RAI CARE CENTERS OF SOUTH CAROLINA I, LLC
NPI: 1518976109
· MONCKS CORNER, SC 29461
· 261QE0700X
$502K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
8,696 |
$121K |
| 2019 |
9,745 |
$91K |
| 2020 |
8,653 |
$97K |
| 2021 |
8,069 |
$113K |
| 2022 |
7,999 |
$69K |
| 2023 |
3,042 |
$5K |
| 2024 |
7,620 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90935 |
|
4,987 |
2,554 |
$320K |
| J3490 |
Drugs unclassified injection |
6,111 |
1,714 |
$97K |
| J0887 |
Epoetin beta esrd use |
2,364 |
1,764 |
$55K |
| J1756 |
Iron sucrose injection |
2,380 |
1,362 |
$12K |
| A4657 |
Syringe w/wo needle |
4,281 |
1,999 |
$5K |
| 83970 |
|
2,265 |
2,030 |
$3K |
| J0604 |
Cinacalcet, esrd on dialysis |
209 |
127 |
$1K |
| 84466 |
|
985 |
945 |
$1K |
| 85018 |
|
2,586 |
2,081 |
$589.10 |
| 85025 |
|
2,257 |
2,014 |
$561.62 |
| 83540 |
|
2,267 |
2,029 |
$516.49 |
| 80051 |
|
2,198 |
1,968 |
$513.95 |
| 82728 |
|
989 |
900 |
$512.78 |
| 84520 |
|
3,968 |
2,040 |
$485.79 |
| 82310 |
|
2,290 |
2,029 |
$359.09 |
| 82040 |
|
2,290 |
2,037 |
$340.73 |
| 82565 |
|
2,252 |
2,015 |
$337.83 |
| 84100 |
|
2,297 |
2,034 |
$300.07 |
| 82108 |
|
409 |
347 |
$274.99 |
| 0002A |
|
16 |
13 |
$252.23 |
| 84155 |
|
2,248 |
2,011 |
$213.51 |
| 87340 |
|
630 |
526 |
$183.34 |
| J1644 |
Inj heparin sodium per 1000u |
279 |
136 |
$162.56 |
| 83735 |
|
620 |
558 |
$162.00 |
| 90670 |
|
13 |
12 |
$146.56 |
| 86706 |
|
406 |
345 |
$141.18 |
| 82746 |
|
170 |
135 |
$125.64 |
| 84075 |
|
616 |
553 |
$105.64 |
| 86803 |
|
108 |
75 |
$92.47 |
| 90688 |
|
36 |
36 |
$91.59 |
| 90686 |
|
40 |
39 |
$73.27 |
| 90682 |
|
13 |
13 |
$48.34 |
| 83550 |
|
1,058 |
865 |
$37.33 |
| 90662 |
|
12 |
12 |
$25.62 |
| 84132 |
|
13 |
13 |
$7.48 |
| 86580 |
|
28 |
27 |
$1.06 |
| G0008 |
Admin influenza virus vac |
120 |
118 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
13 |
12 |
$0.00 |