Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL

NPI: 1982678496 · CHARLESTON, SC 29425 · Neurology Physician · NPI assigned 02/14/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official RAE, KARYN controls 20+ related entities in our dataset. Read more

$56.50M
Total Medicaid Paid
623,710
Total Claims
521,262
Beneficiaries
139
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRAE, KARYN (DIRECTOR)
NPI Enumeration Date02/14/2006

Related Entities

Other providers sharing the same authorized official: RAE, KARYN

ProviderCityStateTotal Paid
MEDICAL UNIVERSITY HOSPITAL AUTHORITY CHARLESTON SC $241.43M
MEDICAL UNIVERSITY HOSPITAL AUTHORITY CHARLESTON SC $32.62M
MEDICAL UNIVERSITY HOSPITAL AUTHORITY CHARLESTON SC $12.42M
UNIVERSITY MEDICAL ASSOCIATES CHARLESTON SC $9.16M
CAROLINA FAMILY CARE, INC LANCASTER SC $6.87M
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC $6.15M
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC $5.38M
CAROLINA FAMILY CARE, INC FLORENCE SC $4.06M
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC $3.58M
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC $3.53M
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC $3.34M
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC $2.80M
UNIVERSITY MEDICAL ASSOCIATE OF THE MEDICAL UNIVERSITY OF SOUTH CAROLI CHARLESTON SC $2.30M
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC $1.98M
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC $1.88M
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC $1.79M
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC $1.72M
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC $1.57M
CAROLINA FAMILY CARE, INC MT PLEASANT SC $1.31M
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC $1.02M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 75,456 $7.24M
2019 78,769 $7.95M
2020 71,662 $6.93M
2021 97,445 $8.60M
2022 105,026 $9.24M
2023 103,125 $8.34M
2024 92,227 $8.21M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 21,543 7,696 $8.76M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 103,870 100,280 $7.98M
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 13,456 4,039 $5.48M
99284 Emergency department visit for the evaluation and management, high severity 30,767 30,392 $3.51M
99244 Office or other outpatient consultation, moderate to high complexity 20,865 20,552 $3.35M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 77,078 75,399 $3.30M
99479 Subsequent intensive care, per day, very low birth weight infant 23,129 8,016 $2.96M
99215 Prolong outpt/office vis 25,952 23,418 $2.80M
99233 Prolong inpt eval add15 m 28,395 10,876 $2.69M
99283 Emergency department visit for the evaluation and management, moderate severity 40,748 40,343 $2.52M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 10,643 10,489 $1.77M
99480 Subsequent intensive care, per day, low birth weight infant 14,208 4,980 $1.71M
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 23,444 20,986 $1.66M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 14,655 13,987 $1.24M
99232 Subsequent hospital care, per day, moderate complexity 12,248 6,117 $833K
99245 3,933 3,906 $759K
93320 24,030 21,221 $479K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 6,012 5,945 $376K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,741 2,725 $351K
95813 2,476 2,418 $312K
95720 1,345 664 $238K
90460 Immunization administration through 18 years of age via any route, first or only component 4,557 3,495 $228K
99282 Emergency department visit for the evaluation and management, low to moderate severity 4,710 4,630 $196K
99254 1,187 1,150 $184K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 24,465 21,276 $184K
95951 756 334 $178K
G9008 Coordinated care fee, physician coordinated care oversight services 1,841 1,826 $163K
93325 32,664 27,413 $159K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 761 325 $151K
96112 1,113 861 $117K
97803 4,353 4,259 $114K
99468 118 116 $111K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 1,375 1,363 $97K
99205 Prolong outpt/office vis 565 558 $97K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 827 826 $80K
99238 Hospital discharge day management, 30 minutes or less 1,008 973 $72K
93304 1,886 1,592 $67K
99222 Initial hospital care, per day, moderate complexity 496 473 $66K
94375 3,954 3,918 $63K
99223 Prolong inpt eval add15 m 319 310 $63K
97802 1,780 1,766 $63K
64642 1,029 997 $57K
99255 294 286 $52K
93356 1,215 1,164 $51K
93227 1,808 1,764 $44K
99243 390 387 $40K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 336 325 $36K
71045 Radiologic examination, chest; single view 4,447 2,761 $36K
83020 2,466 2,061 $34K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 166 166 $32K
95782 278 253 $31K
95810 Polysomnography; sleep staging with 4 or more additional parameters 289 282 $29K
94010 2,613 2,548 $28K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 329 325 $28K
99253 241 233 $27K
93321 3,447 2,861 $25K
96111 224 198 $24K
95718 207 190 $24K
99170 285 283 $23K
88307 342 334 $23K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 216 213 $19K
93244 911 904 $18K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 765 752 $17K
64643 589 575 $17K
95816 204 198 $16K
94621 232 229 $14K
99231 Subsequent hospital care, per day, straightforward or low complexity 300 181 $12K
G9009 Coordinated care fee, risk adjusted maintenance, level 3 251 247 $11K
96160 1,311 1,280 $10K
99239 Hospital discharge day management, more than 30 minutes 102 96 $10K
99356 110 37 $10K
93294 364 357 $9K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 137 137 $9K
93597 28 25 $9K
71046 Radiologic examination, chest; 2 views 752 731 $8K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 117 116 $8K
95117 1,115 633 $8K
93000 460 460 $7K
94777 219 203 $7K
76770 176 176 $6K
93298 210 207 $5K
93018 344 338 $5K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 57 56 $4K
88305 Level IV - Surgical pathology, gross and microscopic examination 78 76 $4K
99478 27 12 $4K
93531 15 13 $4K
74018 388 280 $4K
90461 155 145 $4K
99464 42 40 $3K
96127 324 316 $3K
99252 38 37 $3K
76819 Fetal biophysical profile; without non-stress testing 45 39 $3K
99188 172 172 $3K
92015 Determination of refractive state 120 117 $3K
76937 212 186 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 53 53 $3K
99417 Prolong home eval add 15m 81 76 $2K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 15 15 $2K
99460 24 24 $2K
99465 13 12 $2K
95812 29 29 $2K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 21 21 $1K
96110 Developmental screening, with scoring and documentation, per standardized instrument 127 127 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 114 56 $1K
0001A 33 33 $1K
95076 14 14 $1K
94060 75 72 $939.58
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 24 13 $807.43
70450 Computed tomography, head or brain; without contrast material 25 25 $804.54
76830 Ultrasound, transvaginal 12 12 $709.04
95874 65 65 $659.65
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 38 38 $631.94
88141 25 25 $597.75
75820 19 14 $579.92
36005 17 14 $572.64
0071A 12 12 $480.00
0072A 12 12 $480.00
99251 14 13 $399.12
93308 16 12 $373.07
76857 12 12 $364.55
95251 12 12 $328.02
93248 13 13 $313.14
92134 13 12 $225.46
85018 68 68 $167.70
36415 Collection of venous blood by venipuncture 75 69 $167.19
94729 26 26 $166.40
99152 12 12 $128.03
96161 12 12 $97.68
87807 12 12 $56.11
81003 12 12 $30.12
90670 84 84 $0.00
90681 14 14 $0.00
90633 44 44 $0.00
90710 12 12 $0.00
90686 975 975 $0.00
90656 100 100 $0.00
90647 41 41 $0.00
90677 12 12 $0.00
90723 18 18 $0.00