Physician
Musc Community Physicians
Musc Community Physicians was paid $5.54M by Medicaid between Aug 2021 and Dec 2024, across 75 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 42% of everything it billed.
33Billing provider infoMUSC COMMUNITY PHYSICIANS
BAMBERG, SC 29003
BAMBERG, SC 29003
33aNPI1992383145assigned 03/30/2021
33bProvider typeInternal Medicine Physician
28Total paid$5.54M
24GClaims132,404
24DCodes billed75
24AFirst – last monthAug 2021 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in South Carolina
Rank by total paid#5 of 273
Median peer was paid$19K
This provider vs. median291×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 3,650 | $123K | |
| 2022 | 25,439 | $961K | |
| 2023 | 50,616 | $2.12M | |
| 2024incomplete | 52,699 | $2.34M |
Box 24 · Service lines
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 | 42% | 42,099 | 39,236 | $2.35M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 36,867 | 33,712 | $1.80M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.5% | 8,378 | 5,363 | $470K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 3.1% | 3,777 | 3,502 | $173K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 2.9% | 2,557 | 2,348 | $162K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.0% | 1,558 | 1,443 | $113K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.0% | 1,421 | 1,383 | $113K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 658 | 649 | $55K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 1,676 | 1,573 | $40K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,142 | 1,075 | $38K |
| 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 | <1% | 314 | 299 | $30K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,857 | 1,358 | $30K |
63 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,042 | $21K |
| 36415 | Collection of venous blood by venipuncture | <1% | 11,206 | $20K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 2,768 | $17K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 196 | $16K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 1,511 | $15K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 16 | $14K |
| 87428 | <1% | 182 | $10K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 145 | $7K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 1,156 | $5K |
| 81002 | <1% | 1,596 | $4K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 53 | $3K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 56 | $3K |
| 99443 | <1% | 63 | $3K | |
| 87807 | <1% | 269 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 365 | $2K |
| 99307 | <1% | 215 | $2K | |
| 81025 | <1% | 392 | $2K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 347 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 678 | $2K |
| 95117 | <1% | 239 | $2K | |
| 0002A | <1% | 39 | $2K | |
| 80061 | Lipid panel | <1% | 75 | $814.65 |
| 0003A | <1% | 20 | $801.60 | |
| 99310 | Prolong nursin fac eval 15m | <1% | 81 | $741.82 |
| 90674 | <1% | 27 | $713.74 | |
| 97802 | <1% | 27 | $684.87 | |
| 81003 | <1% | 495 | $679.03 | |
| 90686 | <1% | 582 | $615.37 | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 12 | $609.17 |
| 99188 | <1% | 52 | $599.06 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 64 | $557.61 |
| 90677 | <1% | 715 | $556.20 | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 13 | $547.05 |
| 82962 | <1% | 638 | $527.84 | |
| 99406 | <1% | 81 | $391.98 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 128 | $358.93 |
| 90461 | <1% | 33 | $320.23 | |
| 99490 | Ccm add 20min | <1% | 66 | $287.02 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 25 | $270.19 |
| 87430 | <1% | 25 | $259.98 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 14 | $222.74 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 39 | $188.72 |
| 80053 | Comprehensive metabolic panel | <1% | 26 | $119.27 |
| 99177 | <1% | 40 | $112.69 | |
| 84481 | <1% | 12 | $95.55 | |
| 85018 | <1% | 60 | $81.39 | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 14 | $54.38 |
| 84439 | <1% | 12 | $50.89 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 737 | $0.00 |
| 1159F | 0% | 41 | $0.00 | |
| 1160F | 0% | 39 | $0.00 | |
| 90670 | 0% | 146 | $0.00 | |
| 90661 | 0% | 14 | $0.00 | |
| 90672 | 0% | 13 | $0.00 | |
| 90633 | 0% | 90 | $0.00 | |
| 90681 | 0% | 64 | $0.00 | |
| 90710 | 0% | 12 | $0.00 | |
| 90656 | 0% | 163 | $0.00 | |
| 90723 | 0% | 387 | $0.00 | |
| 90697 | 0% | 73 | $0.00 | |
| 90647 | 0% | 245 | $0.00 | |
| 3008F | 0% | 154 | $0.00 | |
| 90651 | 0% | 12 | $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 (CHAIR, PAYOR RELATIONS & REIMBURSE)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.