Clinic
Low Country Health Care System, INC
Low Country Health Care System, INC was paid $3.19M by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.
33Billing provider infoLOW COUNTRY HEALTH CARE SYSTEM, INC
BARNWELL, SC 29812
BARNWELL, SC 29812
33aNPI1578659942assigned 10/05/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$3.19M
24GClaims41,998
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in South Carolina
Rank by total paid#22 of 85
Median peer was paid$746K
This provider vs. median4.3×
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.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 5,914 | $523K | |
| 2019 | 5,013 | $451K | |
| 2020 | 4,517 | $364K | |
| 2021 | 8,534 | $448K | |
| 2022 | 8,813 | $458K | |
| 2023 | 6,325 | $590K | |
| 2024incomplete | 2,882 | $352K |
Box 24 · Service lines
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 | 43% | 11,680 | 10,785 | $1.36M |
| 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 | 32% | 9,126 | 8,168 | $1.01M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 21% | 13,130 | 9,051 | $656K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.4% | 1,353 | 1,143 | $139K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 96 | 91 | $11K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 46 | 39 | $5K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 29 | 26 | $3K |
| 99441 | <1% | 281 | 217 | $3K | |
| 99406 | <1% | 443 | 391 | $3K | |
| 99051 | <1% | 28 | 28 | $306.11 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 48 | 46 | $295.39 |
| 3078F | <1% | 1,049 | 774 | $134.47 |
18 more codes
| 3079F | <1% | 482 | $129.15 | |
| 99442 | <1% | 25 | $99.69 | |
| 90686 | <1% | 13 | $82.10 | |
| 96127 | <1% | 15 | $69.16 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 16 | $57.40 |
| 81003 | <1% | 42 | $29.13 | |
| G0467 | Community health center visit, returning patient | <1% | 1,572 | $25.45 |
| 87430 | <1% | 13 | $16.91 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 50 | $7.44 |
| 36415 | Collection of venous blood by venipuncture | <1% | 15 | $2.13 |
| 3074F | <1% | 837 | $0.62 | |
| 3077F | <1% | 445 | $0.19 | |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | 0% | 320 | $0.00 |
| 1160F | 0% | 287 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 72 | $0.00 |
| 1159F | 0% | 286 | $0.00 | |
| 3075F | 0% | 185 | $0.00 | |
| 1000F | 0% | 14 | $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.
From NPPES
Who's on the registration
Authorized officialBARNES, ASHLEY (CEO)
Parent organizationLOW COUNTRY HEALTH CARE SYSTEM, INC.
| Provider | Location | Paid |
|---|---|---|
| Low Country Health Care System, INC | Fairfax, SC | $2.19M |
| Low Country Health Care System, INC | Bamberg, SC | $1.03M |
| Low Country Health Care System, INC. | Blackville, SC | $643K |
| Low Country Health Care System, INC | Williston, SC | $426K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.