Physician
Family Physicians of Spartanburg, PC
Family Physicians of Spartanburg, PC was paid $142K by Medicaid between Jan 2018 and Oct 2024, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 78% of everything it billed.
33Billing provider infoFAMILY PHYSICIANS OF SPARTANBURG, PC
SPARTANBURG, SC 29301
SPARTANBURG, SC 29301
33aNPI1629228382assigned 09/30/2008
33bProvider typeFamily Medicine Physician
28Total paid$142K
24GClaims5,152
24DCodes billed9
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Family Medicine Physician providers in South Carolina
Rank by total paid#172 of 696
Median peer was paid$14K
This provider vs. median9.8×
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 | 870 | $22K | |
| 2019 | 781 | $19K | |
| 2020 | 164 | $4K | |
| 2021 | 726 | $20K | |
| 2022 | 1,219 | $29K | |
| 2023 | 1,088 | $33K | |
| 2024incomplete | 304 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 78% | 1,554 | 1,383 | $111K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.0% | 208 | 189 | $11K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 6.7% | 1,404 | 1,248 | $9K |
| 36415 | Collection of venous blood by venipuncture | 1.8% | 1,264 | 1,105 | $3K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.4% | 48 | 42 | $2K |
| 96127 | 1.3% | 416 | 368 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 130 | 65 | $2K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.0% | 43 | 39 | $1K |
| 81000 | <1% | 85 | 81 | $289.23 |
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 officialHOLMES, TONYA (PRACTICE MANAGER)