Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

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.

33Billing provider infoMEDICAL UNIVERSITY HOSPITAL AUTHORITY
LANCASTER, SC 29720
33aNPI1669081162assigned 07/30/2020
28Total paid$4.46M
24GClaims81,682
24DCodes billed57
24AFirst – last monthFeb 2021 – Dec 2024
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in South Carolina

Rank by total paid#3 of 206
Median peer was paid$10K
This provider vs. median452×

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.

Entity ProliferationAuthorized official RAE, KARYN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
202118,505$898K
202218,926$1.01M
202323,324$1.30M
2024incomplete20,927$1.26M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.

From NPPES

Who's on the registration

Authorized officialRAE, KARYN (CHIEF)
Same official

Other billing entities under RAE, KARYN

Full network →
ProviderLocationPaid
Medical University Hospital AuthorityCharleston, SC$241.43M
University Medical Associates of the Medical University of South CarolCharleston, SC$56.50M
Medical University Hospital AuthorityCharleston, SC$32.62M
Medical University Hospital AuthorityCharleston, SC$12.42M
University Medical AssociatesCharleston, SC$9.16M
Carolina Family Care, INCLancaster, SC$6.87M
University Medical Associates of the Medical University of South CarolCharleston, SC$6.15M
University Medical Associates of the Medical University of South CarolCharleston, SC$5.38M
Carolina Family Care, INCFlorence, SC$4.06M
University Medical Associates of the Medical University of South CarolCharleston, SC$3.58M
University Medical Associates of the Medical University of South CarolCharleston, SC$3.53M
University Medical Associates of the Medical University of South CarolCharleston, SC$3.34M
University Medical Associates of the Medical University of South CarolCharleston, SC$2.80M
University Medical Associate of the Medical University of South CaroliCharleston, SC$2.30M
University Medical Associates of the Medical University of South CarolCharleston, SC$1.98M
University Medical Associates of the Medical University of South CarolCharleston, SC$1.88M
University Medical Associates of the Medical University of South CarolCharleston, SC$1.79M
University Medical Associates of the Medical University of South CarolCharleston, SC$1.72M
University Medical Associates of the Medical University of South CarolCharleston, SC$1.57M
Carolina Family Care, INCMt Pleasant, SC$1.31M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.