STATE OF SOUTH CAROLINA
NPI: 1659457778
· CONWAY, SC 29526
· 251K00000X
$2.55M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
14,114 |
$615K |
| 2019 |
12,685 |
$541K |
| 2020 |
7,420 |
$473K |
| 2021 |
6,418 |
$366K |
| 2022 |
6,385 |
$248K |
| 2023 |
4,761 |
$163K |
| 2024 |
4,315 |
$147K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
10,713 |
10,114 |
$743K |
| H1001 |
Antepartum management |
2,543 |
1,341 |
$440K |
| T1001 |
Nursing assessment/evaluatn |
2,000 |
1,200 |
$343K |
| 99213 |
|
4,594 |
4,485 |
$212K |
| 99212 |
|
6,578 |
6,482 |
$181K |
| 99204 |
|
1,334 |
1,314 |
$143K |
| 99202 |
|
1,977 |
1,945 |
$94K |
| 99501 |
|
946 |
912 |
$84K |
| 81025 |
|
11,075 |
10,751 |
$72K |
| J1050 |
Medroxyprogesterone acetate |
4,621 |
4,587 |
$63K |
| 99201 |
|
973 |
955 |
$27K |
| J7307 |
Etonogestrel implant system |
65 |
63 |
$26K |
| 90460 |
|
1,436 |
1,420 |
$23K |
| 99502 |
|
109 |
82 |
$18K |
| 11981 |
|
179 |
175 |
$16K |
| S4993 |
Contraceptive pills for bc |
1,162 |
1,142 |
$15K |
| 11982 |
|
120 |
119 |
$13K |
| Q0111 |
Wet mounts/ w preparations |
3,788 |
3,693 |
$12K |
| 90461 |
|
605 |
597 |
$12K |
| 99203 |
|
114 |
111 |
$8K |
| J7303 |
Contraceptive vaginal ring |
243 |
240 |
$7K |
| 58300 |
|
13 |
13 |
$691.44 |
| 90715 |
|
199 |
193 |
$503.85 |
| 87591 |
|
14 |
14 |
$266.00 |
| 87491 |
|
14 |
14 |
$266.00 |
| J0696 |
Ceftriaxone sodium injection |
387 |
376 |
$255.01 |
| 90686 |
|
96 |
93 |
$32.84 |
| 90651 |
|
82 |
81 |
$0.00 |
| 90734 |
|
67 |
67 |
$0.00 |
| 90710 |
|
25 |
25 |
$0.00 |
| 90633 |
|
26 |
26 |
$0.00 |