Physician
Spartanburg Medical Center
Spartanburg Medical Center was paid $3.63M by Medicaid between Jan 2019 and Dec 2024, across 29 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.
33Billing provider infoSPARTANBURG MEDICAL CENTER
SPARTANBURG, SC 29301
SPARTANBURG, SC 29301
33aNPI1760951867assigned 11/19/2018
33bProvider typeFamily Medicine Physician
28Total paid$3.63M
24GClaims74,410
24DCodes billed29
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in South Carolina
Rank by total paid#11 of 696
Median peer was paid$14K
This provider vs. median251×
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 | |
|---|---|---|---|
| 2019 | 8,019 | $369K | |
| 2020 | 6,493 | $312K | |
| 2021 | 12,175 | $583K | |
| 2022 | 16,485 | $810K | |
| 2023 | 19,859 | $977K | |
| 2024incomplete | 11,379 | $582K |
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 | 37% | 16,025 | 15,298 | $1.34M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 32% | 21,402 | 20,524 | $1.15M |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 11% | 3,427 | 3,308 | $417K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 4.3% | 12,510 | 12,071 | $157K |
| 87428 | 3.5% | 2,422 | 2,336 | $128K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.6% | 1,117 | 1,006 | $94K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.5% | 4,979 | 3,217 | $90K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 2.1% | 798 | 767 | $78K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.6% | 1,489 | 1,428 | $58K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 1.5% | 1,079 | 1,064 | $55K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 365 | 333 | $23K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 64 | 64 | $7K |
17 more codes
| 71045 | Radiologic examination, chest; single view | <1% | 623 | $7K |
| 81001 | <1% | 2,541 | $7K | |
| 74018 | <1% | 197 | $3K | |
| 85027 | <1% | 501 | $3K | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 2,599 | $3K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 412 | $2K |
| 87807 | <1% | 183 | $2K | |
| 81025 | <1% | 327 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 925 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 33 | $1K |
| 73630 | <1% | 33 | $544.92 | |
| 87210 | <1% | 119 | $468.21 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 25 | $323.18 |
| 73610 | <1% | 15 | $256.53 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 175 | $174.83 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 13 | $86.23 |
| Q0162 | Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen | 0% | 12 | $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 | Spartanburg, SC | $1.94M |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.