Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

LOW COUNTRY HEALTH CARE SYSTEM, INC

NPI: 1962442244 · BARNWELL, SC 29812 · Federally Qualified Health Center (FQHC) · NPI assigned 06/07/2006

$9.39M
Total Medicaid Paid
91,311
Total Claims
86,514
Beneficiaries
53
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHUDSON, DARAINEY (CHIEF COMPLIANCE OFFICER)
Parent OrganizationLOW COUNTRY HEALTH CARE SYSTEM
NPI Enumeration Date06/07/2006

Related Entities

Other providers sharing the same authorized official: HUDSON, DARAINEY

ProviderCityStateTotal Paid
LOW COUNTRY HEALTH CARE SYSTEM, INC. AIKEN SC $210K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12,816 $1.17M
2019 12,891 $1.25M
2020 10,337 $935K
2021 13,765 $1.15M
2022 14,276 $1.34M
2023 15,490 $1.85M
2024 11,736 $1.70M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 38,750 35,956 $5.25M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,732 9,975 $1.46M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4,227 4,201 $565K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,632 3,596 $480K
90460 Immunization administration through 18 years of age via any route, first or only component 8,730 8,610 $389K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 2,455 2,415 $294K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,732 1,720 $231K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,752 1,730 $228K
T1015 Clinic visit/encounter, all-inclusive 1,498 1,017 $174K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 837 802 $111K
87428 1,443 1,427 $88K
99215 Prolong outpt/office vis 291 264 $38K
97802 1,165 1,161 $8K
90837 Psychotherapy, 53 minutes with patient 44 41 $8K
90461 1,386 1,352 $7K
G9153 Mapcp demonstration - physician incentive pool 358 348 $6K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 179 172 $6K
99406 887 830 $4K
90630 258 256 $4K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 117 116 $3K
90671 480 480 $3K
90651 151 145 $3K
0071A 79 74 $3K
81003 4,232 4,147 $3K
90834 Psychotherapy, 45 minutes with patient 12 12 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,407 1,368 $2K
90670 690 684 $2K
99188 275 272 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 957 863 $2K
87807 337 325 $2K
90792 Psychiatric diagnostic evaluation with medical services 14 14 $2K
Q3014 Telehealth originating site facility fee 103 87 $2K
71046 Radiologic examination, chest; 2 views 82 81 $900.02
90723 271 266 $849.97
90686 387 380 $523.86
87430 185 182 $317.01
90715 13 12 $273.28
90672 132 129 $225.80
74018 15 14 $200.60
85018 166 163 $176.82
83655 57 57 $153.36
99177 17 17 $152.74
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 92 77 $117.25
90647 238 236 $51.38
96110 Developmental screening, with scoring and documentation, per standardized instrument 27 24 $28.44
90473 28 28 $7.44
D1206 Topical application of fluoride varnish 25 25 $0.00
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 13 13 $0.00
99173 148 147 $0.00
90633 107 106 $0.00
81025 57 57 $0.00
90681 12 12 $0.00
90734 29 28 $0.00