Medical University Hospital Authority
Medical University Hospital Authority was paid $1.54M by Medicaid between Feb 2021 and Dec 2024, across 38 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
CHESTER, SC 29706
Next to other Pediatrics Physician providers in South Carolina
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 6,558 | $276K | |
| 2022 | 8,833 | $398K | |
| 2023 | 10,826 | $466K | |
| 2024incomplete | 7,776 | $399K |
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 | 48% | 10,977 | 10,352 | $734K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 14% | 4,044 | 3,054 | $212K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.6% | 870 | 870 | $86K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 5.2% | 1,554 | 1,530 | $80K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.6% | 771 | 759 | $71K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.7% | 589 | 589 | $58K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.5% | 3,733 | 1,832 | $53K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 3.1% | 443 | 391 | $48K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.1% | 451 | 451 | $48K |
| 99460 | 2.5% | 440 | 438 | $38K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.6% | 383 | 381 | $25K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.5% | 1,554 | 1,522 | $22K |
26 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | 1.3% | 284 | $20K |
| 99462 | <1% | 385 | $14K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 299 | $12K |
| 85018 | <1% | 2,127 | $5K | |
| 90461 | <1% | 346 | $3K | |
| 81003 | <1% | 1,091 | $2K | |
| 81002 | <1% | 719 | $2K | |
| 87807 | <1% | 164 | $2K | |
| 99381 | <1% | 16 | $2K | |
| 54150 | <1% | 12 | $983.21 | |
| 0071A | <1% | 15 | $612.00 | |
| 94760 | <1% | 41 | $62.97 | |
| 90647 | 0% | 428 | $0.00 | |
| 90723 | 0% | 451 | $0.00 | |
| 90677 | 0% | 139 | $0.00 | |
| 90696 | 0% | 12 | $0.00 | |
| 90716 | 0% | 68 | $0.00 | |
| 90686 | 0% | 73 | $0.00 | |
| 90651 | 0% | 58 | $0.00 | |
| 90707 | 0% | 68 | $0.00 | |
| 90633 | 0% | 660 | $0.00 | |
| 90670 | 0% | 461 | $0.00 | |
| 90715 | 0% | 106 | $0.00 | |
| 90710 | 0% | 27 | $0.00 | |
| 90681 | 0% | 108 | $0.00 | |
| 90734 | 0% | 26 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.