Medicaid Provider Spending

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

MUSC COMMUNITY PHYSICIANS

NPI: 1841878006 · BAMBERG, SC 29003 · Surgery Physician · NPI assigned 03/30/2021

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

Authorized official RAE, KARYN controls 20+ related entities in our dataset. Read more

$16.67M
Total Medicaid Paid
399,496
Total Claims
365,090
Beneficiaries
146
Codes Billed
2021-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRAE, KARYN (CHAIR, PAYOR RELATIONS & REIMBURSE)
NPI Enumeration Date03/30/2021

Related Entities

Other providers sharing the same authorized official: RAE, KARYN

ProviderCityStateTotal Paid
MEDICAL UNIVERSITY HOSPITAL AUTHORITY CHARLESTON SC $241.43M
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC $56.50M
MEDICAL UNIVERSITY HOSPITAL AUTHORITY CHARLESTON SC $32.62M
MEDICAL UNIVERSITY HOSPITAL AUTHORITY CHARLESTON SC $12.42M
UNIVERSITY MEDICAL ASSOCIATES CHARLESTON SC $9.16M
CAROLINA FAMILY CARE, INC LANCASTER SC $6.87M
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC $6.15M
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC $5.38M
CAROLINA FAMILY CARE, INC FLORENCE SC $4.06M
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC $3.58M
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC $3.53M
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC $3.34M
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC $2.80M
UNIVERSITY MEDICAL ASSOCIATE OF THE MEDICAL UNIVERSITY OF SOUTH CAROLI CHARLESTON SC $2.30M
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC $1.98M
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC $1.88M
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC $1.79M
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC $1.72M
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC $1.57M
CAROLINA FAMILY CARE, INC MT PLEASANT SC $1.31M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 5,597 $185K
2022 119,295 $4.99M
2023 136,302 $6.28M
2024 138,302 $5.21M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 75,759 73,673 $5.79M
99283 Emergency department visit for the evaluation and management, moderate severity 54,357 53,152 $2.43M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 52,553 49,758 $2.26M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 44,932 40,578 $1.89M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 8,604 8,146 $902K
99232 Subsequent hospital care, per day, moderate complexity 14,296 5,053 $503K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 4,297 4,122 $309K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery 614 608 $293K
99223 Prolong inpt eval add15 m 1,818 1,724 $191K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 5,326 5,174 $187K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,250 3,091 $179K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 33,294 28,162 $139K
99233 Prolong inpt eval add15 m 2,607 1,472 $135K
J1050 Injection, medroxyprogesterone acetate, 1 mg 1,681 1,662 $116K
99239 Hospital discharge day management, more than 30 minutes 1,429 1,369 $87K
99238 Hospital discharge day management, 30 minutes or less 1,390 1,341 $87K
99460 1,034 998 $84K
99215 Prolong outpt/office vis 1,721 1,637 $77K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 53 52 $52K
81025 6,710 6,460 $47K
81002 17,030 15,361 $45K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 594 593 $44K
93000 8,916 8,563 $43K
20610 2,522 1,972 $38K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 716 695 $36K
00731 448 440 $36K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,004 951 $31K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 273 118 $27K
90837 Psychotherapy, 53 minutes with patient 311 265 $27K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 213 211 $23K
99222 Initial hospital care, per day, moderate complexity 271 251 $23K
74177 Computed tomography, abdomen and pelvis; with contrast material 467 442 $22K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 241 236 $22K
36415 Collection of venous blood by venipuncture 8,178 7,525 $21K
71045 Radiologic examination, chest; single view 4,717 4,252 $19K
70450 Computed tomography, head or brain; without contrast material 979 864 $18K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 381 364 $17K
43235 376 368 $16K
88305 Level IV - Surgical pathology, gross and microscopic examination 633 517 $16K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,599 2,513 $15K
99244 Office or other outpatient consultation, moderate to high complexity 121 117 $15K
87480 1,005 965 $14K
87660 1,011 971 $14K
87510 1,003 963 $14K
00811 143 141 $12K
59430 104 104 $12K
99462 297 270 $11K
99220 96 92 $11K
95886 178 174 $10K
76801 95 94 $9K
85018 4,407 4,249 $9K
93971 673 650 $9K
00813 112 112 $9K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 84 80 $9K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 266 252 $9K
71046 Radiologic examination, chest; 2 views 1,231 1,199 $9K
95816 359 329 $9K
45380 Colonoscopy, flexible; with biopsy, single or multiple 102 98 $8K
77067 Screening mammography, bilateral, including computer-aided detection 265 260 $8K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 71 71 $7K
59025 Fetal non-stress test 304 261 $7K
76830 Ultrasound, transvaginal 75 74 $7K
11721 945 939 $6K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 692 328 $6K
51798 1,966 1,870 $6K
93970 277 266 $5K
73564 263 233 $5K
99282 Emergency department visit for the evaluation and management, low to moderate severity 171 164 $5K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 70 64 $5K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 75 67 $5K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 85 59 $5K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 243 161 $5K
77063 Screening digital breast tomosynthesis, bilateral 218 214 $4K
54150 55 55 $4K
01961 26 24 $4K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 60 59 $4K
99205 Prolong outpt/office vis 42 39 $4K
81003 3,612 3,122 $4K
92015 Determination of refractive state 375 353 $4K
99217 139 130 $4K
99231 Subsequent hospital care, per day, straightforward or low complexity 207 88 $4K
J1030 Injection, methylprednisolone acetate, 40 mg 723 603 $3K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 58 58 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 324 316 $3K
00170 Anesthesia for intraoral procedures, including biopsy 24 24 $3K
93922 231 230 $3K
99225 86 57 $3K
11056 241 240 $3K
93296 390 385 $3K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 791 768 $3K
99080 12 12 $2K
93018 342 326 $2K
99254 16 13 $2K
93295 121 120 $2K
93880 98 95 $2K
94375 239 234 $2K
72110 87 86 $2K
99245 16 15 $2K
73130 105 98 $2K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 25 25 $2K
88307 36 28 $2K
93458 12 12 $1K
95913 12 12 $1K
93298 116 116 $1K
74176 Computed tomography, abdomen and pelvis; without contrast material 29 27 $1K
90792 Psychiatric diagnostic evaluation with medical services 13 13 $1K
81001 1,311 1,254 $1K
99243 12 12 $1K
01844 14 14 $1K
97597 132 83 $1K
73630 113 103 $970.26
93016 109 107 $879.81
71260 Computed tomography, thorax, diagnostic; with contrast material 32 30 $877.13
99152 213 201 $860.86
83036 Hemoglobin; glycosylated (A1C) 231 231 $851.06
94726 61 59 $765.61
94729 60 58 $744.60
82962 704 597 $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 76 76 $668.98
73030 37 37 $572.97
99252 12 12 $551.70
88342 35 24 $508.52
94618 73 69 $454.50
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 12 12 $413.67
95251 40 40 $350.30
73562 72 68 $298.02
93294 75 75 $278.58
73610 37 36 $256.54
77066 Tomosynthesis, mammo 17 12 $246.02
93297 26 26 $243.82
99406 68 66 $230.74
52000 13 13 $227.09
74420 16 14 $208.59
74018 32 32 $199.88
94010 13 12 $179.18
87807 27 25 $175.53
82950 51 49 $168.25
51700 12 12 $162.41
J1100 Injection, dexamethasone sodium phosphate, 1 mg 176 171 $113.74
81015 155 99 $92.88
73560 12 12 $66.73
11055 14 12 $63.45
82044 44 44 $43.94
82570 42 42 $40.59
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 25 13 $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) 3,028 2,831 $0.00