Musc Affiliate Physicians
Musc Affiliate Physicians was paid $14.70M by Medicaid between Nov 2021 and Dec 2024, across 78 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.
CHARLESTON, SC 29425
Next to other Internal 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 | |
|---|---|---|---|
| 2021 | 14,077 | $860K | |
| 2022 | 81,120 | $4.58M | |
| 2023 | 85,376 | $5.12M | |
| 2024incomplete | 69,415 | $4.15M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 45% | 69,709 | 63,454 | $6.61M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 29,789 | 27,825 | $1.94M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.0% | 14,357 | 13,433 | $1.33M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.7% | 11,575 | 11,384 | $1.14M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.4% | 22,583 | 21,791 | $936K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 6.3% | 7,128 | 6,841 | $929K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 2.6% | 2,761 | 2,668 | $389K |
| G9153 | Mapcp demonstration - physician incentive pool | 2.2% | 7,617 | 7,561 | $331K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.6% | 1,811 | 1,638 | $240K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.4% | 2,137 | 2,091 | $204K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 740 | 675 | $97K |
| 92587 | <1% | 5,307 | 5,172 | $73K |
66 more codes
| 99051 | <1% | 5,554 | $63K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 4,217 | $53K |
| 99460 | <1% | 553 | $48K | |
| 99177 | <1% | 9,760 | $40K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 5,469 | $38K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 5,508 | $37K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 360 | $35K |
| 87081 | <1% | 3,922 | $22K | |
| 99188 | <1% | 824 | $13K | |
| 96127 | <1% | 2,176 | $13K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 4,536 | $12K |
| 83655 | <1% | 896 | $10K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 86 | $9K |
| 0072A | <1% | 195 | $7K | |
| 81003 | <1% | 3,167 | $7K | |
| 76801 | <1% | 68 | $7K | |
| 0071A | <1% | 171 | $6K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 144 | $6K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 392 | $6K |
| 81025 | <1% | 801 | $5K | |
| 59025 | Fetal non-stress test | <1% | 153 | $5K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 68 | $5K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 561 | $4K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 45 | $4K |
| 96161 | <1% | 710 | $4K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 65 | $3K |
| 90671 | <1% | 3,272 | $3K | |
| 94760 | <1% | 3,516 | $3K | |
| 3074F | <1% | 798 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 27 | $2K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 15 | $2K |
| 99417 | Prolong home eval add 15m | <1% | 47 | $2K |
| 87807 | <1% | 154 | $2K | |
| 3078F | <1% | 574 | $2K | |
| 90674 | <1% | 578 | $2K | |
| 0082A | <1% | 39 | $2K | |
| G8482 | Influenza immunization administered or previously received | <1% | 262 | $1K |
| 99462 | <1% | 28 | $952.49 | |
| 54150 | <1% | 13 | $931.66 | |
| 90480 | <1% | 19 | $560.50 | |
| 90715 | <1% | 13 | $513.11 | |
| 90661 | <1% | 250 | $408.17 | |
| 96380 | <1% | 14 | $256.15 | |
| 90697 | <1% | 1,778 | $187.02 | |
| 92567 | <1% | 16 | $165.84 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 26 | $114.31 |
| 82247 | <1% | 13 | $47.31 | |
| 3079F | <1% | 16 | $40.03 | |
| 90744 | 0% | 712 | $0.00 | |
| 90680 | 0% | 3,372 | $0.00 | |
| 90686 | 0% | 1,238 | $0.00 | |
| 90698 | 0% | 1,566 | $0.00 | |
| 90677 | 0% | 320 | $0.00 | |
| 36416 | 0% | 54 | $0.00 | |
| 90716 | 0% | 317 | $0.00 | |
| 90696 | 0% | 66 | $0.00 | |
| 99000 | 0% | 86 | $0.00 | |
| 90651 | 0% | 13 | $0.00 | |
| 91319 | 0% | 13 | $0.00 | |
| 90707 | 0% | 303 | $0.00 | |
| 90670 | 0% | 2,995 | $0.00 | |
| 90700 | 0% | 346 | $0.00 | |
| 90633 | 0% | 1,005 | $0.00 | |
| 0502F | 0% | 86 | $0.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 101 | $0.00 |
| 90648 | 0% | 12 | $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
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.