Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

University Medical Associates of the Medical University of South Carol

University Medical Associates of the Medical University of South Carol was paid $56.50M by Medicaid between Jan 2018 and Dec 2024, across 139 billing codes. Its largest line is 99469, Subsequent inpatient neonatal critical care, per day, 28 days or younger — 16% of everything it billed.

33Billing provider infoUNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL
CHARLESTON, SC 29425
33aNPI1982678496assigned 02/14/2006
33bProvider typeNeurology Physician
28Total paid$56.50M
24GClaims623,710
24DCodes billed139
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Neurology Physician providers in South Carolina

Rank by total paid#1 of 37
Median peer was paid$41K
This provider vs. median1,377×

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.

Entity ProliferationAuthorized official RAE, KARYN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$500K$1.0M$1.5M2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
201875,456$7.24M
201978,769$7.95M
202071,662$6.93M
202197,445$8.60M
2022105,026$9.24M
2023103,125$8.34M
2024incomplete92,227$8.21M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 16% 21,543 7,696 $8.76M
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 14% 103,870 100,280 $7.98M
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 9.7% 13,456 4,039 $5.48M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 6.2% 30,767 30,392 $3.51M
99244 Office or other outpatient consultation, moderate to high complexity 5.9% 20,865 20,552 $3.35M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5.8% 77,078 75,399 $3.30M
99479 Subsequent intensive care, per day, very low birth weight infant 5.2% 23,129 8,016 $2.96M
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 5.0% 25,952 23,418 $2.80M
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 4.8% 28,395 10,876 $2.69M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 4.5% 40,748 40,343 $2.52M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 3.1% 10,643 10,489 $1.77M
99480 Subsequent intensive care, per day, low birth weight infant 3.0% 14,208 4,980 $1.71M
127 more codes
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 2.9% 23,444 $1.66M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2.2% 14,655 $1.24M
99232 Hospital visit by a doctor, follow-up day 1.5% 12,248 $833K
99245 1.3% 3,933 $759K
93320 <1% 24,030 $479K
99203 Doctor's office visit, new patient (routine) <1% 6,012 $376K
99204 Doctor's office visit, new patient (more involved) <1% 2,741 $351K
95813 <1% 2,476 $312K
95720 <1% 1,345 $238K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 4,557 $228K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 4,710 $196K
99254 <1% 1,187 $184K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 24,465 $184K
95951 <1% 756 $178K
G9008 Coordinated care fee, physician coordinated care oversight services <1% 1,841 $163K
93325 <1% 32,664 $159K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 761 $151K
96112 <1% 1,113 $117K
97803 <1% 4,353 $114K
99468 <1% 118 $111K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 1,375 $97K
99205 Prolong outpt/office vis <1% 565 $97K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 827 $80K
99238 Hospital discharge day management, 30 minutes or less <1% 1,008 $72K
93304 <1% 1,886 $67K
99222 Initial hospital care, per day, moderate complexity <1% 496 $66K
94375 <1% 3,954 $63K
99223 Prolong inpt eval add15 m <1% 319 $63K
97802 <1% 1,780 $63K
64642 <1% 1,029 $57K
99255 <1% 294 $52K
93356 <1% 1,215 $51K
93227 <1% 1,808 $44K
99243 <1% 390 $40K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 336 $36K
71045 Radiologic examination, chest; single view <1% 4,447 $36K
83020 <1% 2,466 $34K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 166 $32K
95782 <1% 278 $31K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 289 $29K
94010 <1% 2,613 $28K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 329 $28K
99253 <1% 241 $27K
93321 <1% 3,447 $25K
96111 <1% 224 $24K
95718 <1% 207 $24K
99170 <1% 285 $23K
88307 <1% 342 $23K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 216 $19K
93244 <1% 911 $18K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 765 $17K
64643 <1% 589 $17K
95816 <1% 204 $16K
94621 <1% 232 $14K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 300 $12K
G9009 Coordinated care fee, risk adjusted maintenance, level 3 <1% 251 $11K
96160 <1% 1,311 $10K
99239 Hospital discharge day management, more than 30 minutes <1% 102 $10K
99356 <1% 110 $10K
93294 <1% 364 $9K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 137 $9K
93597 <1% 28 $9K
71046 Radiologic examination, chest; 2 views <1% 752 $8K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 117 $8K
95117 <1% 1,115 $8K
93000 <1% 460 $7K
94777 <1% 219 $7K
76770 <1% 176 $6K
93298 <1% 210 $5K
93018 <1% 344 $5K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 57 $4K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 78 $4K
99478 <1% 27 $4K
93531 <1% 15 $4K
74018 <1% 388 $4K
90461 <1% 155 $4K
99464 <1% 42 $3K
96127 <1% 324 $3K
99252 <1% 38 $3K
76819 Fetal biophysical profile; without non-stress testing <1% 45 $3K
99188 <1% 172 $3K
92015 Determination of refractive state <1% 120 $3K
76937 <1% 212 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 53 $3K
99417 Prolong home eval add 15m <1% 81 $2K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 15 $2K
99460 <1% 24 $2K
99465 <1% 13 $2K
95812 <1% 29 $2K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 21 $1K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 127 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 114 $1K
0001A <1% 33 $1K
95076 <1% 14 $1K
94060 <1% 75 $939.58
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 24 $807.43
70450 Computed tomography, head or brain; without contrast material <1% 25 $804.54
76830 Ultrasound, transvaginal <1% 12 $709.04
95874 <1% 65 $659.65
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 38 $631.94
88141 <1% 25 $597.75
75820 <1% 19 $579.92
36005 <1% 17 $572.64
0071A <1% 12 $480.00
0072A <1% 12 $480.00
99251 <1% 14 $399.12
93308 <1% 16 $373.07
76857 <1% 12 $364.55
95251 <1% 12 $328.02
93248 <1% 13 $313.14
92134 <1% 13 $225.46
85018 <1% 68 $167.70
36415 Collection of venous blood by venipuncture <1% 75 $167.19
94729 <1% 26 $166.40
99152 <1% 12 $128.03
96161 <1% 12 $97.68
87807 <1% 12 $56.11
81003 <1% 12 $30.12
90670 0% 84 $0.00
90681 0% 14 $0.00
90633 0% 44 $0.00
90710 0% 12 $0.00
90686 0% 975 $0.00
90656 0% 100 $0.00
90647 0% 41 $0.00
90677 0% 12 $0.00
90723 0% 18 $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.

From NPPES

Who's on the registration

Authorized officialRAE, KARYN (DIRECTOR)
Same official

Other billing entities under RAE, KARYN

Full network →
ProviderLocationPaid
Medical University Hospital AuthorityCharleston, SC$241.43M
Medical University Hospital AuthorityCharleston, SC$32.62M
Medical University Hospital AuthorityCharleston, SC$12.42M
University Medical AssociatesCharleston, SC$9.16M
Carolina Family Care, INCLancaster, SC$6.87M
University Medical Associates of the Medical University of South CarolCharleston, SC$6.15M
University Medical Associates of the Medical University of South CarolCharleston, SC$5.38M
Carolina Family Care, INCFlorence, SC$4.06M
University Medical Associates of the Medical University of South CarolCharleston, SC$3.58M
University Medical Associates of the Medical University of South CarolCharleston, SC$3.53M
University Medical Associates of the Medical University of South CarolCharleston, SC$3.34M
University Medical Associates of the Medical University of South CarolCharleston, SC$2.80M
University Medical Associate of the Medical University of South CaroliCharleston, SC$2.30M
University Medical Associates of the Medical University of South CarolCharleston, SC$1.98M
University Medical Associates of the Medical University of South CarolCharleston, SC$1.88M
University Medical Associates of the Medical University of South CarolCharleston, SC$1.79M
University Medical Associates of the Medical University of South CarolCharleston, SC$1.72M
University Medical Associates of the Medical University of South CarolCharleston, SC$1.57M
Carolina Family Care, INCMt Pleasant, SC$1.31M
University Medical Associates of the Medical University of South CarolCharleston, SC$1.02M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.