Medicaid Provider Spending

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

CAROLINA HEALTH CENTERS, INC.

NPI: 1639202922 · WARE SHOALS, SC 29692 · Federally Qualified Health Center (FQHC) · NPI assigned 03/14/2007

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official GILMER, LISA controls 11+ related entities in our dataset. Read more

$218K
Total Medicaid Paid
2,066
Total Claims
1,711
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialGILMER, LISA (REVENUE CYCLE MANAGER)
NPI Enumeration Date03/14/2007

Related Entities

Other providers sharing the same authorized official: GILMER, LISA

ProviderCityStateTotal Paid
CAROLINA HEALTH CENTERS, INC. GREENWOOD SC $20.19M
CAROLINA HEALTH CENTERS, INC. CLINTON SC $7.66M
CAROLINA HEALTH CENTERS, INC. GREENWOOD SC $3.30M
CAROLINA HEALTH CENTERS, INC. GREENWOOD SC $992K
CAROLINA HEALTH CENTERS, INC. WATERLOO SC $856K
CAROLINA HEALTH CENTERS, INC. MC CORMICK SC $839K
CAROLINA HEALTH CENTERS, INC. CLINTON SC $584K
CAROLINA HEALTH CENTERS, INC. CALHOUN FALLS SC $380K
CAROLINA HEALTH CENTERS, INC. RIDGE SPRING SC $303K
CAROLINA HEALTH CENTERS, INC. SALUDA SC $238K
CAROLINA HEALTH CENTERS, INC. GREENWOOD SC $18K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 167 $8K
2019 91 $8K
2020 213 $22K
2021 480 $44K
2022 465 $38K
2023 366 $46K
2024 284 $52K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 1,420 1,129 $108K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 319 295 $53K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 283 245 $53K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 15 13 $2K
87428 16 16 $993.06
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 13 13 $496.34