STATE OF SOUTH CAROLINA
NPI: 1821171539
· CHESTER, SC 29706
· 251K00000X
$122K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,200 |
$38K |
| 2019 |
1,110 |
$35K |
| 2020 |
370 |
$13K |
| 2021 |
539 |
$21K |
| 2022 |
304 |
$9K |
| 2023 |
169 |
$4K |
| 2024 |
41 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
1,251 |
1,183 |
$89K |
| 99212 |
|
531 |
524 |
$15K |
| 81025 |
|
1,256 |
1,236 |
$8K |
| J1050 |
Medroxyprogesterone acetate |
206 |
206 |
$4K |
| 90460 |
|
242 |
239 |
$3K |
| 99213 |
|
45 |
44 |
$2K |
| 99201 |
|
12 |
12 |
$343.92 |
| 90461 |
|
12 |
12 |
$214.37 |
| Q0111 |
Wet mounts/ w preparations |
29 |
28 |
$92.40 |
| 90686 |
|
149 |
145 |
$0.00 |