Lancaster Clinic Corp
Lancaster Clinic Corp was paid $1.28M by Medicaid between Jan 2018 and Feb 2019, across 56 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 38% of everything it billed.
KERSHAW, SC 29067
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 | 27,200 | $1.09M | |
| 2019 | 4,707 | $194K |
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 | 38% | 6,529 | 5,789 | $489K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 5,967 | 4,790 | $304K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.1% | 1,099 | 1,006 | $90K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.2% | 742 | 733 | $67K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.0% | 680 | 644 | $39K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.8% | 2,667 | 2,512 | $36K |
| 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 | 2.7% | 378 | 362 | $35K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.4% | 1,864 | 1,843 | $31K |
| 90461 | 1.9% | 1,227 | 1,211 | $24K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.4% | 201 | 199 | $18K |
| 99460 | 1.3% | 207 | 182 | $16K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.3% | 145 | 131 | $16K |
44 more codes
| 95886 | <1% | 181 | $13K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 711 | $10K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 147 | $9K |
| 81002 | <1% | 3,358 | $9K | |
| 73560 | <1% | 422 | $8K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 800 | $7K |
| 95911 | <1% | 73 | $7K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 69 | $6K |
| 99243 | <1% | 54 | $5K | |
| 73565 | <1% | 265 | $4K | |
| 96127 | <1% | 540 | $4K | |
| 99462 | <1% | 154 | $4K | |
| 76801 | <1% | 30 | $3K | |
| 20610 | <1% | 98 | $3K | |
| 87807 | <1% | 204 | $3K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 69 | $2K |
| 52000 | <1% | 27 | $2K | |
| 59025 | Fetal non-stress test | <1% | 97 | $2K |
| 73030 | <1% | 119 | $2K | |
| 95816 | <1% | 54 | $2K | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 12 | $2K |
| 51798 | <1% | 210 | $2K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 13 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 33 | $1K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 12 | $1K |
| 54150 | <1% | 12 | $1K | |
| 81025 | <1% | 105 | $764.97 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 17 | $458.94 |
| 36415 | Collection of venous blood by venipuncture | <1% | 248 | $350.08 |
| 73110 | <1% | 14 | $291.32 | |
| 73130 | <1% | 16 | $243.25 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 43 | $208.13 |
| 85018 | <1% | 72 | $196.92 | |
| 72170 | <1% | 12 | $186.63 | |
| 94760 | <1% | 40 | $18.68 | |
| 90656 | <1% | 143 | $16.61 | |
| 90655 | 0% | 70 | $0.00 | |
| 90670 | 0% | 520 | $0.00 | |
| 90633 | 0% | 90 | $0.00 | |
| 90710 | 0% | 16 | $0.00 | |
| 90647 | 0% | 407 | $0.00 | |
| 90680 | 0% | 268 | $0.00 | |
| 90723 | 0% | 340 | $0.00 | |
| 90696 | 0% | 16 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Oak Hill Clinic Corp | Oak Hill, WV | $2.28M |
| Cleveland Medical Clinic INC | Cleveland, TN | $1.75M |
| Carolinas Medical Alliance INC | Florence, SC | $761K |
| Lake Area Physician Services LLC | Lake Charles, LA | $666K |
| Moberly Medical Clinics INC | Moberly, MO | $372K |
| Dyersburg Clinic Corp | Dyersburg, TN | $259K |
| Madison Clinic Corp | Jackson, TN | $132K |
| Carolinas Medical Alliance INC | Florence, SC | $73K |
| Carolinas Medical Alliance INC | Florence, SC | $62K |
| Franklin Hospital Corporation | Franklin, VA | $20K |
| DCF | Abilene, TX | $20K |
| Carolinas Medical Alliance INC | Pamplico, SC | $11K |
| Carolinas Medical Alliance INC | Florence, SC | $9K |
| Carlsbad Medical Center LLC | Carlsbad, NM | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.