Physician
Spartanburg Medical Center
Spartanburg Medical Center was paid $2.50M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.
33Billing provider infoSPARTANBURG MEDICAL CENTER
SPARTANBURG, SC 29303
SPARTANBURG, SC 29303
33aNPI1679514418assigned 06/10/2006
33bProvider typeOphthalmology Physician
28Total paid$2.50M
24GClaims44,655
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Ophthalmology Physician providers in South Carolina
Rank by total paid#4 of 64
Median peer was paid$15K
This provider vs. median163×
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 DAVIS, BRUCE controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 5,010 | $192K | |
| 2019 | 3,841 | $144K | |
| 2020 | 3,483 | $194K | |
| 2021 | 7,819 | $441K | |
| 2022 | 7,138 | $441K | |
| 2023 | 8,491 | $534K | |
| 2024incomplete | 8,873 | $550K |
Box 24 · Service lines
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 | 35% | 14,722 | 13,602 | $873K |
| 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% | 6,730 | 6,330 | $574K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 12% | 3,273 | 2,998 | $305K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11% | 7,567 | 6,712 | $272K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.5% | 2,325 | 2,276 | $236K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 3.3% | 724 | 703 | $82K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.2% | 822 | 804 | $81K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 564 | 541 | $22K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,399 | 1,337 | $17K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,146 | 556 | $16K |
| 87428 | <1% | 113 | 110 | $6K | |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | <1% | 41 | 40 | $4K |
15 more codes
| 90461 | <1% | 214 | $4K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 19 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 14 | $2K |
| 90677 | <1% | 306 | $810.34 | |
| 92226 | <1% | 35 | $453.70 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 14 | $394.12 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 27 | $112.71 |
| 90686 | <1% | 711 | $36.40 | |
| 90688 | 0% | 249 | $0.00 | |
| 90680 | 0% | 615 | $0.00 | |
| 90723 | 0% | 878 | $0.00 | |
| 90647 | 0% | 823 | $0.00 | |
| 90670 | 0% | 1,152 | $0.00 | |
| 90681 | 0% | 16 | $0.00 | |
| 90633 | 0% | 156 | $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 officialDAVIS, BRUCE (CHIEF FINANCIAL OFFICER)
Parent organizationSPARTANBURG REGIONAL HEALTH SERVICES DISTRICT INC
| Provider | Location | Paid |
|---|---|---|
| Spartanburg Medical Center | Spartanburg, SC | $17.13M |
| Union Medical Center | Union, SC | $10.73M |
| Spartanburg Medical Center | Inman, SC | $4.82M |
| Spartanburg Medical Center | Spartanburg, SC | $3.29M |
| Spartanburg Medical Center | Spartanburg, SC | $2.94M |
| Union Medical Center | Union, SC | $2.64M |
| Union Medical Center | Union, SC | $959K |
| Spartanburg Medical Center | Spartanburg, SC | $743K |
| Spartanburg Medical Center | Spartanburg, SC | $685K |
| Spartanburg Medical Center | Spartanburg, SC | $661K |
| Union Medical Center | Union, SC | $536K |
| Union Medical Center | Union, SC | $356K |
| Union Medical Center | Union, SC | $333K |
| Spartanburg Medical Center | Spartanburg, SC | $312K |
| Spartanburg Medical Center | Spartanburg, SC | $163K |
| Spartanburg Medical Center | Spartanburg, SC | $102K |
| Union Medical Center | Union, SC | $102K |
| Spartanburg Medical Center | Spartanburg, SC | $98K |
| Spartanburg Medical Center | Spartanburg, SC | $67K |
| Spartanburg Medical Center | Spartanburg, SC | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.