Physician
Caresouth Carolina INC
Caresouth Carolina INC was paid $7.29M by Medicaid between Jan 2018 and Nov 2024, across 76 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoCARESOUTH CAROLINA INC
BENNETTSVILLE, SC 29512
BENNETTSVILLE, SC 29512
33aNPI1639458672assigned 08/09/2011
33bProvider typePediatrics Physician
28Total paid$7.29M
24GClaims92,581
24DCodes billed76
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in South Carolina
Rank by total paid#18 of 471
Median peer was paid$18K
This provider vs. median413×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official LEWIS, ANN controls 14+ related entities in our dataset. Read more
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 | 14,672 | $1.07M | |
| 2019 | 10,645 | $1.16M | |
| 2020 | 10,514 | $747K | |
| 2021 | 14,467 | $1.03M | |
| 2022 | 19,692 | $1.10M | |
| 2023 | 14,155 | $1.20M | |
| 2024incomplete | 8,436 | $984K |
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 | 47% | 15,311 | 13,337 | $3.45M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.2% | 2,576 | 2,566 | $595K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 8.1% | 2,854 | 2,099 | $592K |
| 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 | 7.8% | 2,301 | 2,192 | $570K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.1% | 2,282 | 2,280 | $519K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.9% | 1,878 | 1,841 | $433K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.6% | 1,932 | 1,927 | $411K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.8% | 1,335 | 1,273 | $278K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.5% | 3,731 | 3,573 | $180K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 5,247 | 5,214 | $60K |
| 97803 | <1% | 3,247 | 3,157 | $41K | |
| 92552 | <1% | 3,461 | 3,437 | $23K |
64 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 6,300 | $21K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 1,888 | $20K |
| G9153 | Mapcp demonstration - physician incentive pool | <1% | 337 | $12K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,264 | $11K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 386 | $10K |
| 99441 | <1% | 780 | $10K | |
| 90461 | <1% | 1,783 | $8K | |
| 97802 | <1% | 439 | $7K | |
| 87807 | <1% | 1,862 | $6K | |
| 83655 | <1% | 813 | $3K | |
| 96127 | <1% | 2,863 | $3K | |
| 0001A | <1% | 71 | $3K | |
| 0002A | <1% | 68 | $3K | |
| 99381 | <1% | 12 | $3K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,005 | $2K |
| 0071A | <1% | 58 | $2K | |
| 99499 | <1% | 28 | $2K | |
| 0072A | <1% | 51 | $2K | |
| 90677 | <1% | 163 | $2K | |
| 90651 | <1% | 288 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,770 | $1K |
| 99442 | <1% | 70 | $1K | |
| 90670 | <1% | 1,439 | $1K | |
| 85018 | <1% | 1,154 | $968.77 | |
| 92551 | <1% | 493 | $789.72 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 213 | $761.40 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 112 | $753.87 |
| 94760 | <1% | 2,939 | $309.34 | |
| 81003 | <1% | 358 | $174.57 | |
| 90686 | <1% | 805 | $159.77 | |
| 90633 | <1% | 550 | $127.12 | |
| 1126F | <1% | 949 | $125.42 | |
| 90647 | <1% | 590 | $102.76 | |
| 90658 | <1% | 35 | $56.20 | |
| 90661 | <1% | 12 | $31.81 | |
| 99173 | <1% | 2,392 | $21.70 | |
| 99177 | <1% | 27 | $2.53 | |
| 1159F | <1% | 1,504 | $0.14 | |
| 1160F | <1% | 1,375 | $0.13 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | <1% | 1,363 | $0.11 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | <1% | 1,352 | $0.11 |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | <1% | 556 | $0.08 |
| G8509 | Pain assessment documented as positive using a standardized tool, follow-up plan not documented, reason not given | 0% | 24 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 22 | $0.00 |
| 90734 | 0% | 48 | $0.00 | |
| 90681 | 0% | 93 | $0.00 | |
| 90707 | 0% | 168 | $0.00 | |
| 90715 | 0% | 169 | $0.00 | |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 225 | $0.00 |
| A4617 | Mouth piece | 0% | 131 | $0.00 |
| 90685 | 0% | 12 | $0.00 | |
| 3078F | 0% | 14 | $0.00 | |
| 99000 | 0% | 1,563 | $0.00 | |
| 90716 | 0% | 181 | $0.00 | |
| 36416 | 0% | 433 | $0.00 | |
| 90723 | 0% | 1,154 | $0.00 | |
| 1125F | 0% | 105 | $0.00 | |
| 3008F | 0% | 362 | $0.00 | |
| 90657 | 0% | 48 | $0.00 | |
| 90743 | 0% | 60 | $0.00 | |
| 90619 | 0% | 28 | $0.00 | |
| 90696 | 0% | 38 | $0.00 | |
| 90680 | 0% | 14 | $0.00 | |
| 3074F | 0% | 17 | $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 officialLEWIS, ANN (CEO)
| Provider | Location | Paid |
|---|---|---|
| Caresouth Carolina, INC. | Hartsville, SC | $12.35M |
| Caresouth Carolina, INC | Society Hill, SC | $4.39M |
| Caresouth Carolina, INC | Bishopville, SC | $3.19M |
| Caresouth Carolina, INC | Dillon, SC | $2.33M |
| Caresouth Carolina, INC | Chesterfield, SC | $2.28M |
| Caresouth Carolina INC | Latta, SC | $2.25M |
| Caresouth Carolina, INC | Bennettsville, SC | $1.82M |
| Caresouth Carolina, INC | Cheraw, SC | $1.72M |
| Caresouth Carolina INC | Society Hill, SC | $1.70M |
| Caresouth Carolina, INC. | Mc Coll, SC | $1.66M |
| Caresouth Carolina INC | Bennettsville, SC | $669K |
| Caresouth Carolina, INC. | Lake View, SC | $78K |
| Caresouth Carolina INC | Dillon, SC | $4K |
| Caresouth Carolina INC | Hartsville, SC | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.