Medical University Hospital Authority
Medical University Hospital Authority was paid $4.46M by Medicaid between Feb 2021 and Dec 2024, across 57 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
LANCASTER, SC 29720
Next to other Obstetrics & Gynecology Physician providers in South Carolina
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 18,505 | $898K | |
| 2022 | 18,926 | $1.01M | |
| 2023 | 23,324 | $1.30M | |
| 2024incomplete | 20,927 | $1.26M |
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 | 31% | 21,360 | 18,425 | $1.39M |
| 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 | 23% | 11,352 | 10,550 | $1.05M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11% | 8,471 | 6,074 | $488K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 7.7% | 3,331 | 2,851 | $344K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.2% | 3,082 | 2,996 | $275K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.0% | 2,808 | 2,806 | $269K |
| 99442 | 3.2% | 4,279 | 4,094 | $143K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.0% | 919 | 917 | $88K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.6% | 1,768 | 1,463 | $69K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.2% | 3,693 | 3,592 | $55K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 431 | 423 | $44K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 339 | 339 | $36K |
45 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,991 | $30K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 24 | $27K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 520 | $27K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,786 | $23K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 148 | $13K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 92 | $10K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 142 | $9K |
| 59025 | Fetal non-stress test | <1% | 275 | $9K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 109 | $7K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 85 | $7K |
| 90461 | <1% | 467 | $7K | |
| 81025 | <1% | 1,134 | $6K | |
| 76801 | <1% | 93 | $6K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,182 | $6K |
| 99441 | <1% | 273 | $5K | |
| 95886 | <1% | 42 | $4K | |
| 96127 | <1% | 436 | $3K | |
| 90715 | <1% | 99 | $3K | |
| 96161 | <1% | 341 | $2K | |
| 83655 | <1% | 166 | $2K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 27 | $2K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 22 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 152 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 90 | $1K |
| 87807 | <1% | 73 | $837.57 | |
| 90686 | <1% | 407 | $590.01 | |
| 99417 | Prolong home eval add 15m | <1% | 12 | $527.71 |
| 81003 | <1% | 170 | $318.20 | |
| 85018 | <1% | 51 | $122.36 | |
| 81002 | <1% | 24 | $74.60 | |
| 85027 | <1% | 12 | $46.10 | |
| 90680 | 0% | 924 | $0.00 | |
| 90647 | 0% | 1,385 | $0.00 | |
| 90723 | 0% | 1,696 | $0.00 | |
| 90677 | 0% | 751 | $0.00 | |
| 90696 | 0% | 92 | $0.00 | |
| 90716 | 0% | 13 | $0.00 | |
| 90651 | 0% | 89 | $0.00 | |
| 90656 | 0% | 13 | $0.00 | |
| 90670 | 0% | 1,505 | $0.00 | |
| 90633 | 0% | 728 | $0.00 | |
| 90710 | 0% | 152 | $0.00 | |
| 90734 | 0% | 28 | $0.00 | |
| 90707 | 0% | 14 | $0.00 | |
| 90681 | 0% | 14 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.