Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PALMETTO FAMILY MEDICINE AND SENIOR CARE, LLC

NPI: 1194122598 · HARTSVILLE, SC 29550 · Family Medicine Physician · NPI assigned 12/01/2014

$1.40M
Total Medicaid Paid
38,871
Total Claims
35,171
Beneficiaries
41
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialROPP, JOHN (OWNER)
NPI Enumeration Date12/01/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,766 $250K
2019 6,487 $193K
2020 7,233 $209K
2021 5,797 $221K
2022 4,864 $205K
2023 3,795 $178K
2024 3,929 $144K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 14,398 12,949 $978K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,244 4,572 $260K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 4,883 4,640 $79K
80305 4,990 4,606 $36K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 226 221 $14K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,232 1,940 $6K
99490 Ccm add 20min 1,079 1,008 $4K
82962 1,972 1,736 $3K
99406 352 321 $3K
90674 206 191 $3K
76775 19 19 $2K
87428 26 19 $1K
81003 773 714 $974.06
80053 Comprehensive metabolic panel 87 86 $930.28
93000 115 107 $901.16
99497 90 77 $840.75
82948 261 225 $835.57
84443 Thyroid stimulating hormone (TSH) 38 38 $697.70
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 72 67 $585.14
90756 53 48 $583.56
94010 46 41 $580.99
82610 31 31 $473.86
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 37 34 $449.64
85025 Blood count; complete (CBC), automated, and automated differential WBC count 49 48 $392.82
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 15 14 $383.42
36415 Collection of venous blood by venipuncture 137 135 $333.84
J1885 Injection, ketorolac tromethamine, per 15 mg 274 246 $332.66
86140 52 51 $298.42
84439 38 38 $263.66
80061 Lipid panel 15 15 $156.14
82044 46 44 $142.99
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 32 30 $122.52
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 43 41 $32.66
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) 578 514 $0.00
99491 Ccm add 20min 16 16 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 48 43 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 16 15 $0.00
1111F 127 111 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 63 53 $0.00
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) 78 55 $0.00
G0008 Administration of influenza virus vaccine 14 12 $0.00