LOW COUNTRY HEALTH CARE SYSTEM, INC
NPI: 1649366022
· FAIRFAX, SC 29827
· 261QF0400X
$2.19M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,936 |
$358K |
| 2019 |
5,278 |
$372K |
| 2020 |
4,574 |
$308K |
| 2021 |
7,429 |
$347K |
| 2022 |
5,908 |
$288K |
| 2023 |
4,212 |
$303K |
| 2024 |
2,346 |
$210K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
5,475 |
5,078 |
$692K |
| 99214 |
|
3,729 |
3,554 |
$412K |
| T1015 |
Clinic service |
7,193 |
5,462 |
$398K |
| J1050 |
Medroxyprogesterone acetate |
1,440 |
1,395 |
$123K |
| 99212 |
|
887 |
745 |
$102K |
| 99392 |
|
703 |
691 |
$86K |
| 99215 |
Prolong outpt/office vis |
587 |
563 |
$68K |
| 99393 |
|
458 |
445 |
$58K |
| 87636 |
|
469 |
459 |
$57K |
| 90460 |
|
1,719 |
1,666 |
$52K |
| 99394 |
|
369 |
357 |
$47K |
| 99391 |
|
209 |
200 |
$24K |
| 99395 |
|
135 |
134 |
$15K |
| 92012 |
|
111 |
97 |
$10K |
| 85018 |
|
2,098 |
2,045 |
$7K |
| 81003 |
|
2,416 |
2,277 |
$6K |
| 90837 |
|
27 |
25 |
$4K |
| 81025 |
|
1,017 |
985 |
$4K |
| 90791 |
|
24 |
24 |
$3K |
| 90686 |
|
517 |
490 |
$3K |
| 96372 |
|
495 |
484 |
$2K |
| 97802 |
|
79 |
76 |
$2K |
| 0071A |
|
53 |
50 |
$2K |
| 90651 |
|
44 |
40 |
$2K |
| G9153 |
Mapcp demo physician |
70 |
70 |
$1K |
| 87811 |
|
25 |
24 |
$1K |
| 90461 |
|
273 |
266 |
$820.78 |
| 87428 |
|
13 |
12 |
$768.00 |
| 87804 |
|
151 |
131 |
$645.89 |
| 99406 |
|
136 |
124 |
$630.12 |
| 99401 |
|
35 |
34 |
$629.70 |
| 82947 |
|
127 |
115 |
$394.70 |
| 87880 |
|
124 |
119 |
$361.89 |
| 97803 |
|
21 |
20 |
$269.53 |
| 0011A |
|
13 |
13 |
$267.76 |
| 36415 |
|
100 |
92 |
$148.47 |
| 90633 |
|
93 |
91 |
$128.04 |
| 83036 |
|
130 |
118 |
$102.92 |
| 99211 |
|
29 |
28 |
$67.00 |
| 90471 |
|
62 |
58 |
$59.58 |
| 87807 |
|
13 |
12 |
$41.55 |
| 87430 |
|
13 |
13 |
$20.98 |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
1,053 |
1,012 |
$15.85 |
| 99174 |
|
479 |
456 |
$5.24 |
| 3078F |
|
243 |
196 |
$0.03 |
| 0513F |
|
15 |
12 |
$0.02 |
| 1159F |
|
346 |
290 |
$0.00 |
| 1160F |
|
224 |
181 |
$0.00 |
| 99173 |
|
94 |
93 |
$0.00 |
| 3077F |
|
17 |
13 |
$0.00 |
| 1033F |
|
15 |
13 |
$0.00 |
| 36416 |
|
968 |
922 |
$0.00 |
| 3079F |
|
67 |
58 |
$0.00 |
| G0467 |
Fqhc visit, estab pt |
391 |
335 |
$0.00 |
| 3074F |
|
76 |
67 |
$0.00 |
| 4450F |
|
13 |
13 |
$0.00 |