Clinic
Carolina Health Centers, INC.
Carolina Health Centers, INC. was paid $856K by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoCAROLINA HEALTH CENTERS, INC.
WATERLOO, SC 29384
WATERLOO, SC 29384
33aNPI1770616013assigned 03/14/2007
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$856K
24GClaims6,772
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in South Carolina
Rank by total paid#40 of 85
Median peer was paid$746K
This provider vs. median1.1×
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 GILMER, LISA controls 11+ 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 | 299 | $20K | |
| 2019 | 167 | $19K | |
| 2020 | 54 | $5K | |
| 2021 | 196 | $15K | |
| 2022 | 2,365 | $200K | |
| 2023 | 2,088 | $280K | |
| 2024incomplete | 1,603 | $316K |
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 | 47% | 1,946 | 1,775 | $399K |
| 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% | 1,093 | 1,021 | $243K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 10.0% | 1,031 | 860 | $85K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.9% | 199 | 199 | $42K |
| 87428 | 4.9% | 684 | 661 | $42K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.2% | 94 | 93 | $19K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.6% | 72 | 72 | $14K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 337 | 337 | $6K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 15 | 13 | $4K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 483 | 460 | $847.73 |
| 90651 | <1% | 84 | 84 | $448.32 | |
| 87807 | <1% | 56 | 55 | $98.17 |
16 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 42 | $90.84 |
| 3078F | <1% | 73 | $54.40 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 13 | $8.68 |
| 90633 | 0% | 58 | $0.00 | |
| 90707 | 0% | 25 | $0.00 | |
| 90461 | 0% | 75 | $0.00 | |
| 90670 | 0% | 13 | $0.00 | |
| 90715 | 0% | 39 | $0.00 | |
| 90734 | 0% | 40 | $0.00 | |
| 3074F | 0% | 58 | $0.00 | |
| 90686 | 0% | 95 | $0.00 | |
| 3008F | 0% | 82 | $0.00 | |
| 90656 | 0% | 15 | $0.00 | |
| 90696 | 0% | 12 | $0.00 | |
| 90716 | 0% | 25 | $0.00 | |
| 90677 | 0% | 13 | $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 officialGILMER, LISA (PRACTICE ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Carolina Health Centers, INC. | Greenwood, SC | $20.19M |
| Carolina Health Centers, INC. | Clinton, SC | $7.66M |
| Carolina Health Centers, INC. | Greenwood, SC | $3.30M |
| Carolina Health Centers, INC. | Greenwood, SC | $992K |
| Carolina Health Centers, INC. | Mc Cormick, SC | $839K |
| Carolina Health Centers, INC. | Clinton, SC | $584K |
| Carolina Health Centers, INC. | Calhoun Falls, SC | $380K |
| Carolina Health Centers, INC. | Ridge Spring, SC | $303K |
| Carolina Health Centers, INC. | Saluda, SC | $238K |
| Carolina Health Centers, INC. | Ware Shoals, SC | $218K |
| Carolina Health Centers, INC. | Greenwood, SC | $18K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.