Physician
Carolina Neurology of Spartanburg
Carolina Neurology of Spartanburg was paid $473K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 51% of everything it billed.
33Billing provider infoCAROLINA NEUROLOGY OF SPARTANBURG
SPARTANBURG, SC 29307
SPARTANBURG, SC 29307
33aNPI1922345529assigned 01/16/2013
33bProvider typeNeurology Physician
28Total paid$473K
24GClaims13,703
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Neurology Physician providers in South Carolina
Rank by total paid#6 of 37
Median peer was paid$41K
This provider vs. median12×
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 | 1,051 | $34K | |
| 2019 | 1,934 | $61K | |
| 2020 | 1,996 | $68K | |
| 2021 | 2,471 | $86K | |
| 2022 | 2,634 | $94K | |
| 2023 | 1,831 | $67K | |
| 2024incomplete | 1,786 | $63K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 51% | 5,653 | 4,619 | $243K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 3,601 | 2,701 | $95K |
| 95886 | 11% | 721 | 582 | $52K | |
| 95911 | 5.9% | 331 | 275 | $28K | |
| 99205 | Prolong outpt/office vis | 5.5% | 316 | 254 | $26K |
| 93971 | 1.9% | 864 | 759 | $9K | |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 1.7% | 56 | 25 | $8K |
| 93970 | 1.6% | 555 | 495 | $8K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,396 | 1,141 | $2K |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | <1% | 16 | 14 | $1K |
| 93923 | <1% | 140 | 121 | $1K | |
| 93880 | <1% | 54 | 51 | $731.96 |
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 officialKOOISTRA, CAROL (PHYSICIAN)