Medicaid Provider Spending

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

PIEDMONT PHYSICIAN NETWORK LLC

NPI: 1194277186 · YORK, SC 29745 · Emergency Medicine Physician · NPI assigned 10/26/2016

Deactivated NPI · This NPI was deactivated on 09/14/2023. Reactivated 09/22/2023.
Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official RASMUS, BRIAN controls 20+ related entities in our dataset. Read more

$7.38M
Total Medicaid Paid
177,723
Total Claims
158,985
Beneficiaries
55
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRASMUS, BRIAN (VP, CFO TPR TENET)
NPI Enumeration Date10/26/2016

Related Entities

Other providers sharing the same authorized official: RASMUS, BRIAN

ProviderCityStateTotal Paid
VHS PHYSICIANS OF MICHIGAN SOUTHFIELD MI $73.90M
BHS PHYSICIANS NETWORK, INC SAN ANTONIO TX $32.11M
VHS OUTPATIENT CLINICS, INC. GOODYEAR AZ $15.18M
TUCSON PHYSICIAN GROUP HOLDINGS, LLC TUCSON AZ $11.51M
FIRST CHOICE PHYSICIAN PARTNERS PALM SPRINGS CA $7.25M
TENET FLORIDA PHYSICIAN SERVICES LLC WEST PALM BEACH FL $6.30M
SAINT VINCENT PHYSICIAN SERVICES, INC. WORCESTER MA $6.08M
SAINT FRANCIS PHYSICIAN NETWORK, LLC COVINGTON TN $3.33M
VHM SERVICES, INC. FRAMINGHAM MA $1.96M
HILTON HEAD REGIONAL PHYSICIAN NETWORK, LLC BEAUFORT SC $1.36M
FIRST CHOICE PHYSICIAN PARTNERS BREA CA $945K
MEMPHIS URGENT CARE #2, LLC. MEMPHIS TN $541K
EAST COOPER PHYSICIAN NETWORK, LLC MOUNT PLEASANT SC $429K
SAINT FRANCIS-ARKANSAS PHYSICIAN NETWORK, LLC WEST MEMPHIS AR $269K
CARESPOT OF MEMPHIS, LLC BARTLETT TN $215K
SUNRISE MEDICAL GROUP I, LLC HOLLYWOOD FL $162K
MEMPHIS URGENT CARE #2 LLC CORDOVA TN $138K
MEMPHIS URGENT CARE #1, LLC GERMANTOWN TN $93K
MEMPHIS URGENT CARE #2 LLC COLLIERVILLE TN $33K
DIGESTIVE CARE ASSOCIATES PC EDWARDSVILLE PA $13K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 38,720 $1.07M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 63,925 57,240 $4.01M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 30,734 27,714 $2.18M
99232 Subsequent hospital care, per day, moderate complexity 2,997 731 $151K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,252 1,183 $107K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 729 651 $100K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 1,231 1,083 $85K
76830 Ultrasound, transvaginal 802 786 $82K
99223 Prolong inpt eval add15 m 922 871 $80K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 760 679 $67K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 62 55 $64K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 484 465 $55K
99233 Prolong inpt eval add15 m 1,208 500 $53K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,048 967 $42K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 385 369 $42K
81025 5,595 5,077 $42K
59025 Fetal non-stress test 1,492 1,272 $39K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,446 2,402 $30K
Q0111 Wet mounts, including preparations of vaginal, cervical or skin specimens 2,789 2,536 $27K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 382 371 $26K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 607 592 $22K
59430 102 102 $12K
59514 12 12 $10K
99222 Initial hospital care, per day, moderate complexity 122 116 $8K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 49 48 $7K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,686 1,637 $7K
99231 Subsequent hospital care, per day, straightforward or low complexity 207 51 $6K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 44 42 $4K
99219 29 25 $3K
99238 Hospital discharge day management, 30 minutes or less 56 52 $3K
99244 Office or other outpatient consultation, moderate to high complexity 14 12 $2K
76818 18 13 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 26 26 $2K
57454 12 12 $1K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 12 12 $1K
99239 Hospital discharge day management, more than 30 minutes 12 12 $999.69
83036 Hemoglobin; glycosylated (A1C) 138 117 $574.71
97802 12 12 $533.66
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 31 24 $317.79
85025 Blood count; complete (CBC), automated, and automated differential WBC count 26 25 $143.13
93970 12 12 $67.82
81003 12 12 $17.79
1160F 9,213 8,663 $0.02
3075F 296 274 $0.01
3078F 6,514 6,022 $0.01
3074F 9,221 8,458 $0.00
3008F 5,790 5,305 $0.00
3079F 2,333 2,171 $0.00
1036F 7,674 6,856 $0.00
3044F 184 157 $0.00
1035F 46 37 $0.00
1034F 119 97 $0.00
3725F 4,528 4,255 $0.00
1159F 9,246 8,696 $0.00
3077F 26 26 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 51 50 $0.00