Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › SC › CHARLESTON › LIBERTY DOCTORS LLC

LIBERTY DOCTORS LLC

NPI: 1700162203 · CHARLESTON, SC 29420 · Family Health Clinical Nurse Specialist · NPI assigned 10/27/2011

$12.17M
Total Medicaid Paid
329,663
Total Claims
307,476
Beneficiaries
131
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLARA, LISSA (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date10/27/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 42,416 $1.36M
2019 42,089 $1.50M
2020 42,533 $1.63M
2021 55,452 $2.09M
2022 57,911 $2.06M
2023 49,681 $1.92M
2024 39,581 $1.62M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 48,316 42,917 $3.73M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 53,905 48,462 $3.28M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 8,380 8,281 $796K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 8,546 8,180 $764K
90460 Immunization administration through 18 years of age via any route, first or only component 23,376 22,830 $667K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 6,171 6,063 $564K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3,907 3,834 $392K
99336 5,442 5,074 $247K
90461 8,358 8,154 $169K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,854 1,802 $146K
96110 Developmental screening, with scoring and documentation, per standardized instrument 19,219 18,776 $142K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 3,680 3,517 $139K
G9153 Mapcp demonstration - physician incentive pool 6,203 5,939 $123K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 4,024 3,891 $122K
96127 12,535 11,312 $101K
99349 1,905 1,728 $78K
87428 1,346 1,314 $76K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 9,025 8,743 $63K
99188 4,193 4,142 $63K
96161 7,174 6,752 $46K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,977 1,820 $45K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,672 2,561 $34K
99381 321 305 $33K
99051 2,386 2,304 $27K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 516 498 $26K
36415 Collection of venous blood by venipuncture 12,021 11,096 $23K
80061 Lipid panel 2,184 2,103 $22K
83655 1,838 1,807 $22K
85018 9,384 9,205 $21K
99335 605 560 $18K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 785 764 $17K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 348 339 $17K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 131 129 $16K
81003 7,146 6,719 $13K
92587 593 588 $8K
0001A 213 185 $8K
99309 Subsequent nursing facility care, per day, low to moderate complexity 399 161 $8K
96160 1,488 1,471 $8K
80053 Comprehensive metabolic panel 1,061 1,001 $8K
87807 654 627 $7K
0002A 174 161 $7K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 80 80 $7K
99177 1,300 1,296 $5K
90682 214 187 $5K
92552 351 331 $5K
0072A 114 108 $5K
99215 Prolong outpt/office vis 53 38 $4K
81002 1,563 1,513 $4K
92551 903 872 $4K
94664 348 343 $4K
0071A 97 95 $4K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 54 53 $3K
94760 3,498 3,181 $3K
94010 109 104 $2K
82962 1,558 1,402 $2K
90686 3,711 3,620 $2K
69210 54 52 $2K
99238 Hospital discharge day management, 30 minutes or less 27 26 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 20 20 $1K
99383 12 12 $1K
93922 54 53 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 247 231 $1K
99310 Prolong nursin fac eval 15m 30 12 $965.63
96112 12 12 $891.70
99460 12 12 $865.88
99306 Prolong nursin fac eval 15m 32 25 $864.21
87634 14 13 $673.81
90677 443 436 $611.34
90670 3,251 3,166 $600.24
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 27 26 $565.56
90673 41 37 $562.91
83036 Hemoglobin; glycosylated (A1C) 87 82 $553.76
93882 28 27 $512.39
90688 43 36 $508.42
0112A 13 13 $482.00
87081 65 60 $471.20
90651 548 542 $468.44
93000 99 89 $456.69
84481 58 51 $449.42
99348 16 12 $413.80
93979 28 27 $411.43
84443 Thyroid stimulating hormone (TSH) 54 48 $382.44
93308 28 27 $363.92
82948 122 112 $306.67
90672 191 190 $302.74
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 156 138 $298.02
90680 1,761 1,721 $265.51
90723 2,327 2,264 $251.11
84439 59 52 $239.37
85027 42 41 $184.60
99406 19 16 $171.82
90662 53 50 $163.70
90656 292 290 $146.75
99174 29 28 $136.73
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 12 12 $128.66
99497 41 41 $87.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 26 26 $53.60
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 8,472 7,386 $53.38
90647 2,335 2,273 $51.51
90715 287 279 $37.72
M0201 Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home 24 24 $35.50
J1100 Injection, dexamethasone sodium phosphate, 1 mg 140 129 $32.90
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 84 80 $0.84
3074F 249 214 $0.70
3077F 212 198 $0.59
3078F 314 260 $0.45
3079F 107 99 $0.37
1160F 895 822 $0.35
1159F 866 795 $0.35
91300 32 30 $0.29
90660 35 35 $0.11
90685 122 120 $0.08
3080F 17 17 $0.06
90633 1,520 1,501 $0.04
90734 384 376 $0.03
1126F 28 28 $0.01
92558 135 132 $0.00
36416 365 354 $0.00
G0008 Administration of influenza virus vaccine 245 231 $0.00
90696 114 114 $0.00
1170F 25 24 $0.00
91307 101 82 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 48 26 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 21 12 $0.00
3008F 15 14 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 2,183 1,980 $0.00
99173 40 40 $0.00
G0444 Annual depression screening, 5 to 15 minutes 159 129 $0.00
90700 114 112 $0.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 81 81 $0.00
90710 13 13 $0.00