Clinic
Caresouth Carolina, INC
Caresouth Carolina, INC was paid $3.19M by Medicaid between Jan 2018 and Oct 2024, across 44 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.
33Billing provider infoCARESOUTH CAROLINA, INC
BISHOPVILLE, SC 29010
BISHOPVILLE, SC 29010
33aNPI1942247846assigned 05/31/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$3.19M
24GClaims25,957
24DCodes billed44
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in South Carolina
Rank by total paid#21 of 85
Median peer was paid$746K
This provider vs. median4.3×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official LEWIS, ANN controls 14+ related entities in our dataset. Read more
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 | 4,612 | $486K | |
| 2019 | 3,632 | $495K | |
| 2020 | 2,166 | $320K | |
| 2021 | 4,331 | $433K | |
| 2022 | 5,919 | $419K | |
| 2023 | 3,221 | $543K | |
| 2024incomplete | 2,076 | $494K |
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 | 51% | 7,079 | 6,627 | $1.62M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 27% | 5,573 | 4,776 | $852K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 9.8% | 1,318 | 1,264 | $312K |
| 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 | 6.8% | 964 | 949 | $215K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.1% | 1,307 | 1,231 | $65K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 182 | 154 | $31K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 90 | 81 | $25K |
| 99490 | Ccm add 20min | <1% | 670 | 670 | $21K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 663 | 612 | $15K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 52 | 51 | $10K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 29 | 29 | $8K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 26 | 26 | $5K |
32 more codes
| 0012A | <1% | 62 | $2K | |
| 0011A | <1% | 45 | $2K | |
| 96127 | <1% | 1,798 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,164 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 389 | $1K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 210 | $1K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 385 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 75 | $423.73 |
| 97803 | <1% | 14 | $291.01 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 90 | $234.60 |
| 81003 | <1% | 177 | $128.03 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 27 | $71.10 |
| 90461 | <1% | 24 | $48.15 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 26 | $42.82 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 14 | $14.88 |
| 82948 | <1% | 13 | $3.60 | |
| 85018 | <1% | 17 | $2.70 | |
| 94760 | <1% | 496 | $1.85 | |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | <1% | 233 | $0.03 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | <1% | 314 | $0.02 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | <1% | 316 | $0.01 |
| 3008F | 0% | 130 | $0.00 | |
| 99000 | 0% | 375 | $0.00 | |
| 1125F | 0% | 67 | $0.00 | |
| 1126F | 0% | 304 | $0.00 | |
| 36416 | 0% | 15 | $0.00 | |
| 3079F | 0% | 12 | $0.00 | |
| 3074F | 0% | 13 | $0.00 | |
| 1159F | 0% | 683 | $0.00 | |
| 1160F | 0% | 450 | $0.00 | |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 53 | $0.00 |
| 99173 | 0% | 13 | $0.00 |
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 officialLEWIS, ANN (CEO)
| Provider | Location | Paid |
|---|---|---|
| Caresouth Carolina, INC. | Hartsville, SC | $12.35M |
| Caresouth Carolina INC | Bennettsville, SC | $7.29M |
| Caresouth Carolina, INC | Society Hill, SC | $4.39M |
| Caresouth Carolina, INC | Dillon, SC | $2.33M |
| Caresouth Carolina, INC | Chesterfield, SC | $2.28M |
| Caresouth Carolina INC | Latta, SC | $2.25M |
| Caresouth Carolina, INC | Bennettsville, SC | $1.82M |
| Caresouth Carolina, INC | Cheraw, SC | $1.72M |
| Caresouth Carolina INC | Society Hill, SC | $1.70M |
| Caresouth Carolina, INC. | Mc Coll, SC | $1.66M |
| Caresouth Carolina INC | Bennettsville, SC | $669K |
| Caresouth Carolina, INC. | Lake View, SC | $78K |
| Caresouth Carolina INC | Dillon, SC | $4K |
| Caresouth Carolina INC | Hartsville, SC | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.