Medicaid Provider Spending

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

MCLEOD PHYSICIAN ASSOCIATES II

NPI: 1033877592 · DILLON, SC 29536 · Internal Medicine Physician · NPI assigned 12/02/2021

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

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

$1.75M
Total Medicaid Paid
59,857
Total Claims
54,247
Beneficiaries
47
Codes Billed
2022-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBEASLEY, KENNETH (SENIOR VICE PRESIDENT)
Parent OrganizationMCLEOD HEALTH
NPI Enumeration Date12/02/2021

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 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
MCLEOD PHYSICIAN ASSOCIATES II FLORENCE SC $445K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 19,976 $537K
2023 19,731 $631K
2024 20,150 $586K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13,796 12,485 $855K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,537 11,278 $597K
87428 2,673 2,571 $128K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 8,059 7,401 $35K
90460 Immunization administration through 18 years of age via any route, first or only component 647 633 $28K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 498 472 $16K
87430 1,528 1,478 $16K
36415 Collection of venous blood by venipuncture 8,432 7,689 $14K
80048 Basic metabolic panel (calcium, ionized) 3,475 3,187 $13K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 899 453 $8K
71046 Radiologic examination, chest; 2 views 599 541 $8K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 69 69 $6K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 59 59 $4K
80076 1,140 1,012 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 319 311 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 651 541 $3K
80061 Lipid panel 436 396 $2K
83036 Hemoglobin; glycosylated (A1C) 493 467 $2K
99215 Prolong outpt/office vis 12 12 $1K
84443 Thyroid stimulating hormone (TSH) 158 131 $1K
87807 131 128 $1K
81000 456 420 $983.41
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 34 27 $903.41
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 12 12 $880.08
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $854.91
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 16 12 $837.28
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 133 127 $711.05
90688 86 84 $505.82
90656 26 26 $267.71
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 14 14 $235.41
90734 32 32 $132.52
90662 77 74 $126.36
J1100 Injection, dexamethasone sodium phosphate, 1 mg 369 337 $96.25
93000 27 25 $91.79
81025 14 13 $84.90
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) 480 439 $38.35
81001 18 16 $31.35
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 67 53 $27.47
1160F 444 378 $0.00
3078F 73 63 $0.00
1159F 432 370 $0.00
90715 35 35 $0.00
90700 14 14 $0.00
G0008 Administration of influenza virus vaccine 161 156 $0.00
3074F 167 148 $0.00
3079F 17 16 $0.00
90651 30 30 $0.00