Clinic
Cherokee Community Care, LLC
Cherokee Community Care, LLC was paid $2.00M by Medicaid between Jan 2018 and Nov 2024, across 26 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.
33Billing provider infoCHEROKEE COMMUNITY CARE, LLC
GAFFNEY, SC 29341
GAFFNEY, SC 29341
33aNPI1891878971assigned 10/23/2006
33bProvider typeRural Health Clinic/Center
28Total paid$2.00M
24GClaims35,059
24DCodes billed26
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in South Carolina
Rank by total paid#12 of 81
Median peer was paid$302K
This provider vs. median6.6×
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.
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 | 5,039 | $396K | |
| 2019 | 5,143 | $351K | |
| 2020 | 4,789 | $220K | |
| 2021 | 6,431 | $292K | |
| 2022 | 5,442 | $287K | |
| 2023 | 4,818 | $261K | |
| 2024incomplete | 3,397 | $193K |
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 | 61% | 18,452 | 16,826 | $1.22M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 12% | 3,559 | 3,265 | $241K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.4% | 1,393 | 1,387 | $109K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.5% | 3,428 | 3,076 | $89K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.8% | 971 | 955 | $76K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.8% | 964 | 961 | $75K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.6% | 835 | 832 | $72K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.2% | 590 | 585 | $44K |
| 90461 | 1.4% | 829 | 806 | $29K | |
| G9153 | Mapcp demonstration - physician incentive pool | 1.2% | 328 | 328 | $24K |
| 99383 | <1% | 59 | 59 | $5K | |
| 99382 | <1% | 52 | 51 | $4K |
14 more codes
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 officialSTUART, LENA (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Cherokee Community Care, LLC | Gaffney, SC | $64K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.