Clinic
Metrolyna Health Care LLC
Metrolyna Health Care LLC was paid $375K by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoMETROLYNA HEALTH CARE LLC
HEATH SPRINGS, SC 29058
HEATH SPRINGS, SC 29058
33aNPI1780761684assigned 11/01/2006
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$375K
24GClaims13,613
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in South Carolina
Rank by total paid#6 of 21
Median peer was paid$101K
This provider vs. median3.7×
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 | |
|---|---|---|---|
| 2018 | 2,713 | $67K | |
| 2019 | 3,762 | $69K | |
| 2020 | 1,917 | $69K | |
| 2021 | 1,936 | $57K | |
| 2022 | 1,436 | $37K | |
| 2023 | 941 | $37K | |
| 2024incomplete | 908 | $39K |
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 | 48% | 3,932 | 3,630 | $181K |
| 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% | 2,982 | 2,759 | $107K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 8.7% | 534 | 179 | $32K |
| 99223 | Prolong inpt eval add15 m | 3.6% | 123 | 116 | $14K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.0% | 209 | 73 | $7K |
| 71046 | Radiologic examination, chest; 2 views | 1.7% | 454 | 424 | $6K |
| 71045 | Radiologic examination, chest; single view | 1.4% | 651 | 620 | $5K |
| 94060 | 1.0% | 172 | 168 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 207 | 194 | $3K |
| 94729 | <1% | 170 | 167 | $3K | |
| 94727 | <1% | 144 | 142 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,693 | 1,598 | $2K |
19 more codes
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 26 | $2K |
| 90674 | <1% | 158 | $1K | |
| 81003 | <1% | 1,019 | $1K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 152 | $910.16 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 153 | $843.45 |
| 90756 | <1% | 71 | $830.30 | |
| 80061 | Lipid panel | <1% | 100 | $594.35 |
| 76536 | <1% | 12 | $476.50 | |
| 99442 | <1% | 14 | $250.90 | |
| 85018 | <1% | 26 | $37.31 | |
| 3077F | 0% | 50 | $0.00 | |
| 3725F | 0% | 28 | $0.00 | |
| 3078F | 0% | 85 | $0.00 | |
| 3288F | 0% | 28 | $0.00 | |
| 3075F | 0% | 18 | $0.00 | |
| 3008F | 0% | 192 | $0.00 | |
| 3079F | 0% | 64 | $0.00 | |
| 3074F | 0% | 77 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 69 | $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 officialAFULUKWE, IFEDIORA (MEDICAL DIRECTOR)