State of South Carolina
State of South Carolina was paid $830K by Medicaid between Jan 2018 and Nov 2024, across 26 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.
NORTH CHARLESTON, SC 29405
Next to other Public Health or Welfare Agency 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 | |
|---|---|---|---|
| 2018 | 7,621 | $224K | |
| 2019 | 6,301 | $259K | |
| 2020 | 3,070 | $160K | |
| 2021 | 3,504 | $103K | |
| 2022 | 1,836 | $53K | |
| 2023 | 474 | $14K | |
| 2024incomplete | 539 | $16K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 41% | 4,876 | 4,618 | $337K |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | 15% | 746 | 446 | $125K |
| T1001 | Nursing assessment / evaluation | 10% | 510 | 345 | $86K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.9% | 2,078 | 2,046 | $57K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 6.2% | 498 | 481 | $52K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.4% | 2,912 | 2,847 | $37K |
| 81025 | 3.5% | 4,541 | 4,413 | $29K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.0% | 538 | 524 | $25K |
| 99501 | 2.4% | 230 | 220 | $20K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 2.2% | 884 | 878 | $19K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.8% | 313 | 311 | $15K |
| 99201 | 1.4% | 433 | 420 | $12K |
14 more codes
| Q0111 | Wet mounts, including preparations of vaginal, cervical or skin specimens | <1% | 1,817 | $6K |
| 90716 | <1% | 40 | $5K | |
| 11982 | <1% | 14 | $1K | |
| 90739 | <1% | 14 | $1K | |
| 90715 | <1% | 64 | $1K | |
| 90461 | <1% | 58 | $1K | |
| J7303 | Contraceptive supply, hormone containing vaginal ring, each | <1% | 14 | $357.73 |
| 90661 | <1% | 18 | $340.99 | |
| 90674 | <1% | 13 | $280.50 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 63 | $212.76 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 196 | $121.79 |
| S4993 | Contraceptive pills for birth control | <1% | 12 | $89.23 |
| 90686 | <1% | 2,250 | $82.10 | |
| 90672 | 0% | 213 | $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
| Provider | Location | Paid |
|---|---|---|
| State of South Carolina | Columbia, SC | $9.04M |
| State of South Carolina | Cayce, SC | $2.95M |
| State of South Carolina | Conway, SC | $2.55M |
| State of South Carolina | Florence, SC | $1.65M |
| State of South Carolina | Spartanburg, SC | $1.33M |
| State of South Carolina | Orangeburg, SC | $1.12M |
| State of South Carolina | Greenville, SC | $1.11M |
| State of South Carolina | Columbia, SC | $1.06M |
| State of South Carolina | Aiken, SC | $776K |
| State of South Carolina | Darlington, SC | $723K |
| State of South Carolina | Lexington, SC | $679K |
| State of South Carolina | Summerville, SC | $606K |
| State of South Carolina | Sumter, SC | $494K |
| State of South Carolina | Rock Hill, SC | $479K |
| State of South Carolina | Gaffney, SC | $384K |
| State of South Carolina | Lancaster, SC | $347K |
| State of South Carolina | Beaufort, SC | $308K |
| State of South Carolina | Pickens, SC | $292K |
| State of South Carolina | Mullins, SC | $291K |
| State of South Carolina | Camden, SC | $269K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.