Physician
NPI deactivated
Piedmont Physician Network LLC
Piedmont Physician Network LLC was paid $7.38M by Medicaid between Jan 2018 and Dec 2024, across 55 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.
33Billing provider infoPIEDMONT PHYSICIAN NETWORK LLC
YORK, SC 29745
YORK, SC 29745
33aNPI1194277186assigned 10/26/2016
33bProvider typeEmergency Medicine Physician
28Total paid$7.38M
24GClaims177,723
24DCodes billed55
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Emergency Medicine Physician providers in South Carolina
Rank by total paid#4 of 263
Median peer was paid$3K
This provider vs. median2,434×
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 RASMUS, BRIAN controls 20+ 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 | 17,317 | $1.09M | |
| 2019 | 17,085 | $981K | |
| 2020 | 14,975 | $875K | |
| 2021 | 17,854 | $1.07M | |
| 2022 | 25,873 | $1.08M | |
| 2023 | 45,899 | $1.22M | |
| 2024incomplete | 38,720 | $1.07M |
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 | 54% | 63,925 | 57,240 | $4.01M |
| 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 | 30% | 30,734 | 27,714 | $2.18M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.1% | 2,997 | 731 | $151K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.5% | 1,252 | 1,183 | $107K |
| 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 | 1.4% | 729 | 651 | $100K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 1.1% | 1,231 | 1,083 | $85K |
| 76830 | Ultrasound, transvaginal | 1.1% | 802 | 786 | $82K |
| 99223 | Prolong inpt eval add15 m | 1.1% | 922 | 871 | $80K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 760 | 679 | $67K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 62 | 55 | $64K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 484 | 465 | $55K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 1,208 | 500 | $53K |
43 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,048 | $42K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 385 | $42K |
| 81025 | <1% | 5,595 | $42K | |
| 59025 | Fetal non-stress test | <1% | 1,492 | $39K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,446 | $30K |
| Q0111 | Wet mounts, including preparations of vaginal, cervical or skin specimens | <1% | 2,789 | $27K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 382 | $26K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 607 | $22K |
| 59430 | <1% | 102 | $12K | |
| 59514 | <1% | 12 | $10K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 122 | $8K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 49 | $7K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,686 | $7K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 207 | $6K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 44 | $4K |
| 99219 | <1% | 29 | $3K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 56 | $3K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 14 | $2K |
| 76818 | <1% | 18 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 26 | $2K |
| 57454 | <1% | 12 | $1K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 12 | $1K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 12 | $999.69 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 138 | $574.71 |
| 97802 | <1% | 12 | $533.66 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 31 | $317.79 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 26 | $143.13 |
| 93970 | <1% | 12 | $67.82 | |
| 81003 | <1% | 12 | $17.79 | |
| 1160F | <1% | 9,213 | $0.02 | |
| 3075F | <1% | 296 | $0.01 | |
| 3078F | <1% | 6,514 | $0.01 | |
| 3074F | 0% | 9,221 | $0.00 | |
| 3008F | 0% | 5,790 | $0.00 | |
| 3079F | 0% | 2,333 | $0.00 | |
| 1036F | 0% | 7,674 | $0.00 | |
| 3044F | 0% | 184 | $0.00 | |
| 1035F | 0% | 46 | $0.00 | |
| 1034F | 0% | 119 | $0.00 | |
| 3725F | 0% | 4,528 | $0.00 | |
| 1159F | 0% | 9,246 | $0.00 | |
| 3077F | 0% | 26 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 51 | $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 officialRASMUS, BRIAN (VP, CFO TPR TENET)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.