Medicaid Provider Spending

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

RADDON LLC

NPI: 1861972853 · COLUMBIA, SC 29203 · Clinic/Center · NPI assigned 08/18/2018

$8K
Total Medicaid Paid
78
Total Claims
77
Beneficiaries
3
Codes Billed
2023-08
First Month
2023-11
Last Month

Provider Details

Authorized OfficialPHILLIPS, ROGER (MANAGER)
NPI Enumeration Date08/18/2018

Related Entities

Other providers sharing the same authorized official: PHILLIPS, ROGER

ProviderCityStateTotal Paid
HERITAGE HEALTHCARE SYSTEM BARNWELL SC $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 78 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 50 50 $6K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 16 15 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $885.86