Physician
Copses, Constantine
Copses, Constantine was paid $30K by Medicaid between Jul 2019 and Oct 2019, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
33Billing provider infoCOPSES, CONSTANTINE
NORTH CHARLESTON, SC 29406
NORTH CHARLESTON, SC 29406
33aNPI1750478772assigned 10/10/2006
33bProvider typePediatrics Physician
28Total paid$30K
24GClaims498
24DCodes billed9
24AFirst – last monthJul 2019 – Oct 2019
Compared with peers
Next to other Pediatrics Physician providers in South Carolina
Rank by total paid#174 of 471
Median peer was paid$18K
This provider vs. median1.7×
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 | |
|---|---|---|---|
| 2019 | 498 | $30K |
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 | 30% | 130 | 128 | $9K |
| 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 | 28% | 81 | 80 | $8K |
| 90461 | 13% | 71 | 71 | $4K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 13% | 37 | 37 | $4K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.2% | 21 | 21 | $2K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.8% | 109 | 109 | $1K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.9% | 12 | 12 | $1K |
| 85018 | <1% | 12 | 12 | $25.80 | |
| 90686 | 0% | 25 | 25 | $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.