Clinic
Low Country Health Care System, INC
Low Country Health Care System, INC was paid $2.19M by Medicaid between Jan 2018 and Nov 2024, across 56 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.
33Billing provider infoLOW COUNTRY HEALTH CARE SYSTEM, INC
FAIRFAX, SC 29827
FAIRFAX, SC 29827
33aNPI1649366022assigned 10/05/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$2.19M
24GClaims35,683
24DCodes billed56
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in South Carolina
Rank by total paid#28 of 85
Median peer was paid$746K
This provider vs. median2.9×
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 | 5,936 | $358K | |
| 2019 | 5,278 | $372K | |
| 2020 | 4,574 | $308K | |
| 2021 | 7,429 | $347K | |
| 2022 | 5,908 | $288K | |
| 2023 | 4,212 | $303K | |
| 2024incomplete | 2,346 | $210K |
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 | 32% | 5,475 | 5,078 | $692K |
| 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 | 19% | 3,729 | 3,554 | $412K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 18% | 7,193 | 5,462 | $398K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 5.6% | 1,440 | 1,395 | $123K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.7% | 887 | 745 | $102K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.9% | 703 | 691 | $86K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.1% | 587 | 563 | $68K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.7% | 458 | 445 | $58K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 2.6% | 469 | 459 | $57K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.4% | 1,719 | 1,666 | $52K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.1% | 369 | 357 | $47K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.1% | 209 | 200 | $24K |
44 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 135 | $15K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 111 | $10K |
| 85018 | <1% | 2,098 | $7K | |
| 81003 | <1% | 2,416 | $6K | |
| 90837 | Psychotherapy session, about an hour | <1% | 27 | $4K |
| 81025 | <1% | 1,017 | $4K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 24 | $3K |
| 90686 | <1% | 517 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 495 | $2K |
| 97802 | <1% | 79 | $2K | |
| 0071A | <1% | 53 | $2K | |
| 90651 | <1% | 44 | $2K | |
| G9153 | Mapcp demonstration - physician incentive pool | <1% | 70 | $1K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 25 | $1K |
| 90461 | <1% | 273 | $820.78 | |
| 87428 | <1% | 13 | $768.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 151 | $645.89 |
| 99406 | <1% | 136 | $630.12 | |
| 99401 | <1% | 35 | $629.70 | |
| 82947 | <1% | 127 | $394.70 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 124 | $361.89 |
| 97803 | <1% | 21 | $269.53 | |
| 0011A | <1% | 13 | $267.76 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 100 | $148.47 |
| 90633 | <1% | 93 | $128.04 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 130 | $102.92 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 29 | $67.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 62 | $59.58 |
| 87807 | <1% | 13 | $41.55 | |
| 87430 | <1% | 13 | $20.98 | |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 1,053 | $15.85 |
| 99174 | <1% | 479 | $5.24 | |
| 3078F | <1% | 243 | $0.03 | |
| 0513F | <1% | 15 | $0.02 | |
| 1159F | 0% | 346 | $0.00 | |
| 1160F | 0% | 224 | $0.00 | |
| 99173 | 0% | 94 | $0.00 | |
| 3077F | 0% | 17 | $0.00 | |
| 1033F | 0% | 15 | $0.00 | |
| 36416 | 0% | 968 | $0.00 | |
| 3079F | 0% | 67 | $0.00 | |
| G0467 | Community health center visit, returning patient | 0% | 391 | $0.00 |
| 3074F | 0% | 76 | $0.00 | |
| 4450F | 0% | 13 | $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 officialBARNES, ASHLEY (CEO)
| Provider | Location | Paid |
|---|---|---|
| Low Country Health Care System, INC | Barnwell, SC | $3.19M |
| Low Country Health Care System, INC | Bamberg, SC | $1.03M |
| Low Country Health Care System, INC. | Blackville, SC | $643K |
| Low Country Health Care System, INC | Williston, SC | $426K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.