STATE OF SOUTH CAROLINA
NPI: 1902989163
· SUMMERVILLE, SC 29483
· 251K00000X
$606K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,248 |
$133K |
| 2019 |
3,385 |
$121K |
| 2020 |
2,272 |
$74K |
| 2021 |
3,283 |
$103K |
| 2022 |
3,045 |
$92K |
| 2023 |
1,974 |
$50K |
| 2024 |
1,106 |
$34K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
5,121 |
4,885 |
$356K |
| 99212 |
|
2,539 |
2,523 |
$70K |
| 99204 |
|
294 |
287 |
$32K |
| 81025 |
|
4,389 |
4,301 |
$28K |
| H1001 |
Antepartum management |
163 |
91 |
$26K |
| 90460 |
|
1,759 |
1,732 |
$26K |
| 99213 |
|
373 |
369 |
$17K |
| J1050 |
Medroxyprogesterone acetate |
1,269 |
1,263 |
$17K |
| 99202 |
|
336 |
334 |
$16K |
| 99201 |
|
186 |
184 |
$5K |
| Q0111 |
Wet mounts/ w preparations |
1,528 |
1,498 |
$5K |
| 90739 |
|
29 |
29 |
$3K |
| T1001 |
Nursing assessment/evaluatn |
13 |
12 |
$2K |
| 90461 |
|
98 |
98 |
$2K |
| 90716 |
|
16 |
16 |
$2K |
| J7303 |
Contraceptive vaginal ring |
12 |
12 |
$229.90 |
| 90471 |
|
39 |
39 |
$146.32 |
| 90686 |
|
1,029 |
1,008 |
$82.10 |
| 90672 |
|
108 |
99 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |