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

Thomas a Upshaw, MD, PA

Thomas a Upshaw, MD, PA was paid $57K by Medicaid between Jan 2018 and Sep 2024, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.

33Billing provider infoTHOMAS A UPSHAW, MD, PA
MT PLEASANT, SC 29464
33aNPI1669727566assigned 07/17/2012
28Total paid$57K
24GClaims1,751
24DCodes billed4
24AFirst – last monthJan 2018 – Sep 2024
Box 24A · Dates of service

Paid by month

$0$1.0K$2.0K$3.0K2018201920202021202220232024
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
2018325$6K
2019288$8K
2020266$11K
2021215$8K
202285$3K
2023289$10K
2024incomplete283$10K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 37% 464 421 $21K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 35% 616 538 $20K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15% 226 193 $9K
90836 13% 445 420 $7K

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 officialUPSHAW, THOMAS (PRESIDENT)