Medicaid Provider Spending

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

MCLEOD PHYSICIAN ASSOCIATES II

NPI: 1053710012 · FLORENCE, SC 29506 · Gynecology Physician · NPI assigned 08/15/2014

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

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

$2.57M
Total Medicaid Paid
22,934
Total Claims
15,473
Beneficiaries
17
Codes Billed
2018-01
First Month
2024-05
Last Month

Provider Details

Authorized OfficialBEASLEY, KENNETH (SENIOR VICE PRESIDENT)
Parent OrganizationMCLEOD HEALTH
NPI Enumeration Date08/15/2014

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 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
MCLEOD PHYSICIAN ASSOCIATES II FLORENCE SC $445K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,949 $468K
2019 5,383 $499K
2020 3,421 $583K
2021 3,186 $533K
2022 2,621 $441K
2023 324 $38K
2024 50 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H1001 Prenatal care, at-risk enhanced service; antepartum management 7,438 3,491 $1.29M
T1001 Nursing assessment / evaluation 5,125 3,050 $894K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,329 3,770 $242K
99502 294 205 $52K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 492 443 $42K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 465 404 $14K
59025 Fetal non-stress test 627 491 $12K
81003 3,824 3,303 $11K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 36 36 $3K
99078 81 76 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 24 24 $2K
76830 Ultrasound, transvaginal 17 13 $1K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 20 19 $1K
76801 12 12 $920.89
81025 92 86 $670.74
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 25 24 $96.64
82270 33 26 $80.43