Providers
CAROLINA MUSCULOSKELETAL INSTITUTE PA
NPI 1518943364, organization, Aiken, SC, Pain Medicine, Interventional Pain Medicine
5
Evidence tier
informational
score 30 of 100, rank 11817, $35K at stake
Public list actions
Medicare revocation effective April 1, 2023, barred from re-enrolling until August 9, 2026
424.535(a)(1) noncompliance (dme standards not met), DME Supplier - Physician - Rheumatology, SC
Paid after the action
Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.
| list | identity check | action date | window closed | months paid after | first | last | paid after | 12 months before |
|---|---|---|---|---|---|---|---|---|
| Medicare revocation list 424.535(a)(1) noncompliance (dme standards not met) | Exact NPI, name verified | Apr 1, 2023 | Aug 9, 2026 | 19 | May 2023 | Nov 2024 | $35K | $27K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | CAROLINA MUSCULOSKELETAL INSTITUTE PA (also CAROLINA ORTHOPEDIC ASSOCIATES PA) |
| Type | Organization |
| Status | Active |
| NPI issued | December 22, 2005, last updated October 28, 2025 |
| Practice location | 410 UNIVERSITY PKWY STE 2600, Aiken, SC 29801-6829, 803-644-4264 |
| Authorized official | PHILLIP SUWAN (Owner) |
| Specialties | Podiatrist, Foot & Ankle Surgery (213ES0103X, license 59 SC) Anesthesiology, Pain Medicine (207LP2900X) Pain Medicine, Interventional Pain Medicine (208VP0014X, primary) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $175K | 62% | $28 | $44 (top 5% from $110) | too few months to rank | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $22K | 8% | $32 | $60 (top 5% from $133) | too few months to rank | |
| 99307 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | $17K | 6% | $10 | $7.86 (top 5% from $34) | too few months to rank | |
| 11721 | Removal of fingernails or toenails, 6 or more nails | $15K | 5% | $7.60 | $9.21 (top 5% from $30) | too few months to rank | |
| 72148 | Mri scan of lower spinal canal without contrast | $13K | 5% | $155 | $102 (top 5% from $336) | too few months to rank | |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $12K | 4% | $52 | $67 (top 5% from $121) | too few months to rank | |
| 20610 | Aspiration and/or injection of fluid from large joint | $8K | 3% | $19 | $40 (top 5% from $128) | too few months to rank | |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $6K | 2% | $79 | $76 (top 5% from $314) | too few months to rank |
In this area
3 providers in Aiken County, SC carry an indicator in the public record, with $0 at stake between them. The most common is part of a provider network, on 3 of them.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | AUGUSTA HOME CARE SERVICES, LLC Aiken, SC, ranked 1911 | $0 |
|
| 3 | LHCG CLXVI, LLC North Augusta, SC, ranked 4450 | $0 |
|
| 3 | AUGUSTA HOME CARE SERVICES, LLC Aiken, SC, ranked 5236 | $0 |
|
Recent enforcement in SC
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJIndictedMar 11, 2026
Former Greenville CEO, Employees Indicted in Multi-Million Dollar Health Care Fraud Scheme
The defendants submitted false claims to health care benefit programs for individual COVID-19 tests that had actually been pooled for combined processing and manipulated test processing software, billing for tests that were virtually worthless and ineligible for reimbursement.
DOJSentencedFeb 25, 2026
Lancaster Trio Sentenced for Health Care Fraud Conspiracy
An excluded Medicaid provider and his wife established Transformation Services in her name to bill Medicaid for behavioral health services that were overlapping, not rendered individually, and provided by unlicensed therapists, defrauding Medicaid of nearly $250,000.
DOJIndictedNov 18, 2025
Florida Man Indicted for Health Care Fraud, Wire Fraud in Durable Medical Equipment Scheme
Weinberger, who was excluded from Medicare, allegedly concealed his ownership and control of a Medicare-enrolled durable medical equipment company through a false enrollment document and, with coconspirators, used call centers to generate doctors' orders for orthotic braces and submit approximately $6.7 million in false and fraudulent claims obtained through kickbacks and bribes, medically unnecessary, or otherwise ineligible for reimbursement.
DOJCivil judgmentJul 17, 2025
United States and the States of Georgia, Colorado, and South Carolina Obtain $114.5M in Judgments in a Sprawling Cancer Genetic Testing Lab Scheme
Premier Medical, its owner and compliance vice president paid kickbacks to Freedom Medical Labs and its marketers, who collected DNA samples from Medicaid beneficiaries in public spaces and purchased telemedicine physician orders, to bill Medicaid for medically unnecessary cancer genetic testing.
DOJIndictedJun 30, 2025
S.C. Cases Among Hundreds Announced in National Health Care Fraud Takedown
Two defendants were charged with submitting false claims to Medicare and Medicaid for durable medical equipment that was not delivered or authorized, and with billing the Veterans Administration for massage therapy services not rendered.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.