Physician
Spence, Timothy
Spence, Timothy was paid $104K by Medicaid between Aug 2019 and Dec 2020, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoSPENCE, TIMOTHY
FLORENCE, SC 29506
FLORENCE, SC 29506
33aNPI1528030251assigned 02/06/2006
33bProvider typePediatrics Physician
28Total paid$104K
24GClaims2,325
24DCodes billed20
24AFirst – last monthAug 2019 – Dec 2020
Compared with peers
Next to other Pediatrics Physician providers in South Carolina
Rank by total paid#100 of 471
Median peer was paid$18K
This provider vs. median5.9×
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 | |
|---|---|---|---|
| 2019 | 92 | $3K | |
| 2020 | 2,233 | $101K |
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 | 39% | 503 | 480 | $40K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 19% | 171 | 171 | $20K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 16% | 149 | 142 | $17K |
| 90461 | 7.6% | 247 | 247 | $8K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.7% | 411 | 411 | $6K |
| 54150 | 4.8% | 56 | 56 | $5K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.4% | 27 | 27 | $4K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.3% | 29 | 29 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 43 | 43 | $652.09 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 26 | 26 | $212.68 |
| 85018 | <1% | 73 | 73 | $168.28 | |
| 80061 | Lipid panel | <1% | 12 | 12 | $146.85 |
8 more codes
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.