Medicaid Provider Spending

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

MCLEOD PHYSICIAN ASSOCIATES II

NPI: 1003220021 · FLORENCE, SC 29505 · Otolaryngology Physician · NPI assigned 06/18/2014

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

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

$117K
Total Medicaid Paid
2,262
Total Claims
2,103
Beneficiaries
12
Codes Billed
2018-01
First Month
2024-03
Last Month

Provider Details

Authorized OfficialBEASLEY, KENNETH (SENIOR VICE PRESIDENT)
Parent OrganizationMCLEOD HEALTH
NPI Enumeration Date06/18/2014

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 LORIS SC $580K
MCLEOD PHYSICIAN ASSOCIATES II FLORENCE SC $539K
MCLEOD PHYSICIAN ASSOCIATES II FLORENCE SC $478K
MCLEOD PHYSICIAN ASSOCIATES II SUMTER SC $450K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 867 $38K
2019 678 $34K
2020 298 $15K
2023 292 $21K
2024 127 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,024 949 $36K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 480 443 $24K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 205 178 $19K
99243 187 182 $17K
99244 Office or other outpatient consultation, moderate to high complexity 54 51 $7K
31575 129 123 $6K
42820 Tonsillectomy and adenoidectomy; younger than age 12 13 13 $3K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 27 27 $2K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 13 13 $2K
92504 56 56 $900.31
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 45 41 $781.70
92567 29 27 $326.80