Edisto Regional Health Services INC.
Edisto Regional Health Services INC. was paid $320K by Medicaid between Jan 2018 and Feb 2023, across 8 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 66% of everything it billed.
ORANGEBURG, SC 29118
Next to other Family Medicine Physician providers in South Carolina
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,520 | $59K | |
| 2019 | 1,239 | $50K | |
| 2020 | 1,063 | $47K | |
| 2021 | 1,575 | $68K | |
| 2022 | 1,501 | $76K | |
| 2023 | 255 | $19K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 66% | 4,841 | 3,966 | $210K |
| 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 | 26% | 1,204 | 1,116 | $85K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.8% | 572 | 537 | $25K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 12 | 12 | $103.08 |
| 36415 | Collection of venous blood by venipuncture | <1% | 27 | 24 | $44.07 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 343 | 318 | $0.00 |
| 1036F | 0% | 27 | 25 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 127 | 118 | $0.00 |
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.
Who's on the registration
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.