Physician
Carolina Diabetes & Kidney Center, LLC
Carolina Diabetes & Kidney Center, LLC was paid $1.05M by Medicaid between Jan 2018 and Aug 2024, across 40 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 46% of everything it billed.
33Billing provider infoCAROLINA DIABETES & KIDNEY CENTER, LLC
SUMTER, SC 29150
SUMTER, SC 29150
33aNPI1689128951assigned 08/04/2016
33bProvider typeInternal Medicine Physician
28Total paid$1.05M
24GClaims40,929
24DCodes billed40
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Internal Medicine Physician providers in South Carolina
Rank by total paid#18 of 273
Median peer was paid$19K
This provider vs. median55×
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.
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 | 6,835 | $140K | |
| 2019 | 3,894 | $103K | |
| 2020 | 3,732 | $106K | |
| 2021 | 6,587 | $199K | |
| 2022 | 8,709 | $221K | |
| 2023 | 7,146 | $186K | |
| 2024incomplete | 4,026 | $94K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 46% | 10,581 | 9,648 | $486K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 5,459 | 4,741 | $196K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 8.8% | 1,031 | 845 | $92K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 7.8% | 2,812 | 2,713 | $82K |
| 83036 | Hemoglobin; glycosylated (A1C) | 2.2% | 2,804 | 2,663 | $23K |
| 95251 | 1.8% | 1,112 | 959 | $19K | |
| 84443 | Thyroid stimulating hormone (TSH) | 1.7% | 1,156 | 1,088 | $18K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | 1.7% | 729 | 285 | $17K |
| 80053 | Comprehensive metabolic panel | 1.4% | 1,677 | 1,584 | $15K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.1% | 1,932 | 1,789 | $12K |
| 36415 | Collection of venous blood by venipuncture | 1.1% | 6,123 | 5,535 | $12K |
| 84481 | 1.0% | 708 | 671 | $11K |
28 more codes
| 99205 | Prolong outpt/office vis | <1% | 66 | $9K |
| 90961 | <1% | 236 | $8K | |
| 84439 | <1% | 1,007 | $8K | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 248 | $6K |
| 99443 | <1% | 147 | $5K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 121 | $5K |
| 99255 | <1% | 28 | $5K | |
| 80061 | Lipid panel | <1% | 457 | $4K |
| 95250 | <1% | 46 | $3K | |
| 81003 | <1% | 1,409 | $3K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 128 | $2K |
| 76536 | <1% | 45 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 60 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 148 | $2K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 16 | $962.42 |
| 90674 | <1% | 49 | $739.14 | |
| 99457 | <1% | 218 | $405.56 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 46 | $344.50 |
| 95249 | <1% | 13 | $336.99 | |
| 80069 | <1% | 89 | $328.82 | |
| 99223 | Prolong inpt eval add15 m | <1% | 61 | $305.70 |
| 82570 | <1% | 57 | $151.06 | |
| 90756 | <1% | 24 | $134.20 | |
| 82043 | <1% | 15 | $75.63 | |
| 83735 | <1% | 16 | $74.01 | |
| 84156 | <1% | 29 | $54.20 | |
| 99358 | Prolong nursin fac eval 15m | <1% | 12 | $39.40 |
| G0008 | Administration of influenza virus vaccine | 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 officialLILAVIVAT, USAH (PRESIDENT)