Medicaid Provider Spending

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

ABBEVILLE COUNTY MEMORIAL HOSPITAL

NPI: 1689048464 · DUE WEST, SC 29639 · Sports Medicine (Family Medicine) Physician · NPI assigned 11/17/2015

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

Authorized official JACKSON, MARY controls 13+ related entities in our dataset. Read more

$364K
Total Medicaid Paid
9,077
Total Claims
8,341
Beneficiaries
22
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialJACKSON, MARY (CHIEF COMPLIANCE OFFICER)
Parent OrganizationABBEVILLE COUNTY MEMORIAL HOSPITAL
NPI Enumeration Date11/17/2015

Related Entities

Other providers sharing the same authorized official: JACKSON, MARY

ProviderCityStateTotal Paid
EINSTEIN PRACTICE PLAN INC PHILADELPHIA PA $13.85M
ALWAYS ON TIME HOMECARE LLC LUTHERSVILLE GA $8.22M
EINSTEIN PRACTICE PLAN INC PHILADELPHIA PA $2.98M
EINSTEIN PRACTICE PLAN INC PHILADELPHIA PA $2.46M
EINSTEIN PRACTICE PLAN INC PHILADELPHIA PA $1.99M
GERIATRIC CARE SOLUTIONS SAINT CHARLES MO $1.52M
ABBEVILLE COUNTY MEMORIAL HOSPITAL ABBEVILLE SC $1.46M
EINSTEIN PRACTICE PLAN INC PHILA PA $1.05M
EINSTEIN PRACTICE PLAN, INC. PHILADELPHIA PA $682K
EINSTEIN PRACTICE PLAN INC PHILA PA $624K
EINSTEIN PRACTICE PLAN,INC PHILADELPHIA PA $322K
EINSTEIN PRACTICE PLAN INC PHILADELPHIA PA $38K
EINSTEIN PRACTICE PLAN INC PHILADELPHIA PA $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,772 $104K
2019 1,336 $76K
2020 412 $26K
2021 1,000 $44K
2022 1,433 $40K
2023 1,788 $42K
2024 1,336 $32K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,274 2,096 $120K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,324 1,220 $101K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 482 469 $48K
90837 Psychotherapy, 53 minutes with patient 377 336 $40K
87428 622 602 $38K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 433 412 $6K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 313 194 $5K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 334 330 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 22 22 $1K
83036 Hemoglobin; glycosylated (A1C) 143 140 $1K
90460 Immunization administration through 18 years of age via any route, first or only component 55 54 $753.95
81003 184 173 $368.06
36415 Collection of venous blood by venipuncture 64 57 $145.80
80053 Comprehensive metabolic panel 14 12 $141.57
1036F 697 617 $0.00
3074F 547 508 $0.00
1126F 557 522 $0.00
90686 12 12 $0.00
3008F 53 47 $0.00
3078F 452 422 $0.00
1159F 51 41 $0.00
1160F 67 55 $0.00