Coulter, Franklin

Coulter, Franklin was paid $208K by Medicaid between Jan 2018 and Aug 2024, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 73% of everything it billed.

33Billing provider infoCOULTER, FRANKLIN
ORANGEBURG, SC 29115

33aNPI1730103144assigned 07/27/2006

33bProvider typeFamily Medicine Physician

28Total paid$208K

24GClaims8,370

24DCodes billed22

24AFirst – last monthJan 2018 – Aug 2024

Compared with peers

Next to other Family Medicine Physician providers in South Carolina

Rank by total paid#145 of 696

Median peer was paid$14K

This provider vs. median14×

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	1,466	$51K
2019	1,172	$40K
2020	1,062	$32K
2021	1,641	$28K
2022	1,256	$25K
2023	966	$20K
2024incomplete	807	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	73%	3,595	3,372	$153K
99309	Subsequent nursing facility care, per day, low to moderate complexity	22%	1,141	895	$45K
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	2.1%	58	54	$4K
36415	Collection of venous blood by venipuncture	1.5%	1,895	1,813	$3K
82947		<1%	842	818	$1K
90686		<1%	60	60	$499.87
99308	Subsequent nursing facility care, per day, straightforward	<1%	15	13	$428.11
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	<1%	73	73	$395.00
90674		<1%	20	20	$217.96
90658		<1%	13	13	$198.51
99307		<1%	16	12	$165.03
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	27	27	$128.00

10 more codes

1126F		0%	57	$0.00
G8754	Most recent diastolic blood pressure < 90 mmhg	0%	69	$0.00
G8510	Screening for depression is documented as negative, a follow-up plan is not required	0%	65	$0.00
G0008	Administration of influenza virus vaccine	0%	38	$0.00
G9664	Patients who are currently statin therapy users or received an order (prescription) for statin therapy	0%	26	$0.00
1101F		0%	72	$0.00
1159F		0%	110	$0.00
1160F		0%	108	$0.00
G8752	Most recent systolic blood pressure < 140 mmhg	0%	53	$0.00
G8482	Influenza immunization administered or previously received	0%	17	$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.