Physician
Edisto Regional Health Services INC.
Edisto Regional Health Services INC. was paid $65K by Medicaid between Jan 2018 and Feb 2023, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.
33Billing provider infoEDISTO REGIONAL HEALTH SERVICES INC.
ORANGEBURG, SC 29115
ORANGEBURG, SC 29115
33aNPI1639475429assigned 01/27/2011
33bProvider typeFamily Medicine Physician
28Total paid$65K
24GClaims1,770
24DCodes billed7
24AFirst – last monthJan 2018 – Feb 2023
Compared with peers
Next to other Family Medicine Physician providers in South Carolina
Rank by total paid#232 of 696
Median peer was paid$14K
This provider vs. median4.5×
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 | 816 | $25K | |
| 2019 | 477 | $15K | |
| 2020 | 163 | $8K | |
| 2021 | 100 | $4K | |
| 2022 | 145 | $8K | |
| 2023 | 69 | $5K |
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 | 56% | 697 | 636 | $37K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 40% | 556 | 471 | $26K |
| 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 | 3.3% | 24 | 24 | $2K |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 149 | 138 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 15 | 12 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 45 | 43 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 284 | 255 | $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 officialPORTERFIELD, LIZA (C F O)
Parent organizationEDISTO REGIONAL HEALTH SERVICES INC.
| Provider | Location | Paid |
|---|---|---|
| The Regional Medical Center of Orangeburg and Calhoun Counties | Orangeburg, SC | $25.67M |
| The Regional Medical Center of Orangeburg and Calhoun Counties | Orangeburg, SC | $299K |
| Edisto Regional Health Services INC. | Bamberg, SC | $244K |
| Edisto Regional Health Services INC. | North, SC | $47K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.