Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

LITTLE RIVER MEDICAL CENTER, INC.

NPI: 1619100096 · LORIS, SC 29569 · Family Medicine Physician · NPI assigned 09/01/2009

$3.64M
Total Medicaid Paid
35,059
Total Claims
30,418
Beneficiaries
46
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDAVIS, PAMELA (CEO)
NPI Enumeration Date09/01/2009

Related Entities

Other providers sharing the same authorized official: DAVIS, PAMELA

ProviderCityStateTotal Paid
LITTLE RIVER MEDICAL CENTER INC LITTLE RIVER SC $8.05M
LITTLE RIVER MEDICAL CENTER, INC MYRTLE BEACH SC $7.74M
LITTLE RIVER MEDICAL CENTER, INC. MYRTLE BEACH SC $3.77M
CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO CICERO IL $95K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,253 $581K
2019 6,212 $706K
2020 1,914 $239K
2021 5,414 $523K
2022 3,258 $325K
2023 7,262 $638K
2024 5,746 $632K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,419 9,528 $1.80M
T1015 Clinic visit/encounter, all-inclusive 10,039 7,521 $928K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,457 2,360 $420K
90832 Psychotherapy, 30 minutes with patient 557 415 $91K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 456 432 $79K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 455 449 $77K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 314 310 $63K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 356 327 $50K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 327 295 $50K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 302 281 $15K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 594 564 $14K
87428 183 177 $11K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,170 634 $6K
99199 Unlisted special service, procedure or report 2,008 1,945 $6K
90670 141 134 $5K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 672 643 $4K
99177 940 898 $3K
99215 Prolong outpt/office vis 16 14 $2K
99381 12 12 $2K
97802 110 102 $2K
90834 Psychotherapy, 45 minutes with patient 16 12 $2K
92587 1,062 1,007 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 716 694 $2K
0011A 35 34 $1K
96160 261 257 $1K
90472 Immunization administration, each additional vaccine (list separately) 331 320 $1K
90686 118 107 $964.19
96161 160 154 $673.98
G9153 Mapcp demonstration - physician incentive pool 14 13 $390.00
90723 43 39 $386.35
96127 240 231 $349.01
90681 12 12 $237.78
96110 Developmental screening, with scoring and documentation, per standardized instrument 166 164 $153.66
99406 14 13 $116.37
90647 40 40 $77.07
90633 44 37 $62.64
87807 12 12 $50.46
85018 42 41 $33.60
36415 Collection of venous blood by venipuncture 27 24 $18.70
81003 12 12 $10.76
36416 48 38 $9.48
3074F 44 43 $0.00
90677 27 27 $0.00
3079F 13 12 $0.00
3077F 13 13 $0.00
G0444 Annual depression screening, 5 to 15 minutes 21 21 $0.00