Physician
Chester Medical Group, LLC
Chester Medical Group, LLC was paid $960K by Medicaid between Jan 2018 and Feb 2019, across 40 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.
33Billing provider infoCHESTER MEDICAL GROUP, LLC
CHESTER, SC 29706
CHESTER, SC 29706
33aNPI1174753024assigned 07/24/2009
33bProvider typeInternal Medicine Physician
28Total paid$960K
24GClaims26,508
24DCodes billed40
24AFirst – last monthJan 2018 – Feb 2019
Compared with peers
Next to other Internal Medicine Physician providers in South Carolina
Rank by total paid#20 of 273
Median peer was paid$19K
This provider vs. median50×
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 GINGRAS, MICHAEL controls 12+ related entities in our dataset. Read more
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 | 21,913 | $791K | |
| 2019 | 4,595 | $169K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 52% | 9,157 | 8,258 | $497K |
| 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 | 20% | 3,431 | 3,025 | $187K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.0% | 509 | 507 | $48K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.9% | 536 | 529 | $47K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.3% | 432 | 432 | $41K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.6% | 344 | 343 | $35K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.5% | 1,336 | 1,330 | $24K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.2% | 571 | 557 | $21K |
| 90461 | 1.7% | 815 | 812 | $16K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 753 | 471 | $11K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 137 | 136 | $7K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 354 | 333 | $4K |
28 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 2,037 | $3K |
| 85018 | <1% | 1,076 | $3K | |
| 80053 | Comprehensive metabolic panel | <1% | 549 | $3K |
| 81003 | <1% | 1,079 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 615 | $2K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 541 | $2K |
| 99381 | <1% | 12 | $1K | |
| 90686 | <1% | 356 | $913.31 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 48 | $438.13 |
| 80061 | Lipid panel | <1% | 63 | $363.60 |
| 81002 | <1% | 186 | $337.28 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 26 | $172.19 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 38 | $162.21 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 214 | $130.43 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 93 | $74.62 |
| 82962 | <1% | 27 | $48.12 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 13 | $8.79 |
| 90707 | 0% | 105 | $0.00 | |
| 90670 | 0% | 299 | $0.00 | |
| 90734 | 0% | 59 | $0.00 | |
| 90715 | 0% | 26 | $0.00 | |
| 90685 | 0% | 34 | $0.00 | |
| 90700 | 0% | 12 | $0.00 | |
| 90716 | 0% | 119 | $0.00 | |
| 90723 | 0% | 210 | $0.00 | |
| 90651 | 0% | 114 | $0.00 | |
| 90647 | 0% | 167 | $0.00 | |
| 90696 | 0% | 15 | $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 officialGINGRAS, MICHAEL (VICE PRESIDENT)
Parent organizationHEALTH MANAGEMENT ASSOCIATES, INC
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| Live Oak Hma Medical Group, LLC | Live Oak, FL | $3K |
| FT Smith Hma PBC Management, LLC | Fort Smith, AR | $2K |
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| Jamestown Hma Physician Management LLC | Jamestown, TN | $373.05 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.