Physician
Palmetto Family Medicine and Senior Care, LLC
Palmetto Family Medicine and Senior Care, LLC was paid $1.40M by Medicaid between Jan 2018 and Dec 2024, across 41 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 70% of everything it billed.
33Billing provider infoPALMETTO FAMILY MEDICINE AND SENIOR CARE, LLC
HARTSVILLE, SC 29550
HARTSVILLE, SC 29550
33aNPI1194122598assigned 12/01/2014
33bProvider typeFamily Medicine Physician
28Total paid$1.40M
24GClaims38,871
24DCodes billed41
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in South Carolina
Rank by total paid#25 of 696
Median peer was paid$14K
This provider vs. median97×
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 | 6,766 | $250K | |
| 2019 | 6,487 | $193K | |
| 2020 | 7,233 | $209K | |
| 2021 | 5,797 | $221K | |
| 2022 | 4,864 | $205K | |
| 2023 | 3,795 | $178K | |
| 2024incomplete | 3,929 | $144K |
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 | 70% | 14,398 | 12,949 | $978K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 5,244 | 4,572 | $260K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 5.6% | 4,883 | 4,640 | $79K |
| 80305 | 2.6% | 4,990 | 4,606 | $36K | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 1.0% | 226 | 221 | $14K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,232 | 1,940 | $6K |
| 99490 | Ccm add 20min | <1% | 1,079 | 1,008 | $4K |
| 82962 | <1% | 1,972 | 1,736 | $3K | |
| 99406 | <1% | 352 | 321 | $3K | |
| 90674 | <1% | 206 | 191 | $3K | |
| 76775 | <1% | 19 | 19 | $2K | |
| 87428 | <1% | 26 | 19 | $1K |
29 more codes
| 81003 | <1% | 773 | $974.06 | |
| 80053 | Comprehensive metabolic panel | <1% | 87 | $930.28 |
| 93000 | <1% | 115 | $901.16 | |
| 99497 | <1% | 90 | $840.75 | |
| 82948 | <1% | 261 | $835.57 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 38 | $697.70 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 72 | $585.14 |
| 90756 | <1% | 53 | $583.56 | |
| 94010 | <1% | 46 | $580.99 | |
| 82610 | <1% | 31 | $473.86 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 37 | $449.64 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 49 | $392.82 |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 15 | $383.42 |
| 36415 | Collection of venous blood by venipuncture | <1% | 137 | $333.84 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 274 | $332.66 |
| 86140 | <1% | 52 | $298.42 | |
| 84439 | <1% | 38 | $263.66 | |
| 80061 | Lipid panel | <1% | 15 | $156.14 |
| 82044 | <1% | 46 | $142.99 | |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 32 | $122.52 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 43 | $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) | 0% | 578 | $0.00 |
| 99491 | Ccm add 20min | 0% | 16 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 48 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 16 | $0.00 |
| 1111F | 0% | 127 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 63 | $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) | 0% | 78 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 14 | $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 officialROPP, JOHN (OWNER)