Physician
Upstate Carolina Radiology PA
Upstate Carolina Radiology PA was paid $3.12M by Medicaid between Jan 2018 and Jan 2024, across 40 billing codes. Its largest line is 74177, Computed tomography, abdomen and pelvis; with contrast material — 27% of everything it billed.
33Billing provider infoUPSTATE CAROLINA RADIOLOGY PA
SPARTANBURG, SC 29303
SPARTANBURG, SC 29303
33aNPI1750348595assigned 04/26/2006
33bProvider typeDiagnostic Radiology Physician
28Total paid$3.12M
24GClaims205,506
24DCodes billed40
24AFirst – last monthJan 2018 – Jan 2024
Compared with peers
Next to other Diagnostic Radiology Physician providers in South Carolina
Rank by total paid#2 of 117
Median peer was paid$482.86
This provider vs. median6,457×
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 | 24,321 | $279K | |
| 2019 | 23,628 | $313K | |
| 2020 | 26,462 | $408K | |
| 2021 | 42,442 | $632K | |
| 2022 | 47,968 | $816K | |
| 2023 | 37,548 | $619K | |
| 2024incomplete | 3,137 | $52K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 27% | 16,098 | 14,993 | $851K |
| 70450 | Computed tomography, head or brain; without contrast material | 16% | 20,019 | 18,618 | $501K |
| 71045 | Radiologic examination, chest; single view | 15% | 83,931 | 71,020 | $463K |
| 71046 | Radiologic examination, chest; 2 views | 9.4% | 38,429 | 36,537 | $292K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 6.8% | 7,605 | 7,345 | $211K |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | 5.3% | 2,726 | 2,546 | $164K |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | 5.1% | 4,499 | 4,163 | $159K |
| 74018 | 2.5% | 13,115 | 10,129 | $78K | |
| 76642 | 1.7% | 2,552 | 2,139 | $54K | |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | 1.6% | 951 | 874 | $49K |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | 1.5% | 1,075 | 993 | $47K |
| 77063 | Screening digital breast tomosynthesis, bilateral | 1.4% | 1,910 | 1,846 | $42K |
28 more codes
| 70551 | Magnetic resonance imaging, brain; without contrast material | 1.0% | 886 | $33K |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 598 | $20K |
| 70498 | <1% | 444 | $19K | |
| 70496 | <1% | 402 | $17K | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 804 | $16K |
| 73630 | <1% | 2,283 | $13K | |
| 73562 | <1% | 1,428 | $9K | |
| 72100 | <1% | 1,238 | $9K | |
| 76830 | Ultrasound, transvaginal | <1% | 321 | $8K |
| 73610 | <1% | 1,269 | $8K | |
| 78815 | Positron emission tomography (PET) for limited area imaging | <1% | 132 | $7K |
| 77066 | Tomosynthesis, mammo | <1% | 219 | $7K |
| 71275 | Computed tomographic angiography, chest, with contrast material | <1% | 128 | $7K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 218 | $5K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 201 | $5K |
| 77065 | Tomosynthesis, mammo | <1% | 216 | $4K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 114 | $3K |
| 73030 | <1% | 474 | $3K | |
| 73130 | <1% | 473 | $3K | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 98 | $2K |
| 73221 | <1% | 52 | $2K | |
| 73110 | <1% | 331 | $2K | |
| 73502 | <1% | 111 | $694.44 | |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | <1% | 12 | $553.28 |
| 74022 | <1% | 41 | $418.86 | |
| 73590 | <1% | 43 | $229.45 | |
| 77080 | <1% | 47 | $176.89 | |
| 73140 | <1% | 13 | $65.19 |
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.
From NPPES
Who's on the registration
Authorized officialHASWELL, JAMES (CHAIRMAN)
| Provider | Location | Paid |
|---|---|---|
| Griffin Pathology Consultants, P.C. | Derby, CT | $674K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.