Caresouth Carolina INC
Caresouth Carolina INC was paid $2.25M by Medicaid between Jan 2018 and Oct 2024, across 35 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.
LATTA, SC 29565
Next to other Federally Qualified Health Center (FQHC) 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 | 4,866 | $333K | |
| 2019 | 3,799 | $368K | |
| 2020 | 2,602 | $324K | |
| 2021 | 3,258 | $509K | |
| 2022 | 4,078 | $262K | |
| 2023 | 1,850 | $257K | |
| 2024incomplete | 1,134 | $197K |
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 | 54% | 5,290 | 4,665 | $1.22M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 26% | 3,356 | 2,565 | $581K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 10% | 4,106 | 3,304 | $227K |
| 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 | 8.1% | 927 | 881 | $183K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 330 | 310 | $16K |
| 99490 | Ccm add 20min | <1% | 174 | 174 | $6K |
| 99406 | <1% | 672 | 537 | $5K | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 17 | 12 | $3K |
| 97802 | <1% | 58 | 57 | $2K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 72 | 69 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 556 | 276 | $2K |
| 0012A | <1% | 40 | 37 | $2K |
23 more codes
| 96127 | <1% | 1,801 | $821.70 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 192 | $626.88 |
| 0011A | <1% | 16 | $530.82 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 505 | $471.52 |
| 81003 | <1% | 253 | $279.76 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 37 | $56.35 |
| 82044 | <1% | 45 | $52.24 | |
| 81025 | <1% | 46 | $48.51 | |
| 86580 | <1% | 16 | $42.35 | |
| 82570 | <1% | 33 | $32.14 | |
| 97803 | <1% | 15 | $23.00 | |
| 82947 | <1% | 17 | $20.46 | |
| 94760 | <1% | 888 | $1.55 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | <1% | 218 | $0.04 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | <1% | 191 | $0.04 |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | <1% | 199 | $0.03 |
| 1159F | <1% | 433 | $0.03 | |
| 1160F | <1% | 399 | $0.03 | |
| 3008F | 0% | 122 | $0.00 | |
| 1125F | 0% | 12 | $0.00 | |
| 99000 | 0% | 274 | $0.00 | |
| 1126F | 0% | 219 | $0.00 | |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 58 | $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 |
|---|---|---|
| Caresouth Carolina, INC. | Hartsville, SC | $12.35M |
| Caresouth Carolina INC | Bennettsville, SC | $7.29M |
| Caresouth Carolina, INC | Society Hill, SC | $4.39M |
| Caresouth Carolina, INC | Bishopville, SC | $3.19M |
| Caresouth Carolina, INC | Dillon, SC | $2.33M |
| Caresouth Carolina, INC | Chesterfield, SC | $2.28M |
| Caresouth Carolina, INC | Bennettsville, SC | $1.82M |
| Caresouth Carolina, INC | Cheraw, SC | $1.72M |
| Caresouth Carolina INC | Society Hill, SC | $1.70M |
| Caresouth Carolina, INC. | Mc Coll, SC | $1.66M |
| Caresouth Carolina INC | Bennettsville, SC | $669K |
| Caresouth Carolina, INC. | Lake View, SC | $78K |
| Caresouth Carolina INC | Dillon, SC | $4K |
| Caresouth Carolina INC | Hartsville, SC | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.