Physician
Upstate Medical Associates PA
Upstate Medical Associates PA was paid $305K by Medicaid between Jan 2018 and Nov 2024, across 27 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 48% of everything it billed.
33Billing provider infoUPSTATE MEDICAL ASSOCIATES PA
SENECA, SC 29678
SENECA, SC 29678
33aNPI1689871170assigned 06/28/2007
33bProvider typeFamily Medicine Physician
28Total paid$305K
24GClaims11,387
24DCodes billed27
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in South Carolina
Rank by total paid#107 of 696
Median peer was paid$14K
This provider vs. median21×
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 | 978 | $27K | |
| 2019 | 750 | $25K | |
| 2020 | 966 | $32K | |
| 2021 | 2,128 | $62K | |
| 2022 | 2,996 | $61K | |
| 2023 | 2,376 | $49K | |
| 2024incomplete | 1,193 | $50K |
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 | 48% | 2,508 | 2,157 | $148K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 44% | 3,015 | 2,580 | $133K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 6.5% | 433 | 375 | $20K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,061 | 939 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 405 | 229 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 54 | 52 | $543.14 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 151 | 133 | $520.31 |
| 90674 | <1% | 33 | 29 | $361.98 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 116 | 100 | $67.97 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 14 | 12 | $37.02 |
| 3074F | <1% | 170 | 157 | $0.39 | |
| 3078F | <1% | 132 | 122 | $0.22 |
15 more codes
| 3046F | <1% | 112 | $0.06 | |
| 1159F | <1% | 14 | $0.02 | |
| 2022F | <1% | 329 | $0.02 | |
| 1126F | <1% | 16 | $0.02 | |
| 3060F | <1% | 56 | $0.01 | |
| 0518F | 0% | 306 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 41 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 45 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 12 | $0.00 |
| 1101F | 0% | 551 | $0.00 | |
| 1036F | 0% | 970 | $0.00 | |
| 3017F | 0% | 723 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 93 | $0.00 |
| 3008F | 0% | 12 | $0.00 | |
| 2000F | 0% | 15 | $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 officialRAMIREZ, HENRY (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Southern Oklahoma Women's Health | Ardmore, OK | $19K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.