Medicaid Provider Spending

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

CAROLINA HEALTH CENTERS, INC.

NPI: 1518238690 · CLINTON, SC 29325 · Federally Qualified Health Center (FQHC) · NPI assigned 01/20/2012

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official GILMER, LISA controls 11+ related entities in our dataset. Read more

$7.66M
Total Medicaid Paid
60,086
Total Claims
57,456
Beneficiaries
47
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGILMER, LISA (PRACTICE ADMINISTRATOR)
NPI Enumeration Date01/20/2012

Related Entities

Other providers sharing the same authorized official: GILMER, LISA

ProviderCityStateTotal Paid
CAROLINA HEALTH CENTERS, INC. GREENWOOD SC $20.19M
CAROLINA HEALTH CENTERS, INC. GREENWOOD SC $3.30M
CAROLINA HEALTH CENTERS, INC. GREENWOOD SC $992K
CAROLINA HEALTH CENTERS, INC. WATERLOO SC $856K
CAROLINA HEALTH CENTERS, INC. MC CORMICK SC $839K
CAROLINA HEALTH CENTERS, INC. CLINTON SC $584K
CAROLINA HEALTH CENTERS, INC. CALHOUN FALLS SC $380K
CAROLINA HEALTH CENTERS, INC. RIDGE SPRING SC $303K
CAROLINA HEALTH CENTERS, INC. SALUDA SC $238K
CAROLINA HEALTH CENTERS, INC. WARE SHOALS SC $218K
CAROLINA HEALTH CENTERS, INC. GREENWOOD SC $18K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,420 $878K
2019 7,742 $929K
2020 6,009 $771K
2021 8,111 $865K
2022 10,924 $1.08M
2023 10,767 $1.42M
2024 9,113 $1.71M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15,236 14,444 $2.74M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 14,505 13,735 $2.69M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,371 4,076 $736K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,857 2,850 $504K
T1015 Clinic visit/encounter, all-inclusive 1,933 1,559 $376K
87428 4,239 4,148 $253K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,125 1,121 $215K
90460 Immunization administration through 18 years of age via any route, first or only component 3,602 3,569 $39K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 181 177 $30K
G9153 Mapcp demonstration - physician incentive pool 885 840 $29K
90832 Psychotherapy, 30 minutes with patient 72 57 $15K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,259 3,184 $6K
90461 1,151 1,143 $4K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 62 62 $3K
99460 29 26 $2K
90837 Psychotherapy, 53 minutes with patient 16 13 $2K
99215 Prolong outpt/office vis 14 13 $2K
90834 Psychotherapy, 45 minutes with patient 13 12 $2K
99238 Hospital discharge day management, 30 minutes or less 15 14 $978.65
87807 221 210 $759.66
96127 167 165 $712.06
99462 15 15 $496.60
92552 197 197 $296.83
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 273 269 $267.91
3078F 932 905 $191.62
90670 1,262 1,255 $167.74
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 89 89 $159.96
85018 91 88 $50.98
36415 Collection of venous blood by venipuncture 16 16 $18.01
90686 699 699 $16.77
90687 24 24 $0.12
90633 118 118 $0.00
99173 134 134 $0.00
90707 64 63 $0.00
90715 13 13 $0.00
3008F 463 438 $0.00
90677 144 143 $0.00
3074F 770 748 $0.00
90723 295 293 $0.00
90697 65 65 $0.00
90680 160 160 $0.00
90647 187 185 $0.00
90716 25 25 $0.00
90688 25 25 $0.00
90656 34 34 $0.00
90651 26 25 $0.00
90696 12 12 $0.00