STATE OF SOUTH CAROLINA
NPI: 1972693885
· NORTH CHARLESTON, SC 29405
· 251K00000X
$830K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
7,621 |
$224K |
| 2019 |
6,301 |
$259K |
| 2020 |
3,070 |
$160K |
| 2021 |
3,504 |
$103K |
| 2022 |
1,836 |
$53K |
| 2023 |
474 |
$14K |
| 2024 |
539 |
$16K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
4,876 |
4,618 |
$337K |
| H1001 |
Antepartum management |
746 |
446 |
$125K |
| T1001 |
Nursing assessment/evaluatn |
510 |
345 |
$86K |
| 99212 |
|
2,078 |
2,046 |
$57K |
| 99204 |
|
498 |
481 |
$52K |
| 90460 |
|
2,912 |
2,847 |
$37K |
| 81025 |
|
4,541 |
4,413 |
$29K |
| 99213 |
|
538 |
524 |
$25K |
| 99501 |
|
230 |
220 |
$20K |
| J1050 |
Medroxyprogesterone acetate |
884 |
878 |
$19K |
| 99202 |
|
313 |
311 |
$15K |
| 99201 |
|
433 |
420 |
$12K |
| Q0111 |
Wet mounts/ w preparations |
1,817 |
1,745 |
$6K |
| 90716 |
|
40 |
40 |
$5K |
| 11982 |
|
14 |
14 |
$1K |
| 90739 |
|
14 |
14 |
$1K |
| 90715 |
|
64 |
59 |
$1K |
| 90461 |
|
58 |
55 |
$1K |
| J7303 |
Contraceptive vaginal ring |
14 |
13 |
$357.73 |
| 90661 |
|
18 |
13 |
$340.99 |
| 90674 |
|
13 |
12 |
$280.50 |
| 90471 |
|
63 |
57 |
$212.76 |
| J0696 |
Ceftriaxone sodium injection |
196 |
188 |
$121.79 |
| S4993 |
Contraceptive pills for bc |
12 |
12 |
$89.23 |
| 90686 |
|
2,250 |
2,211 |
$82.10 |
| 90672 |
|
213 |
203 |
$0.00 |