Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CAROLINA HEALTH CENTERS, INC.

NPI: 1841548229 · CLINTON, SC 29325 · Family Medicine Physician · NPI assigned 08/16/2012

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official GILMER, LISA controls 11+ related entities in our dataset. Read more

$584K
Total Medicaid Paid
4,808
Total Claims
4,366
Beneficiaries
5
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGILMER, LISA (PRACTICE ADMINISTRATOR)
NPI Enumeration Date08/16/2012

Related Entities

Other providers sharing the same authorized official: GILMER, LISA

ProviderCityStateTotal 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. WATERLOO SC $856K
CAROLINA HEALTH CENTERS, INC. MC CORMICK SC $839K
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,329 $129K
2019 493 $55K
2020 456 $59K
2021 617 $68K
2022 711 $76K
2023 665 $98K
2024 537 $99K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,763 1,711 $291K
T1015 Clinic visit/encounter, all-inclusive 2,636 2,258 $233K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 373 362 $60K
80305 22 22 $261.58
90686 14 13 $215.76