Medicaid Provider Spending

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

MUSC COMMUNITY PHYSICIANS

NPI: 1992383145 · BAMBERG, SC 29003 · Internal Medicine Physician · NPI assigned 03/30/2021

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

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

$5.54M
Total Medicaid Paid
132,404
Total Claims
117,311
Beneficiaries
75
Codes Billed
2021-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRAE, KARYN (CHAIR, PAYOR RELATIONS & REIMBURSE)
NPI Enumeration Date03/30/2021

Related Entities

Other providers sharing the same authorized official: RAE, KARYN

ProviderCityStateTotal Paid
MEDICAL UNIVERSITY HOSPITAL AUTHORITY CHARLESTON SC $241.43M
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC $56.50M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 3,650 $123K
2022 25,439 $961K
2023 50,616 $2.12M
2024 52,699 $2.34M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 42,099 39,236 $2.35M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 36,867 33,712 $1.80M
90460 Immunization administration through 18 years of age via any route, first or only component 8,378 5,363 $470K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 3,777 3,502 $173K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 2,557 2,348 $162K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,558 1,443 $113K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,421 1,383 $113K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 658 649 $55K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,676 1,573 $40K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,142 1,075 $38K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 314 299 $30K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,857 1,358 $30K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,042 1,899 $21K
36415 Collection of venous blood by venipuncture 11,206 10,644 $20K
99308 Subsequent nursing facility care, per day, straightforward 2,768 1,672 $17K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 196 190 $16K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1,511 685 $15K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 16 13 $14K
87428 182 174 $10K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 145 140 $7K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,156 1,072 $5K
81002 1,596 1,136 $4K
99238 Hospital discharge day management, 30 minutes or less 53 49 $3K
99232 Subsequent hospital care, per day, moderate complexity 56 13 $3K
99443 63 55 $3K
87807 269 252 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 365 344 $2K
99307 215 186 $2K
81025 392 373 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 347 320 $2K
83036 Hemoglobin; glycosylated (A1C) 678 671 $2K
95117 239 100 $2K
0002A 39 39 $2K
80061 Lipid panel 75 72 $814.65
0003A 20 20 $801.60
99310 Prolong nursin fac eval 15m 81 43 $741.82
90674 27 27 $713.74
97802 27 27 $684.87
81003 495 466 $679.03
90686 582 569 $615.37
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 12 12 $609.17
99188 52 48 $599.06
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 64 64 $557.61
90677 715 706 $556.20
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 13 13 $547.05
82962 638 626 $527.84
99406 81 69 $391.98
J1050 Injection, medroxyprogesterone acetate, 1 mg 128 124 $358.93
90461 33 32 $320.23
99490 Ccm add 20min 66 65 $287.02
84443 Thyroid stimulating hormone (TSH) 25 25 $270.19
87430 25 24 $259.98
71046 Radiologic examination, chest; 2 views 14 13 $222.74
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 39 39 $188.72
80053 Comprehensive metabolic panel 26 26 $119.27
99177 40 37 $112.69
84481 12 12 $95.55
85018 60 60 $81.39
J1010 Injection, methylprednisolone acetate, 1 mg 14 14 $54.38
84439 12 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) 737 679 $0.00
1159F 41 39 $0.00
1160F 39 37 $0.00
90670 146 145 $0.00
90661 14 14 $0.00
90672 13 13 $0.00
90633 90 89 $0.00
90681 64 63 $0.00
90710 12 12 $0.00
90656 163 162 $0.00
90723 387 381 $0.00
90697 73 73 $0.00
90647 245 240 $0.00
3008F 154 139 $0.00
90651 12 12 $0.00