Physician
Palmetto Internal Medicine & Primary Care, PA
Palmetto Internal Medicine & Primary Care, PA was paid $590K by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 61% of everything it billed.
33Billing provider infoPALMETTO INTERNAL MEDICINE & PRIMARY CARE, PA
MAULDIN, SC 29662
MAULDIN, SC 29662
33aNPI1124335898assigned 09/01/2010
33bProvider typeInternal Medicine Physician
28Total paid$590K
24GClaims12,948
24DCodes billed20
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in South Carolina
Rank by total paid#24 of 273
Median peer was paid$19K
This provider vs. median31×
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.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,332 | $70K | |
| 2019 | 1,313 | $72K | |
| 2020 | 1,211 | $74K | |
| 2021 | 2,009 | $105K | |
| 2022 | 1,807 | $96K | |
| 2023 | 1,758 | $94K | |
| 2024incomplete | 3,518 | $79K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 61% | 5,967 | 4,995 | $359K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 3,285 | 2,658 | $147K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 14% | 1,266 | 1,136 | $80K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 12 | 12 | $2K |
| 93000 | <1% | 106 | 98 | $1K | |
| 81002 | <1% | 467 | 399 | $1K | |
| 90661 | <1% | 47 | 42 | $210.53 | |
| 90756 | <1% | 15 | 15 | $80.64 | |
| 3074F | <1% | 467 | 403 | $0.71 | |
| 3078F | <1% | 450 | 398 | $0.61 | |
| 3079F | <1% | 211 | 195 | $0.23 | |
| 3075F | <1% | 184 | 168 | $0.21 |
8 more codes
| 3044F | <1% | 179 | $0.07 | |
| 3080F | <1% | 19 | $0.03 | |
| 3077F | <1% | 19 | $0.01 | |
| G0008 | Administration of influenza virus vaccine | 0% | 13 | $0.00 |
| 3061F | 0% | 29 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 71 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 15 | $0.00 |
| 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) | 0% | 126 | $0.00 |
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 officialKRISHNIAH, BALA (PHYSICIAN OWNER)