Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

TRI-COUNTY SURGICAL SPECIALISTS LLC

NPI: 1659661544 · CHARLESTON, SC 29406 · Surgical Critical Care Physician · NPI assigned 04/12/2011

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official FAILE, ROBERT controls 12+ related entities in our dataset. Read more

$171K
Total Medicaid Paid
3,781
Total Claims
3,489
Beneficiaries
8
Codes Billed
2018-01
First Month
2024-06
Last Month

Provider Details

Authorized OfficialFAILE, ROBERT (VICE PRESIDENT)
NPI Enumeration Date04/12/2011

Related Entities

Other providers sharing the same authorized official: FAILE, ROBERT

ProviderCityStateTotal Paid
COASTAL CAROLINA MULTISPECIALTY ASSOCIATES, LLC SUMMERVILLE SC $4.07M
MEMORIAL FAMILY PRACTICE ASSOCIATES, LLC JACKSONVILLE FL $1.48M
COASTAL INPATIENT PHYSICIANS, LLC CHARLESTON SC $852K
INTEGRATED REGIONAL LABORATORIES PATHOLOGY SERVICES, LLC ORANGE PARK FL $175K
WATERWAY PRIMARY CARE,LLC LITTLE RIVER SC $152K
INTEGRATED REGIONAL LABORATORIES PATHOLOGY SERVICES, LLC JACKSONVILLE FL $143K
INTEGRATED REGIONAL LABORATORIES PATHOLOGY SERVICES, LLC JACKSONVILLE FL $39K
AUGUSTA PRIMARY CARE SERVICES LLC AUGUSTA GA $35K
INTEGRATED REGIONAL LABORATORIES PATHOLOGY SERVICES, LLC JACKSONVILLE FL $19K
INTEGRATED REGIONAL LABORATORIES PATHOLOGY SERVICES, LLC JACKSONVILLE FL $10K
SAVANNAH MULTISPECIALTY ASSOCIATES, LLC SAVANNAH GA $8K
INTEGRATED REGIONAL LABORATORIES PATHOLOGY SERVICES, LLC JACKSONVILLE FL $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 837 $36K
2019 667 $30K
2020 441 $22K
2021 558 $25K
2022 480 $19K
2023 649 $32K
2024 149 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,091 2,844 $130K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 441 414 $28K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 118 116 $9K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 39 36 $2K
99232 Subsequent hospital care, per day, moderate complexity 28 18 $1K
73110 25 25 $495.99
73100 26 24 $457.08
73600 13 12 $246.04