Medicaid Provider Spending

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

MCLEOD PHYSICIAN ASSOCIATES II

NPI: 1003183120 · LORIS, SC 29569 · Internal Medicine Physician · NPI assigned 11/17/2011

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

Authorized official BEASLEY, KENNETH controls 20+ related entities in our dataset. Read more

$580K
Total Medicaid Paid
14,619
Total Claims
12,594
Beneficiaries
24
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBEASLEY, KENNETH (SENIOR VICE PRESIDENT)
Parent OrganizationMCLEOD HEALTH
NPI Enumeration Date11/17/2011

Related Entities

Other providers sharing the same authorized official: BEASLEY, KENNETH

ProviderCityStateTotal Paid
MCLEOD PHYSICIAN ASSOCIATES II FLORENCE SC $13.06M
MCLEOD PHYSICIAN ASSOCIATES II FLORENCE SC $6.47M
MCLEOD PHYSICIAN ASSOCIATES II DILLON SC $6.10M
MCLEOD PHYSICIAN ASSOCIATES II FLORENCE SC $4.18M
MCLEOD PHYSICIAN ASSOCIATES II FLORENCE SC $4.18M
MCLEOD PHYSICIAN ASSOCIATES LITTLE RIVER SC $2.61M
MCLEOD PHYSICIAN ASSOCIATES II FLORENCE SC $2.57M
MCLEOD PHYSICIAN ASSOCIATES II DILLON SC $2.46M
MCLEOD PHYSICIAN ASSOCIATES II DARLINGTON SC $2.29M
MCLEOD PHYSICIAN ASSOCIATES II FLORENCE SC $2.21M
MCLEOD PHYSICIAN ASSOCIATES II DILLON SC $1.75M
MCLEOD PHYSICIAN ASSOCIATES II CHERAW SC $1.64M
MCLEOD PHYSICIAN ASSOCIATES II FLORENCE SC $1.58M
MCLEOD PHYSICIAN ASSOCIATES II FLORENCE SC $1.29M
MCLEOD PHYSICIAN ASSOCIATES II FLORENCE SC $1.14M
MCLEOD PHYSICIAN ASSOCIATES II FLORENCE SC $1.08M
MCLEOD PHYSICIAN ASSOCIATES II FLORENCE SC $539K
MCLEOD PHYSICIAN ASSOCIATES II FLORENCE SC $478K
MCLEOD PHYSICIAN ASSOCIATES II SUMTER SC $450K
MCLEOD PHYSICIAN ASSOCIATES II FLORENCE SC $445K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,536 $52K
2019 1,510 $54K
2020 1,437 $61K
2021 1,615 $84K
2022 2,355 $122K
2023 2,749 $110K
2024 3,417 $96K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,199 8,052 $426K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,766 1,510 $75K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 534 381 $41K
90460 Immunization administration through 18 years of age via any route, first or only component 617 432 $21K
99308 Subsequent nursing facility care, per day, straightforward 179 119 $5K
99309 Subsequent nursing facility care, per day, low to moderate complexity 210 187 $4K
99215 Prolong outpt/office vis 58 49 $3K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 46 31 $3K
99199 Unlisted special service, procedure or report 579 557 $1K
83036 Hemoglobin; glycosylated (A1C) 139 135 $625.42
90688 29 25 $360.59
90682 19 17 $287.55
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 18 15 $234.17
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) 254 240 $105.65
90662 12 12 $0.36
3074F 68 66 $0.00
90698 96 73 $0.00
G0008 Administration of influenza virus vaccine 75 73 $0.00
3078F 79 74 $0.00
1160F 264 232 $0.00
1159F 253 221 $0.00
90670 85 55 $0.00
90707 13 12 $0.00
90681 27 26 $0.00