Medicaid Provider Spending

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

GEORGETOWN PHYSICIAN ASSOCIATES, LLC

NPI: 1053967943 · MYRTLE BEACH, SC 29588 · Pediatrics Physician · NPI assigned 08/15/2019

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

Authorized official WARD, ELIZABETH controls 20+ related entities in our dataset. Read more

$657K
Total Medicaid Paid
16,551
Total Claims
13,808
Beneficiaries
31
Codes Billed
2019-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWARD, ELIZABETH (EVP & CFO)
NPI Enumeration Date08/15/2019

Related Entities

Other providers sharing the same authorized official: WARD, ELIZABETH

ProviderCityStateTotal Paid
THE MOSES H. CONE MEMORIAL HOSPITAL OPERATING CORPORATION GREENSBORO NC $133.12M
GEORGETOWN MEMORIAL HOSPITAL GEORGETOWN SC $27.63M
WACCAMAW COMMUNITY HOSPITAL MURRELLS INLET SC $9.78M
GEORGETOWN MEMORIAL HOSPITAL GEORGETOWN SC $1.27M
GEORGETOWN MEMORIAL HOSPITAL MYRTLE BEACH SC $1.23M
GEORGETOWN PHYSICIAN ASSOCIATES, LLC GEORGETOWN SC $1.22M
GEORGETOWN PHYSICIAN ASSOCIATES, LLC GEORGETOWN SC $1.01M
GEORGETOWN PHYSICIAN ASSOCIATES MURRELLS INLET SC $828K
GEORGETOWN PHYSICIAN ASSOCIATES LLC MURRELLS INLET SC $470K
GEORGETOWN PHYSICIAN ASSOCIATES, LLC GEORGETOWN SC $389K
GEORGETOWN PHYSICIAN ASSOCIATES, LLC MYRTLE BEACH SC $310K
GEORGETOWN PHYSICIAN ASSOCIATES, LLC MYRTLE BEACH SC $228K
GEORGETOWN PHYSICIAN ASSOCIATES, LLC PAWLEYS ISLAND SC $209K
GEORGETOWN PHYSICIAN ASSOCIATES, LLC GEORGETOWN SC $194K
GEORGETOWN PHYSICIAN ASSOCIATES, LLC ANDREWS SC $127K
GEORGETOWN PHYSICIAN ASSOCIATES, LLC MURRELLS INLET SC $125K
GEORGETOWN PHYSICIAN ASSOCIATES, LLC PAWLEYS ISLAND SC $118K
GEORGETOWN PHYSICIAN ASSOCIATES, LLC MURRELLS INLET SC $112K
GEORGETOWN PHYSICIAN ASSOCIATES, LLC MURRELLS INLET SC $93K
THE MOSES H. CONE MEMORIAL HOSPITAL OPERATING CORPORATION GREENSBORO NC $82K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 16 $984.04
2020 495 $25K
2021 3,072 $140K
2022 3,737 $140K
2023 5,009 $168K
2024 4,222 $182K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,188 1,806 $180K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,142 1,858 $124K
90460 Immunization administration through 18 years of age via any route, first or only component 3,260 2,664 $122K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,324 1,130 $103K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 757 724 $64K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,605 2,333 $18K
90461 944 799 $8K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 166 58 $7K
87428 148 130 $7K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 101 87 $5K
99238 Hospital discharge day management, 30 minutes or less 57 57 $3K
97530 Therapeutic activities, direct patient contact, each 15 minutes 70 24 $3K
99188 245 240 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 224 101 $2K
90670 491 426 $2K
99462 40 24 $1K
99460 14 13 $1K
96160 167 153 $979.39
87807 70 62 $568.92
90723 248 203 $454.91
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 340 104 $345.15
90677 80 68 $288.81
96161 61 50 $246.38
85018 93 91 $166.35
90648 521 442 $65.15
96127 13 12 $47.31
90633 42 40 $32.65
90697 36 26 $0.04
90686 43 39 $0.03
90700 37 26 $0.00
90681 24 18 $0.00