Caresouth Carolina INC
Caresouth Carolina INC was paid $669K by Medicaid between Jan 2018 and Oct 2024, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 68% of everything it billed.
BENNETTSVILLE, SC 29512
Next to other Federally Qualified Health Center (FQHC) 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 | 1,421 | $124K | |
| 2019 | 739 | $131K | |
| 2020 | 735 | $109K | |
| 2021 | 746 | $87K | |
| 2022 | 1,023 | $76K | |
| 2023 | 1,201 | $86K | |
| 2024incomplete | 487 | $55K |
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 | 68% | 2,063 | 1,708 | $455K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 17% | 562 | 439 | $116K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 6.4% | 580 | 548 | $43K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.7% | 115 | 114 | $25K |
| 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 | 3.7% | 116 | 110 | $24K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 15 | 15 | $3K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 86 | 86 | $1K |
| 81003 | <1% | 1,107 | 849 | $860.67 | |
| 81025 | <1% | 176 | 171 | $525.75 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 138 | 132 | $147.44 |
| 96127 | <1% | 85 | 85 | $55.91 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | <1% | 144 | 120 | $0.02 |
6 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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Caresouth Carolina, INC. | Hartsville, SC | $12.35M |
| Caresouth Carolina INC | Bennettsville, SC | $7.29M |
| Caresouth Carolina, INC | Society Hill, SC | $4.39M |
| Caresouth Carolina, INC | Bishopville, SC | $3.19M |
| Caresouth Carolina, INC | Dillon, SC | $2.33M |
| Caresouth Carolina, INC | Chesterfield, SC | $2.28M |
| Caresouth Carolina INC | Latta, SC | $2.25M |
| Caresouth Carolina, INC | Bennettsville, SC | $1.82M |
| Caresouth Carolina, INC | Cheraw, SC | $1.72M |
| Caresouth Carolina INC | Society Hill, SC | $1.70M |
| Caresouth Carolina, INC. | Mc Coll, SC | $1.66M |
| Caresouth Carolina, INC. | Lake View, SC | $78K |
| Caresouth Carolina INC | Dillon, SC | $4K |
| Caresouth Carolina INC | Hartsville, SC | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.