STATE OF SOUTH CAROLINA
NPI: 1689758898
· BEAUFORT, SC 29902
· 251K00000X
$308K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,126 |
$39K |
| 2019 |
1,335 |
$45K |
| 2020 |
1,222 |
$42K |
| 2021 |
1,474 |
$51K |
| 2022 |
1,518 |
$49K |
| 2023 |
1,432 |
$47K |
| 2024 |
1,027 |
$35K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
2,950 |
2,782 |
$205K |
| 99212 |
|
1,951 |
1,937 |
$55K |
| 81025 |
|
2,408 |
2,359 |
$16K |
| J1050 |
Medroxyprogesterone acetate |
715 |
706 |
$8K |
| 99202 |
|
182 |
180 |
$8K |
| 90460 |
|
298 |
285 |
$6K |
| 99213 |
|
114 |
113 |
$5K |
| 99201 |
|
69 |
69 |
$2K |
| Q0111 |
Wet mounts/ w preparations |
417 |
411 |
$1K |
| 90461 |
|
13 |
13 |
$302.64 |
| 90686 |
|
17 |
17 |
$0.00 |