STATE OF SOUTH CAROLINA
NPI: 1629152806
· COLUMBIA, SC 29204
· 251K00000X
$1.06M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
6,481 |
$315K |
| 2019 |
4,961 |
$212K |
| 2020 |
3,173 |
$268K |
| 2021 |
2,104 |
$159K |
| 2022 |
2,357 |
$58K |
| 2023 |
1,197 |
$30K |
| 2024 |
917 |
$22K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1001 |
Antepartum management |
2,413 |
1,202 |
$388K |
| 99214 |
|
3,411 |
3,224 |
$239K |
| T1001 |
Nursing assessment/evaluatn |
1,245 |
839 |
$209K |
| 90460 |
|
3,188 |
3,143 |
$61K |
| 99204 |
|
382 |
377 |
$41K |
| 99212 |
|
1,279 |
1,263 |
$36K |
| 90461 |
|
994 |
986 |
$19K |
| 81025 |
|
2,785 |
2,734 |
$18K |
| 99202 |
|
252 |
251 |
$12K |
| 99213 |
|
226 |
224 |
$10K |
| 99201 |
|
356 |
353 |
$10K |
| J1050 |
Medroxyprogesterone acetate |
521 |
520 |
$8K |
| Q0111 |
Wet mounts/ w preparations |
1,396 |
1,365 |
$4K |
| 99502 |
|
21 |
13 |
$4K |
| 90715 |
|
590 |
580 |
$1K |
| 11981 |
|
12 |
12 |
$1K |
| 90651 |
|
350 |
341 |
$797.72 |
| 90686 |
|
686 |
678 |
$459.76 |
| 90716 |
|
12 |
12 |
$119.94 |
| J0696 |
Ceftriaxone sodium injection |
196 |
187 |
$114.46 |
| S4993 |
Contraceptive pills for bc |
12 |
12 |
$100.71 |
| 90734 |
|
189 |
187 |
$100.69 |
| 90707 |
|
12 |
12 |
$69.41 |
| 90471 |
|
13 |
13 |
$50.44 |
| 90619 |
|
48 |
47 |
$0.00 |
| 90647 |
|
12 |
12 |
$0.00 |
| 90696 |
|
17 |
17 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 90710 |
|
145 |
145 |
$0.00 |
| 90633 |
|
415 |
411 |
$0.00 |