Physician
PPCP Specialty Physicians , LLC
PPCP Specialty Physicians , LLC was paid $16K by Medicaid between Oct 2023 and Nov 2024, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 100% of everything it billed.
33Billing provider infoPPCP SPECIALTY PHYSICIANS , LLC
LADSON, SC 29456
LADSON, SC 29456
33aNPI1164159547assigned 08/04/2022
33bProvider typeEndocrinology, Diabetes & Metabolism Physician
28Total paid$16K
24GClaims298
24DCodes billed2
24AFirst – last monthOct 2023 – Nov 2024
Compared with peers
Next to other Endocrinology, Diabetes & Metabolism Physician providers in South Carolina
Rank by total paid#19 of 28
Median peer was paid$36K
This provider vs. median0.5×
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 | |
|---|---|---|---|
| 2023 | 32 | $2K | |
| 2024incomplete | 266 | $15K |
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 | 100% | 284 | 245 | $16K |
| 36415 | Collection of venous blood by venipuncture | <1% | 14 | 12 | $26.82 |
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 officialPOKORNY, CATHY (CREDENTIALING COORDINATOR)
| Provider | Location | Paid |
|---|---|---|
| Palmetto Primary Care Physicians, LLC | Summerville, SC | $166K |
| Palmetto Primary Care Physicians, LLC | Moncks Corner, SC | $20K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.