Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › SC › SPARTANBURG › SPARTANBURG & PELHAM OB-GYN,P.A.

SPARTANBURG & PELHAM OB-GYN,P.A.

NPI: 1861447682 · SPARTANBURG, SC 29303 · Obstetrics Physician · NPI assigned 05/23/2006

$2.04M
Total Medicaid Paid
52,760
Total Claims
45,098
Beneficiaries
24
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialLIGHTNER, LILLIAN (PRACTICE ADMINISTRATOR)
NPI Enumeration Date05/23/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,985 $278K
2019 8,394 $307K
2020 7,086 $260K
2021 7,595 $286K
2022 8,135 $323K
2023 7,392 $299K
2024 6,173 $291K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 22,699 19,155 $1.35M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,608 2,334 $208K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 2,101 1,948 $169K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 847 789 $71K
81002 16,429 13,588 $52K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 434 428 $40K
76830 Ultrasound, transvaginal 366 334 $32K
81025 4,400 4,064 $30K
59025 Fetal non-stress test 857 618 $25K
76819 Fetal biophysical profile; without non-stress testing 256 168 $16K
76813 165 158 $15K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 170 154 $14K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 46 44 $6K
H0002 Behavioral health screening to determine eligibility for admission to treatment program 237 227 $6K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 45 39 $3K
87210 550 525 $2K
96160 186 183 $2K
59430 13 13 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 129 119 $656.73
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 28 24 $541.76
90715 15 13 $520.53
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 15 15 $368.02
85018 125 119 $273.40
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 39 39 $152.08