Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

MUSC Community Physicians

MUSC Community Physicians was paid $16.67M by Medicaid between Aug 2021 and Dec 2024, across 146 billing codes. Its largest line is 99284, emergency room visit (serious) — 35% of everything it billed.

33Billing provider infoMUSC COMMUNITY PHYSICIANS
BAMBERG, SC 29003
33aNPI1841878006assigned 03/30/2021
33bProvider typeSurgery Physician
28Total paid$16.67M
24GClaims399,496
24DCodes billed146
24AFirst – last monthAug 2021 – Dec 2024
Compared with peers

Next to other Surgery Physician providers in South Carolina

Rank by total paid#1 of 40
Median peer was paid$5K
This provider vs. median3,204×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official RAE, KARYN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$250K$500K$750K2018201920202021202220232024
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
YearClaimsPaid
20215,597$185K
2022119,295$4.99M
2023136,302$6.28M
2024incomplete138,302$5.21M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 35% 75,759 73,673 $5.79M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 15% 54,357 53,152 $2.43M
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% 52,553 49,758 $2.26M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11% 44,932 40,578 $1.89M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 5.4% 8,604 8,146 $902K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 3.0% 14,296 5,053 $503K
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 1.9% 4,297 4,122 $309K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery 1.8% 614 608 $293K
99223 Prolong inpt eval add15 m 1.1% 1,818 1,724 $191K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.1% 5,326 5,174 $187K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.1% 3,250 3,091 $179K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 33,294 28,162 $139K
134 more codes
99233 Hospital visit by a doctor, follow-up day (complex) <1% 2,607 $135K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 1,681 $116K
99239 Hospital discharge day management, more than 30 minutes <1% 1,429 $87K
99238 Hospital discharge day management, 30 minutes or less <1% 1,390 $87K
99460 <1% 1,034 $84K
99215 Doctor's office visit, returning patient (complex) <1% 1,721 $77K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) <1% 53 $52K
81025 <1% 6,710 $47K
81002 <1% 17,030 $45K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 594 $44K
93000 <1% 8,916 $43K
20610 <1% 2,522 $38K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 716 $36K
00731 <1% 448 $36K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 1,004 $31K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 273 $27K
90837 Psychotherapy session, about an hour <1% 311 $27K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 213 $23K
99222 Initial hospital care, per day, moderate complexity <1% 271 $23K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 467 $22K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 241 $22K
36415 Collection of venous blood by venipuncture <1% 8,178 $21K
71045 Radiologic examination, chest; single view <1% 4,717 $19K
70450 Computed tomography, head or brain; without contrast material <1% 979 $18K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 381 $17K
43235 <1% 376 $16K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 633 $16K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 2,599 $15K
99244 Office or other outpatient consultation, moderate to high complexity <1% 121 $15K
87480 <1% 1,005 $14K
87660 <1% 1,011 $14K
87510 <1% 1,003 $14K
00811 <1% 143 $12K
59430 <1% 104 $12K
99462 <1% 297 $11K
99220 <1% 96 $11K
95886 <1% 178 $10K
76801 <1% 95 $9K
85018 <1% 4,407 $9K
93971 <1% 673 $9K
00813 <1% 112 $9K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 84 $9K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 266 $9K
71046 Radiologic examination, chest; 2 views <1% 1,231 $9K
95816 <1% 359 $9K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 102 $8K
77067 Screening mammography, bilateral, including computer-aided detection <1% 265 $8K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 71 $7K
59025 Fetal non-stress test <1% 304 $7K
76830 Ultrasound, transvaginal <1% 75 $7K
11721 <1% 945 $6K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 692 $6K
51798 <1% 1,966 $6K
93970 <1% 277 $5K
73564 <1% 263 $5K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 171 $5K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 70 $5K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 75 $5K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 85 $5K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 243 $5K
77063 Screening digital breast tomosynthesis, bilateral <1% 218 $4K
54150 <1% 55 $4K
01961 <1% 26 $4K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 60 $4K
99205 Prolong outpt/office vis <1% 42 $4K
81003 <1% 3,612 $4K
92015 Determination of refractive state <1% 375 $4K
99217 <1% 139 $4K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 207 $4K
J1030 Injection, methylprednisolone acetate, 40 mg <1% 723 $3K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits <1% 58 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 324 $3K
00170 Anesthesia for intraoral procedures, including biopsy <1% 24 $3K
93922 <1% 231 $3K
99225 <1% 86 $3K
11056 <1% 241 $3K
93296 <1% 390 $3K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 791 $3K
99080 <1% 12 $2K
93018 <1% 342 $2K
99254 <1% 16 $2K
93295 <1% 121 $2K
93880 <1% 98 $2K
94375 <1% 239 $2K
72110 <1% 87 $2K
99245 <1% 16 $2K
73130 <1% 105 $2K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 25 $2K
88307 <1% 36 $2K
93458 <1% 12 $1K
95913 <1% 12 $1K
93298 <1% 116 $1K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 29 $1K
90792 Psychiatric diagnostic evaluation with medical services <1% 13 $1K
81001 <1% 1,311 $1K
99243 <1% 12 $1K
01844 <1% 14 $1K
97597 <1% 132 $1K
73630 <1% 113 $970.26
93016 <1% 109 $879.81
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 32 $877.13
99152 <1% 213 $860.86
83036 Hemoglobin; glycosylated (A1C) <1% 231 $851.06
94726 <1% 61 $765.61
94729 <1% 60 $744.60
82962 <1% 704 $690.60
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results <1% 76 $668.98
73030 <1% 37 $572.97
99252 <1% 12 $551.70
88342 <1% 35 $508.52
94618 <1% 73 $454.50
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 12 $413.67
95251 <1% 40 $350.30
73562 <1% 72 $298.02
93294 <1% 75 $278.58
73610 <1% 37 $256.54
77066 Tomosynthesis, mammo <1% 17 $246.02
93297 <1% 26 $243.82
99406 <1% 68 $230.74
52000 <1% 13 $227.09
74420 <1% 16 $208.59
74018 <1% 32 $199.88
94010 <1% 13 $179.18
87807 <1% 27 $175.53
82950 <1% 51 $168.25
51700 <1% 12 $162.41
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 176 $113.74
81015 <1% 155 $92.88
73560 <1% 12 $66.73
11055 <1% 14 $63.45
82044 <1% 44 $43.94
82570 <1% 42 $40.59
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 25 $12.36
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 0% 3,028 $0.00

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 officialRAE, KARYN (CHAIR, PAYOR RELATIONS & REIMBURSE)
Same official

Other billing entities under RAE, KARYN

Full network →
ProviderLocationPaid
Medical University Hospital AuthorityCharleston, SC$241.43M
University Medical Associates of the Medical University of South CarolCharleston, SC$56.50M
Medical University Hospital AuthorityCharleston, SC$32.62M
Medical University Hospital AuthorityCharleston, SC$12.42M
University Medical AssociatesCharleston, SC$9.16M
Carolina Family Care, INCLancaster, SC$6.87M
University Medical Associates of the Medical University of South CarolCharleston, SC$6.15M
University Medical Associates of the Medical University of South CarolCharleston, SC$5.38M
Carolina Family Care, INCFlorence, SC$4.06M
University Medical Associates of the Medical University of South CarolCharleston, SC$3.58M
University Medical Associates of the Medical University of South CarolCharleston, SC$3.53M
University Medical Associates of the Medical University of South CarolCharleston, SC$3.34M
University Medical Associates of the Medical University of South CarolCharleston, SC$2.80M
University Medical Associate of the Medical University of South CaroliCharleston, SC$2.30M
University Medical Associates of the Medical University of South CarolCharleston, SC$1.98M
University Medical Associates of the Medical University of South CarolCharleston, SC$1.88M
University Medical Associates of the Medical University of South CarolCharleston, SC$1.79M
University Medical Associates of the Medical University of South CarolCharleston, SC$1.72M
University Medical Associates of the Medical University of South CarolCharleston, SC$1.57M
Carolina Family Care, INCMt Pleasant, SC$1.31M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.