STATE OF SOUTH CAROLINA
NPI: 1962587212
· SENECA, SC 29678
· 251K00000X
$200K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,696 |
$54K |
| 2019 |
1,973 |
$61K |
| 2020 |
869 |
$31K |
| 2021 |
550 |
$23K |
| 2022 |
346 |
$15K |
| 2023 |
282 |
$10K |
| 2024 |
260 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
1,892 |
1,811 |
$132K |
| 99212 |
|
1,298 |
1,283 |
$36K |
| 81025 |
|
1,362 |
1,340 |
$9K |
| 90460 |
|
478 |
474 |
$7K |
| 99201 |
|
126 |
126 |
$4K |
| 99202 |
|
67 |
65 |
$3K |
| 99501 |
|
30 |
30 |
$3K |
| 99204 |
|
27 |
26 |
$3K |
| J1050 |
Medroxyprogesterone acetate |
113 |
113 |
$2K |
| Q0111 |
Wet mounts/ w preparations |
272 |
264 |
$835.53 |
| 90461 |
|
35 |
35 |
$549.79 |
| 90686 |
|
263 |
259 |
$49.26 |
| 90715 |
|
13 |
13 |
$35.12 |