Carolinas Medical Alliance INC
Carolinas Medical Alliance INC was paid $93K by Medicaid between Jan 2018 and Feb 2019, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 55% of everything it billed.
FLORENCE, SC 29505
Next to other Family Medicine Physician providers in South Carolina
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 4,783 | $80K | |
| 2019 | 711 | $13K |
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 | 55% | 1,481 | 1,303 | $51K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 12% | 372 | 88 | $11K |
| 51798 | 8.0% | 1,012 | 931 | $7K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.0% | 307 | 291 | $7K |
| 99245 | 4.7% | 25 | 25 | $4K | |
| 81001 | 4.4% | 2,035 | 1,846 | $4K | |
| 50590 | 3.9% | 12 | 12 | $4K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.8% | 40 | 33 | $3K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.5% | 31 | 27 | $1K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 14 | 14 | $433.65 |
| 81015 | <1% | 136 | 124 | $262.95 | |
| 99223 | Prolong inpt eval add15 m | <1% | 14 | 14 | $142.54 |
1 more codes
| 74420 | <1% | 15 | $89.19 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Poplar Bluff Hma Physician Management, LLC | Poplar Bluff, MO | $9.93M |
| Crestwood Physician Services, LLC | Huntsville, AL | $1.52M |
| Fort Smith Hma PBC Management, LLC | Fort Smith, AR | $1.34M |
| Porter Health Services, LLC. | Valparaiso, IN | $1.28M |
| Wiregrass Clinic LLC | Dothan, AL | $697K |
| Madison Hma Physician Management LLC | Canton, MS | $677K |
| Shelbyville Clinic Corp | Shelbyville, TN | $512K |
| Franklin Clinic Corp | Franklin, VA | $369K |
| Town of Sharon | Sharon, MA | $348K |
| Clarksdale Hma Physician Management LLC | Clarksdale, MS | $247K |
| Lake Shore Hma Medical Group LLC | Lake City, FL | $193K |
| Campbell County Hma, LLC | La Follette, TN | $186K |
| Crossgates Hma Medical Group LLC | Brandon, MS | $183K |
| Preferred Living INC | Ville Platte, LA | $168K |
| Deaconess Physician Services LLC | Oklahoma City, OK | $161K |
| Carolina Surgery Center LLC | Fort Mill, SC | $64K |
| Haines City Hma Physician Management, LLC | Davenport, FL | $28K |
| Bluefield HBP Medical Group LLC | Bluefield, WV | $23K |
| Lake Wales Clinic Corp | Lake Wales, FL | $20K |
| Campbell County Hma, LLC | La Follette, TN | $19K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.