Clinic
Edisto Regional Health Services INC.
Edisto Regional Health Services INC. was paid $47K by Medicaid between Jan 2018 and Dec 2019, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 75% of everything it billed.
33Billing provider infoEDISTO REGIONAL HEALTH SERVICES INC.
NORTH, SC 29112
NORTH, SC 29112
33aNPI1841595667assigned 01/26/2011
33bProvider typeRural Health Clinic/Center
28Total paid$47K
24GClaims1,199
24DCodes billed3
24AFirst – last monthJan 2018 – Dec 2019
Compared with peers
Next to other Rural Health Clinic/Center providers in South Carolina
Rank by total paid#66 of 81
Median peer was paid$302K
This provider vs. median0.2×
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 | 545 | $20K | |
| 2019 | 654 | $27K |
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 | 75% | 964 | 800 | $35K |
| 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 | 25% | 223 | 193 | $12K |
| 36415 | Collection of venous blood by venipuncture | <1% | 12 | 12 | $31.34 |
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 officialPORTERFIELD, LIZA (C F O)
Parent organizationEDISTO REGIONAL HEALTH SERVICES INC.
| Provider | Location | Paid |
|---|---|---|
| The Regional Medical Center of Orangeburg and Calhoun Counties | Orangeburg, SC | $25.67M |
| The Regional Medical Center of Orangeburg and Calhoun Counties | Orangeburg, SC | $299K |
| Edisto Regional Health Services INC. | Bamberg, SC | $244K |
| Edisto Regional Health Services INC. | Orangeburg, SC | $65K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.