Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Palmetto Health

Palmetto Health was paid $3K by Medicaid between Jan 2018 and Jan 2018, across 3 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 56% of everything it billed.

33Billing provider infoPALMETTO HEALTH
COLUMBIA, SC 29203
33aNPI1104146612assigned 06/07/2010
28Total paid$3K
24GClaims159
24DCodes billed3
24AFirst – last monthJan 2018 – Jan 2018
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in South Carolina

Rank by total paid#133 of 206
Median peer was paid$10K
This provider vs. median0.4×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official COVEN, DARRELL controls 12+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018159$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 56% 58 53 $2K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 36% 20 17 $1K
81002 8.0% 81 74 $276.30

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialCOVEN, DARRELL (DIRECTOR, AMBULATORY SVCS-FINANCE)
Parent organizationPALMETTO HEALTH
Same official

Other billing entities under COVEN, DARRELL

Full network →
ProviderLocationPaid
Palmetto HealthSumter, SC$597K
Palmetto HealthColumbia, SC$154K
Palmetto HealthColumbia, SC$114K
Palmetto HealthColumbia, SC$93K
Palmetto HealthColumbia, SC$80K
Palmetto HealthColumbia, SC$15K
Palmetto HealthColumbia, SC$10K
Palmetto HealthColumbia, SC$5K
Palmetto HealthColumbia, SC$4K
Palmetto HealthColumbia, SC$4K
Palmetto HealthColumbia, SC$1K
Palmetto HealthColumbia, SC$708.59

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.