STATE OF SOUTH CAROLINA
NPI: 1841374485
· ROCK HILL, SC 29732
· 251K00000X
$479K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,964 |
$121K |
| 2019 |
4,344 |
$120K |
| 2020 |
2,450 |
$71K |
| 2021 |
2,036 |
$60K |
| 2022 |
2,113 |
$60K |
| 2023 |
825 |
$24K |
| 2024 |
820 |
$23K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
3,777 |
3,617 |
$270K |
| 99212 |
|
2,182 |
2,169 |
$62K |
| 99213 |
|
637 |
629 |
$30K |
| 90460 |
|
1,887 |
1,863 |
$29K |
| 81025 |
|
3,964 |
3,901 |
$26K |
| J1050 |
Medroxyprogesterone acetate |
1,329 |
1,324 |
$16K |
| 99501 |
|
181 |
171 |
$16K |
| 99201 |
|
381 |
379 |
$11K |
| 90461 |
|
443 |
436 |
$9K |
| 99202 |
|
129 |
127 |
$6K |
| Q0111 |
Wet mounts/ w preparations |
1,017 |
1,003 |
$3K |
| 90715 |
|
159 |
159 |
$751.75 |
| 90686 |
|
366 |
361 |
$295.56 |
| 90471 |
|
12 |
12 |
$46.56 |
| 90651 |
|
20 |
19 |
$0.00 |
| 90674 |
|
26 |
26 |
$0.00 |
| 90734 |
|
29 |
28 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |