Clinic
Edisto Regional Health Services INC
Edisto Regional Health Services INC was paid $527K by Medicaid between Sep 2020 and Nov 2023, across 11 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 53% of everything it billed.
33Billing provider infoEDISTO REGIONAL HEALTH SERVICES INC
ORANGEBURG, SC 29118
ORANGEBURG, SC 29118
33aNPI1831729623assigned 01/21/2020
33bProvider typeUrgent Care Clinic/Center
28Total paid$527K
24GClaims7,738
24DCodes billed11
24AFirst – last monthSep 2020 – Nov 2023
Compared with peers
Next to other Urgent Care Clinic/Center providers in South Carolina
Rank by total paid#23 of 36
Median peer was paid$695K
This provider vs. median0.8×
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 | |
|---|---|---|---|
| 2020 | 190 | $12K | |
| 2021 | 1,162 | $96K | |
| 2022 | 3,430 | $227K | |
| 2023 | 2,956 | $192K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 53% | 2,498 | 2,222 | $281K |
| 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 | 14% | 860 | 795 | $74K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 14% | 935 | 847 | $73K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 13% | 1,399 | 1,255 | $70K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.5% | 1,137 | 532 | $13K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.1% | 463 | 417 | $6K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 83 | 79 | $5K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 236 | 212 | $5K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 74 | 69 | $346.81 |
| 87807 | <1% | 26 | 25 | $229.51 | |
| 81002 | <1% | 27 | 25 | $81.21 |
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 officialBROWN, WILLIE (AVP REVENUE CYCLE)
| Provider | Location | Paid |
|---|---|---|
| W L Brown Medical Corporation | Fresno, CA | $88K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.