Clinic
Low Country Health Care System, INC
Low Country Health Care System, INC was paid $9.39M by Medicaid between Jan 2018 and Dec 2024, across 53 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.
33Billing provider infoLOW COUNTRY HEALTH CARE SYSTEM, INC
BARNWELL, SC 29812
BARNWELL, SC 29812
33aNPI1962442244assigned 06/07/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$9.39M
24GClaims91,311
24DCodes billed53
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in South Carolina
Rank by total paid#9 of 85
Median peer was paid$746K
This provider vs. median13×
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 | 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 | |
| 2024incomplete | 11,736 | $1.70M |
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 | 56% | 38,750 | 35,956 | $5.25M |
| 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 | 16% | 10,732 | 9,975 | $1.46M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.0% | 4,227 | 4,201 | $565K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.1% | 3,632 | 3,596 | $480K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.1% | 8,730 | 8,610 | $389K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 3.1% | 2,455 | 2,415 | $294K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.5% | 1,732 | 1,720 | $231K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.4% | 1,752 | 1,730 | $228K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 1.8% | 1,498 | 1,017 | $174K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 837 | 802 | $111K |
| 87428 | <1% | 1,443 | 1,427 | $88K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 291 | 264 | $38K |
41 more codes
| 97802 | <1% | 1,165 | $8K | |
| 90837 | Psychotherapy session, about an hour | <1% | 44 | $8K |
| 90461 | <1% | 1,386 | $7K | |
| G9153 | Mapcp demonstration - physician incentive pool | <1% | 358 | $6K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 179 | $6K |
| 99406 | <1% | 887 | $4K | |
| 90630 | <1% | 258 | $4K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 117 | $3K |
| 90671 | <1% | 480 | $3K | |
| 90651 | <1% | 151 | $3K | |
| 0071A | <1% | 79 | $3K | |
| 81003 | <1% | 4,232 | $3K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 12 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,407 | $2K |
| 90670 | <1% | 690 | $2K | |
| 99188 | <1% | 275 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 957 | $2K |
| 87807 | <1% | 337 | $2K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 14 | $2K |
| Q3014 | Telehealth originating site facility fee | <1% | 103 | $2K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 82 | $900.02 |
| 90723 | <1% | 271 | $849.97 | |
| 90686 | <1% | 387 | $523.86 | |
| 87430 | <1% | 185 | $317.01 | |
| 90715 | <1% | 13 | $273.28 | |
| 90672 | <1% | 132 | $225.80 | |
| 74018 | <1% | 15 | $200.60 | |
| 85018 | <1% | 166 | $176.82 | |
| 83655 | <1% | 57 | $153.36 | |
| 99177 | <1% | 17 | $152.74 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 92 | $117.25 |
| 90647 | <1% | 238 | $51.38 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 27 | $28.44 |
| 90473 | <1% | 28 | $7.44 | |
| D1206 | Topical application of fluoride varnish | 0% | 25 | $0.00 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 13 | $0.00 |
| 99173 | 0% | 148 | $0.00 | |
| 90633 | 0% | 107 | $0.00 | |
| 81025 | 0% | 57 | $0.00 | |
| 90681 | 0% | 12 | $0.00 | |
| 90734 | 0% | 29 | $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 officialHUDSON, DARAINEY (CHIEF COMPLIANCE OFFICER)
Parent organizationLOW COUNTRY HEALTH CARE SYSTEM
| Provider | Location | Paid |
|---|---|---|
| Low Country Health Care System, INC. | Aiken, SC | $210K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.