Medicaid Provider Spending

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

GEORGETOWN PHYSICIAN ASSOCIATES

NPI: 1093139420 · GEORGETOWN, SC 29440 · Gastroenterology Physician · NPI assigned 02/05/2014

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

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

$39K
Total Medicaid Paid
1,136
Total Claims
1,065
Beneficiaries
6
Codes Billed
2018-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialWARD, ELIZABETH (EVP & CFO)
NPI Enumeration Date02/05/2014

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 MYRTLE BEACH SC $657K
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 82 $4K
2019 90 $2K
2020 165 $6K
2021 257 $9K
2022 152 $4K
2023 166 $7K
2024 224 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 619 582 $17K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 294 275 $9K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 119 111 $8K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 80 73 $4K
45380 Colonoscopy, flexible; with biopsy, single or multiple 12 12 $810.00
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) 12 12 $0.00