Spartanburg & Pelham Ob-Gyn,p.A.

Spartanburg & Pelham Ob-Gyn,p.A. was paid $2.04M by Medicaid between Jan 2018 and Oct 2024, across 24 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 66% of everything it billed.

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

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	66%	22,699	19,155	$1.35M
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	10%	2,608	2,334	$208K
76856	Ultrasound, pelvic (nonobstetric), real time with image documentation; complete	8.3%	2,101	1,948	$169K
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	3.5%	847	789	$71K
81002		2.6%	16,429	13,588	$52K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	2.0%	434	428	$40K
76830	Ultrasound, transvaginal	1.5%	366	334	$32K
81025		1.5%	4,400	4,064	$30K
59025	Fetal non-stress test	1.2%	857	618	$25K
76819	Fetal biophysical profile; without non-stress testing	<1%	256	168	$16K
76813		<1%	165	158	$15K
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%	170	154	$14K

12 more codes

99204	Doctor's office visit, new patient (more involved)	<1%	46	$6K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	<1%	237	$6K
76815	Ultrasound, pregnant uterus, real time with image documentation, limited	<1%	45	$3K
87210		<1%	550	$2K
96160		<1%	186	$2K
59430		<1%	13	$2K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	129	$656.73
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	28	$541.76
90715		<1%	15	$520.53
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	15	$368.02
85018		<1%	125	$273.40
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	39	$152.08

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 officialLIGHTNER, LILLIAN (PRACTICE ADMINISTRATOR)