolina

Rank by total paid#1 of 696

Median peer was paid$14K

This provider vs. median802×

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	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
2024incomplete	108,141	$2.81M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99349		41%	132,310	88,142	$4.71M
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	12%	37,031	27,110	$1.35M
99309	Subsequent nursing facility care, per day, low to moderate complexity	9.6%	89,478	47,495	$1.11M
99336		6.1%	24,281	13,950	$712K
99354		6.1%	29,260	20,922	$710K
99490	Ccm add 20min	4.3%	22,626	20,289	$498K
99439		2.8%	16,722	15,021	$319K
99350	Prolong home eval add 15m	2.2%	7,252	5,357	$251K
99497		2.1%	21,591	15,926	$244K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.9%	11,112	6,846	$215K
99310	Prolong nursin fac eval 15m	1.8%	13,357	8,863	$213K
99308	Subsequent nursing facility care, per day, straightforward	1.6%	19,726	11,115	$186K

81 more codes

99337		1.4%	4,810	$167K
99335		1.3%	6,294	$151K
99443		1.2%	10,433	$144K
99215	Doctor's office visit, returning patient (complex)	<1%	1,945	$91K
99358	Prolong nursin fac eval 15m	<1%	9,514	$74K
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	<1%	2,940	$74K
99348		<1%	3,150	$69K
99489	Ccm add 20min	<1%	20,450	$68K
99334		<1%	1,141	$33K
99442		<1%	2,845	$32K
90837	Psychotherapy session, about an hour	<1%	464	$23K
99356		<1%	1,422	$23K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	938	$19K
90792	Psychiatric diagnostic evaluation with medical services	<1%	294	$14K
99307		<1%	1,309	$11K
97530	Therapeutic activities, direct patient contact, each 15 minutes	<1%	900	$9K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	<1%	1,096	$7K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	1,973	$6K
99306	Prolong nursin fac eval 15m	<1%	106	$6K
99344		<1%	110	$6K
90686		<1%	1,107	$5K
90832	Psychotherapy session, about 30 minutes	<1%	186	$5K
99305		<1%	127	$5K
90847	Family psychotherapy with the patient present, 50 minutes	<1%	120	$3K
99201		<1%	129	$3K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	239	$3K
99441		<1%	529	$3K
99347		<1%	128	$3K
90791	Psychiatric diagnostic evaluation	<1%	50	$2K
83036	Hemoglobin; glycosylated (A1C)	<1%	1,478	$2K
80305		<1%	545	$2K
99233	Hospital visit by a doctor, follow-up day (complex)	<1%	36	$1K
99406		<1%	455	$1K
99326		<1%	32	$1K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	459	$1K
99487	Ccm add 20min	<1%	21,235	$1K
82962		<1%	3,055	$1K
90834	Psychotherapy session, about 45 minutes	<1%	26	$1K
99304		<1%	73	$1K
97535	Self-care/home management training, each 15 minutes	<1%	183	$878.40
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	<1%	250	$841.13
90732		<1%	40	$828.42
0064A		<1%	32	$821.52
97112	Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination	<1%	126	$560.45
80061	Lipid panel	<1%	249	$526.40
99355		<1%	341	$226.08
97116		<1%	561	$208.56
36416		<1%	2,162	$183.78
90656		<1%	20	$151.48
36415	Collection of venous blood by venipuncture	<1%	258	$150.32
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	<1%	55	$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	<1%	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	<1%	134	$99.74
90662		<1%	144	$70.22
J1030	Injection, methylprednisolone acetate, 40 mg	<1%	222	$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	<1%	24	$41.38
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	53	$41.32
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	131	$35.69
86580		<1%	28	$33.88
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	26	$22.65
J0696	Injection, ceftriaxone sodium, per 250 mg	<1%	31	$14.02
81003		<1%	118	$11.98
3077F		0%	117	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	7,302	$0.00
3078F		0%	800	$0.00
1160F		0%	1,911	$0.00
1159F		0%	1,371	$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	0%	12	$0.00
11721		0%	22	$0.00
3725F		0%	18	$0.00
99484		0%	586	$0.00
1036F		0%	1,093	$0.00
3079F		0%	205	$0.00
3008F		0%	1,173	$0.00
1125F		0%	349	$0.00
3074F		0%	644	$0.00
1126F		0%	507	$0.00
G0008	Administration of influenza virus vaccine	0%	272	$0.00
99000		0%	59	$0.00
3075F		0%	20	$0.00
99407		0%	23	$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.

From NPPES

Who's on the registration

Authorized officialHELMS, MACKENZIE (VP OF PROVIDER AND PAYER RELATIONS)