Physician
Spartanburg Medical Center
Spartanburg Medical Center was paid $1.94M by Medicaid between Jan 2018 and Nov 2024, across 29 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 46% of everything it billed.
33Billing provider infoSPARTANBURG MEDICAL CENTER
SPARTANBURG, SC 29303
SPARTANBURG, SC 29303
33aNPI1740688191assigned 12/17/2014
33bProvider typeAllergy & Immunology Physician
28Total paid$1.94M
24GClaims43,785
24DCodes billed29
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Allergy & Immunology Physician providers in South Carolina
Rank by total paid#6 of 37
Median peer was paid$15K
This provider vs. median133×
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.
Entity ProliferationAuthorized official MEINKE, KENNETH controls 20+ related entities in our dataset. Read more
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 | 4,454 | $197K | |
| 2019 | 4,826 | $198K | |
| 2020 | 4,143 | $180K | |
| 2021 | 6,720 | $306K | |
| 2022 | 8,091 | $367K | |
| 2023 | 7,819 | $358K | |
| 2024incomplete | 7,732 | $330K |
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 | 46% | 16,629 | 16,033 | $882K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 13% | 1,751 | 1,710 | $243K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 12% | 2,074 | 2,000 | $239K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 8.7% | 932 | 846 | $169K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.2% | 2,955 | 2,879 | $101K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 4.4% | 2,057 | 1,976 | $86K |
| 95117 | 2.0% | 5,689 | 2,796 | $40K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.6% | 619 | 592 | $31K |
| 94375 | 1.5% | 1,126 | 1,112 | $29K | |
| 93000 | 1.3% | 4,354 | 4,196 | $25K | |
| 99245 | <1% | 109 | 107 | $19K | |
| 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% | 185 | 183 | $16K |
17 more codes
| 95115 | <1% | 2,546 | $14K | |
| 94010 | <1% | 597 | $14K | |
| 0002A | <1% | 251 | $10K | |
| 0001A | <1% | 208 | $8K | |
| 95012 | <1% | 398 | $5K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 734 | $1K |
| 0072A | <1% | 31 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 12 | $1K |
| 0004A | <1% | 28 | $1K | |
| J2360 | Injection, orphenadrine citrate, up to 60 mg | <1% | 149 | $344.15 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 27 | $211.56 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 176 | $156.20 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 43 | $145.84 |
| 96160 | <1% | 17 | $135.56 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 14 | $80.17 |
| G0127 | Trimming of dystrophic nails, any number | <1% | 14 | $32.54 |
| 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) | 0% | 60 | $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 officialMEINKE, KENNETH (CHIEF FINANCIAL OFFICER)
Parent organizationSPARTANBURG REGIONAL HEALTH SERVICES DISTRICT, INC.
| Provider | Location | Paid |
|---|---|---|
| Spartanburg Medical Center | Spartanburg, SC | $187.76M |
| Pelham Medical Center | Greer, SC | $13.82M |
| Spartanburg Medical Center | Spartanburg, SC | $11.52M |
| Spartanburg Medical Center | Drayton, SC | $8.86M |
| Spartanburg Medical Center | Spartanburg, SC | $4.17M |
| Spartanburg Medical Center | Spartanburg, SC | $3.72M |
| Spartanburg Medical Center | Boiling Springs, SC | $1.92M |
| Spartanburg Medical Center | Spartanburg, SC | $1.39M |
| Spartanburg Medical Center | Spartanburg, SC | $990K |
| Spartanburg Medical Center | Greenville, SC | $943K |
| Spartanburg Medical Center | Spartanburg, SC | $911K |
| Spartanburg Medical Center | Gaffney, SC | $785K |
| Spartanburg Medical Center | Spartanburg, SC | $726K |
| Spartanburg Medical Center | Spartanburg, SC | $680K |
| Spartanburg Medical Center | Inman, SC | $669K |
| Spartanburg Medical Center | Pacolet, SC | $462K |
| Spartanburg Medical Center | Landrum, SC | $446K |
| Spartanburg Medical Center | Spartanburg, SC | $413K |
| Spartanburg Medical Center | Spartanburg, SC | $325K |
| Spartanburg Medical Center | Duncan, SC | $281K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.