Carolina Musculoskeletal Institute PA
Carolina Musculoskeletal Institute PA was paid $282K by Medicaid between Jan 2018 and Nov 2024, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 62% of everything it billed.
33Billing provider infoCAROLINA MUSCULOSKELETAL INSTITUTE PA
AIKEN, SC 29801
AIKEN, SC 29801
33aNPI1518943364assigned 12/22/2005
33bProvider typeFoot & Ankle Surgery Podiatrist
28Total paid$282K
24GClaims15,696
24DCodes billed19
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Foot & Ankle Surgery Podiatrist providers in South Carolina
Rank by total paid#1 of 23
Median peer was paid$11K
This provider vs. median26×
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 | 2,919 | $55K | |
| 2019 | 2,861 | $56K | |
| 2020 | 2,417 | $47K | |
| 2021 | 2,556 | $48K | |
| 2022 | 1,740 | $30K | |
| 2023 | 1,463 | $23K | |
| 2024incomplete | 1,740 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 62% | 6,756 | 6,239 | $175K |
| 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 | 7.8% | 743 | 675 | $22K |
| 99307 | 6.0% | 2,297 | 1,636 | $17K | |
| 11721 | 5.2% | 2,012 | 1,940 | $15K | |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | 4.5% | 84 | 82 | $13K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.3% | 248 | 234 | $12K |
| 20610 | 2.7% | 557 | 406 | $8K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 2.1% | 255 | 77 | $6K |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 1.7% | 776 | 692 | $5K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 1.0% | 179 | 49 | $3K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 304 | 217 | $3K |
| 62323 | <1% | 25 | 25 | $2K |
7 more codes
| 72100 | <1% | 67 | $877.35 | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 763 | $450.39 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | $308.42 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 533 | $269.98 |
| 20611 | <1% | 20 | $174.16 | |
| 73560 | <1% | 36 | $169.83 | |
| 73565 | <1% | 29 | $136.78 |
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 officialSUWAN, PHILLIP (OWNER)