GREENWOOD GENETICS CENTER, INC.
NPI: 1649261462
· GREENWOOD, SC 29646
· Developmental - Behavioral Pediatrics Physician
· NPI assigned 11/01/2005
$579K
Total Medicaid Paid
Provider Details
| Authorized Official | PRIDMORE, PAUL (COO) |
| NPI Enumeration Date | 11/01/2005 |
Related Entities
Other providers sharing the same authorized official: PRIDMORE, PAUL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
435 |
$52K |
| 2019 |
565 |
$61K |
| 2020 |
476 |
$55K |
| 2021 |
562 |
$69K |
| 2022 |
982 |
$128K |
| 2023 |
1,117 |
$138K |
| 2024 |
602 |
$75K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,804 |
2,761 |
$366K |
| 99205 |
Prolong outpt/office vis |
567 |
544 |
$81K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
463 |
455 |
$41K |
| 99245 |
|
217 |
202 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
263 |
246 |
$20K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
114 |
110 |
$18K |
| 99215 |
Prolong outpt/office vis |
123 |
112 |
$13K |
| Q3014 |
Telehealth originating site facility fee |
188 |
180 |
$3K |