Medicaid Provider Spending

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

EDISTO REGIONAL HEALTH SERVICES INC.

NPI: 1548529696 · ORANGEBURG, SC 29118 · Family Medicine Physician · NPI assigned 05/10/2012

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

Authorized official MASON, CHERYL controls 13+ related entities in our dataset. Read more

$320K
Total Medicaid Paid
7,153
Total Claims
6,116
Beneficiaries
8
Codes Billed
2018-01
First Month
2023-02
Last Month

Provider Details

Authorized OfficialMASON, CHERYL (C.F.O.)
Parent OrganizationEDISTO REGIONAL HEALTH SERVICES INC.
NPI Enumeration Date05/10/2012

Related Entities

Other providers sharing the same authorized official: MASON, CHERYL

ProviderCityStateTotal Paid
THE REGIONAL MEDICAL CENTER OF ORANGEBURG AND CALHOUN COUNTIES ORANGEBURG SC $1.39M
THE REGIONAL MEDICAL CENTER OF ORANGEBURG AND CALHOUN COUNTIES ORANGEBURG SC $635K
THE REGIONAL MEDICAL CENTER OF ORANGEBURG AND CALHOUN COUNTIES ORANGEBURG SC $412K
THE REGIONAL MEDICAL CENTER OF ORANGEBURG AND CALHOUN COUNTIES ORANGEBURG SC $338K
THE REGIONAL MEDICAL CENTER OF ORANGEBURG AND CALHOUN COUNTIES ORANGEBURG SC $324K
EDISTO REGIONAL HEALTH SERVICES, INC. HOLLY HILL SC $279K
THE REGIONAL MEDICAL CENTER OF ORANGEBURG AND CALHOUN COUNTIES BAMBERG SC $252K
THE REGIONAL MEDICAL CENTER OF ORANGEBURG AND CALHOUN COUNTIES ORANGEBURG SC $182K
EDISTO REGIONAL HEALTH SERVICES INC. BRANCHVILLE SC $72K
THE REGIONAL MEDICAL CENTER OF ORANGEBURG AND CALHOUN COUNTIES ORANGEBURG SC $27K
EDISTO REGIONAL HEALTH SERVICES INC DENMARK SC $6K
THE REGIONAL MEDICAL CENTER OF ORANGEBURG AND CALHOUN COUNTIES ORANGEBURG SC $2K
THE REGIONAL MEDICAL CENTER OF ORANGEBURG AND CALHOUN COUNTIES ORANGEBURG SC $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,520 $59K
2019 1,239 $50K
2020 1,063 $47K
2021 1,575 $68K
2022 1,501 $76K
2023 255 $19K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 4,841 3,966 $210K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,204 1,116 $85K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 572 537 $25K
83036 Hemoglobin; glycosylated (A1C) 12 12 $103.08
36415 Collection of venous blood by venipuncture 27 24 $44.07
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 343 318 $0.00
1036F 27 25 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 127 118 $0.00