STATE OF SOUTH CAROLINA
NPI: 1578633889
· NEWBERRY, SC 29108
· 251K00000X
$125K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,129 |
$41K |
| 2019 |
1,161 |
$41K |
| 2020 |
183 |
$5K |
| 2021 |
618 |
$25K |
| 2022 |
323 |
$12K |
| 2023 |
13 |
$149.39 |
| 2024 |
29 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
1,354 |
1,263 |
$96K |
| 99212 |
|
368 |
364 |
$10K |
| 90460 |
|
354 |
350 |
$7K |
| 81025 |
|
820 |
813 |
$5K |
| 99501 |
|
25 |
25 |
$2K |
| 90461 |
|
85 |
85 |
$2K |
| Q0111 |
Wet mounts/ w preparations |
301 |
297 |
$960.17 |
| 99201 |
|
26 |
26 |
$745.16 |
| J1050 |
Medroxyprogesterone acetate |
50 |
49 |
$678.24 |
| 90715 |
|
61 |
61 |
$41.31 |
| 90633 |
|
12 |
12 |
$0.00 |