PHYSICIAN MANAGEMENT SERVICES OF SOUTH CAROLINA, LLC
NPI: 1699068676
· TRAVELERS REST, SC 29690
· Family Medicine Physician
· NPI assigned 05/24/2011
$302K
Total Medicaid Paid
Provider Details
| Authorized Official | DELOACH, CASEY (PRESIDENT) |
| Parent Organization | VAXCARE CORPORATION |
| NPI Enumeration Date | 05/24/2011 |
Related Entities
Other providers sharing the same authorized official: DELOACH, CASEY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
77 |
$1K |
| 2024 |
11,867 |
$301K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,263 |
3,188 |
$155K |
| 90677 |
|
1,156 |
1,134 |
$74K |
| 90661 |
|
749 |
732 |
$18K |
| 90461 |
|
1,343 |
1,061 |
$15K |
| 90381 |
|
53 |
52 |
$10K |
| 90651 |
|
347 |
337 |
$5K |
| 90723 |
|
901 |
882 |
$5K |
| 90716 |
|
177 |
176 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
372 |
332 |
$3K |
| 90707 |
|
178 |
177 |
$2K |
| 90680 |
|
328 |
326 |
$2K |
| 90633 |
|
516 |
505 |
$2K |
| 90480 |
|
70 |
67 |
$2K |
| 96380 |
|
84 |
83 |
$1K |
| 90656 |
|
242 |
241 |
$1K |
| 90715 |
|
171 |
170 |
$1K |
| 91320 |
|
29 |
27 |
$1K |
| 91321 |
|
26 |
26 |
$1K |
| 90648 |
|
544 |
540 |
$611.03 |
| 90662 |
|
21 |
21 |
$144.14 |
| 90681 |
|
291 |
276 |
$132.45 |
| 90647 |
|
400 |
384 |
$87.33 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
17 |
17 |
$71.28 |
| 90700 |
|
184 |
178 |
$27.21 |
| 90620 |
|
15 |
14 |
$0.00 |
| 90619 |
|
212 |
201 |
$0.00 |
| 90696 |
|
120 |
120 |
$0.00 |
| 90660 |
|
66 |
66 |
$0.00 |
| 90734 |
|
57 |
57 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |