Medicare provider payments and utilization data for South Carolina (SC)
South Carolina received $15.8B in total Medicare provider payments across 10 years of data.
The top specialty by spending is Ophthalmology, accounting for $149.1M in payments across 248 providers.
In 2023, 18.9K providers were actively billing Medicare in South Carolina.
Annual Medicare spending grew 21% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Providers in this state flagged by the ML v2 fraud detection model
| Year | Payments | Services | Providers | YoY Change |
|---|---|---|---|---|
| 2014 | $1.4B | 45.7M | 13.5K | — |
| 2015 | $1.4B | 46.9M | 14.1K | +2.9% |
| 2016 | $1.4B | 47.8M | 14.7K | +0.1% |
| 2017 | $1.5B | 49.4M | 15.3K | +4.7% |
| 2018 | $1.6B | 50.6M | 15.9K | +4.0% |
| 2019 | $1.7B | 53.1M | 16.6K | +5.8% |
| 2020 | $1.6B | 50.0M | 16.9K | -4.6% |
| 2021 | $1.8B | 53.7M | 17.5K | +10.5% |
| 2022 | $1.7B | 51.0M | 18.1K | -5.4% |
| 2023 | $1.7B | 50.6M | 18.9K | +2.7% |
| Code | Description | Payments | Services | Providers |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | $182.6M | 2.3M | 7.9K |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | $83.1M | 1.5M | 7.7K |
| J0178 | Injection, aflibercept, 1 mg | $48.8M | 71.0K | 46 |
| 66984 | Removal of cataract with insertion of prosthetic lens | $37.5M | 219.1K | 265 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $33.3M | 568.3K | 2.8K |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | $28.8M | 273.1K | 4.5K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | $27.6M | 162.2K | 59 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $27.1M | 228.0K | 1.9K |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $26.6M | 1.6M | 1.4K |
| 97530 | Therapy procedure using functional activities | $25.0M | 1.1M | 1.2K |
| J9271 | Injection, pembrolizumab, 1 mg | $25.0M | 588.5K | 30 |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | $24.7M | 66.2K | 66 |
| 99285 | Emergency department visit with high level of medical decision making | $22.8M | 173.0K | 1.1K |
| J0897 | Injection, denosumab, 1 mg | $22.3M | 1.2M | 245 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | $21.9M | 188.0K | 2.4K |
| A0425 | Ground mileage, per statute mile | $21.7M | 3.1M | 107 |
| J2777 | Injection, faricimab-svoa, 0.1 mg | $21.4M | 741.7K | 36 |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | $20.8M | 66.7K | 73 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $18.9M | 213.7K | 1.8K |
| J0129 | Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) | $18.7M | 561.3K | 44 |
| Specialty | Payments | Providers | Avg per Provider |
|---|---|---|---|
| Ophthalmology | $149.1M | 248 | $601.0K |
| Nurse Practitioner | $138.3M | 3.3K | $42.3K |
| Family Practice | $124.2M | 1.5K | $85.4K |
| Internal Medicine | $109.8M | 1.2K | $94.9K |
| Ambulance Service Provider | $100.5M | 116 | $866.5K |
| Ambulatory Surgical Center | $93.6M | 69 | $1.4M |
| Hematology-Oncology | $70.0M | 121 | $578.2K |
| Physical Therapist in Private Practice | $67.4M | 1.2K | $56.7K |
| Cardiology | $57.4M | 249 | $230.6K |
| Rheumatology | $56.9M | 83 | $685.6K |
| Physician Assistant | $55.2M | 1.6K | $35.3K |
| Dermatology | $51.5M | 141 | $365.6K |
| Orthopedic Surgery | $48.7M | 338 | $144.0K |
| Emergency Medicine | $45.1M | 886 | $50.9K |
| Diagnostic Radiology | $40.4M | 357 | $113.0K |
| Mass Immunizer Roster Biller | $32.8M | 530 | $61.9K |
| Urology | $23.7M | 142 | $167.0K |
| Radiation Oncology | $22.2M | 64 | $346.2K |
| Neurology | $21.1M | 196 | $107.7K |
| Nephrology | $19.8M | 132 | $150.2K |
| Anesthesiology | $19.6M | 517 | $38.0K |
| Gastroenterology | $18.7M | 188 | $99.4K |
| Physical Medicine and Rehabilitation | $18.6M | 105 | $177.6K |
| Podiatry | $18.0M | 144 | $125.1K |
| Clinical Laboratory | $16.3M | 26 | $625.7K |
Last Updated: February 2026 (data through 2023, the latest CMS release)
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.