South Carolina Ent Allergy & Sleep Medicine PA

South Carolina Ent Allergy & Sleep Medicine PA was paid $16.59M by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is 95165, Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials — 26% of everything it billed.

33Billing provider infoSOUTH CAROLINA ENT ALLERGY & SLEEP MEDICINE PA
LUGOFF, SC 29078

33aNPI1134153083assigned 07/10/2006

33bProvider typePediatric Otolaryngology Physician

28Total paid$16.59M

24GClaims291,008

24DCodes billed36

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatric Otolaryngology Physician providers in South Carolina

Rank by total paid#1 of 6

Median peer was paid$41K

This provider vs. median402×

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	37,838	$2.15M
2019	36,255	$2.10M
2020	35,583	$2.02M
2021	42,680	$2.59M
2022	50,460	$3.00M
2023	49,353	$2.74M
2024incomplete	38,839	$1.98M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
95165	Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials	26%	18,889	18,622	$4.34M
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	22%	50,100	46,619	$3.70M
99244	Office or other outpatient consultation, moderate to high complexity	8.4%	9,113	8,951	$1.39M
31231		7.8%	11,152	10,779	$1.30M
95117		5.5%	121,943	71,097	$918K
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	5.1%	8,199	7,997	$843K
95810	Polysomnography; sleep staging with 4 or more additional parameters	4.9%	1,966	1,943	$807K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	4.6%	12,842	12,297	$770K
95004	Percutaneous tests with allergenic extracts, immediate type reaction	3.3%	2,975	2,919	$548K
95782		3.0%	712	703	$494K
95027		1.8%	1,957	1,927	$299K
92587		1.1%	8,477	8,245	$190K

24 more codes

92567		<1%	13,120	$151K
31575		<1%	2,571	$147K
99203	Doctor's office visit, new patient (routine)	<1%	1,612	$133K
95115		<1%	18,425	$109K
69436	Tympanostomy (requiring insertion of ventilating tube), general anesthesia	<1%	1,045	$103K
95024		<1%	707	$102K
42820	Tonsillectomy and adenoidectomy; younger than age 12	<1%	343	$76K
92557		<1%	1,675	$48K
94060		<1%	1,053	$37K
99243		<1%	286	$29K
69210		<1%	913	$25K
94010		<1%	185	$5K
99223	Prolong inpt eval add15 m	<1%	27	$4K
95811		<1%	12	$3K
99215	Doctor's office visit, returning patient (complex)	<1%	38	$3K
11000		<1%	86	$3K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	183	$2K
31579		<1%	34	$2K
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	186	$2K
92504		<1%	88	$2K
76536		<1%	12	$781.74
92588		<1%	13	$677.60
70486		<1%	15	$650.60
94664		<1%	54	$481.10

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 officialKIRBY, PAMELA (CHIEF REVENUE OFFICER)