Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › SC › CHARLESTON › TIDEWATER DOCTORS LLC

TIDEWATER DOCTORS LLC

NPI: 1992474654 · CHARLESTON, SC 29414 · 207R00000X

$45K
Total Medicaid Paid
1,053
Total Claims
841
Beneficiaries
4
Codes Billed
2022-01
First Month
2023-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 579 $21K
2023 474 $24K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 988 787 $44K
99215 Prolong outpt/office vis 16 12 $391.59
3078F 14 12 $0.01
G8417 Calc bmi abv up param f/u 35 30 $0.00