Mcleod Physician Associates II
Mcleod Physician Associates II was paid $344K by Medicaid between Jan 2018 and Oct 2024, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 83% of everything it billed.
LORIS, SC 29569
Next to other Family Nurse Practitioner providers in South Carolina
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,152 | $66K | |
| 2019 | 1,414 | $51K | |
| 2020 | 1,085 | $41K | |
| 2021 | 1,538 | $60K | |
| 2022 | 1,822 | $72K | |
| 2023 | 815 | $33K | |
| 2024incomplete | 1,023 | $22K |
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 | 83% | 7,038 | 5,938 | $287K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 1,406 | 1,261 | $48K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 1.1% | 425 | 382 | $4K |
| 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% | 15 | 12 | $977.75 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 150 | 141 | $777.74 |
| 87428 | <1% | 17 | 14 | $729.99 | |
| 90688 | <1% | 79 | 72 | $701.93 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 52 | 46 | $494.68 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 122 | 65 | $410.58 |
| 80305 | <1% | 55 | 52 | $388.84 | |
| 82947 | <1% | 161 | 150 | $328.03 | |
| 90682 | <1% | 17 | 17 | $317.96 |
8 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 26 | $90.77 |
| 90662 | <1% | 16 | $42.32 | |
| 81003 | <1% | 15 | $20.12 | |
| 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) | <1% | 152 | $14.36 |
| 3074F | 0% | 13 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 54 | $0.00 |
| 1159F | 0% | 18 | $0.00 | |
| 1160F | 0% | 18 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Mcleod Physician Associates II | Florence, SC | $13.06M |
| Mcleod Physician Associates II | Florence, SC | $6.47M |
| Mcleod Physician Associates II | Dillon, SC | $6.10M |
| Mcleod Physician Associates II | Florence, SC | $4.18M |
| Mcleod Physician Associates II | Florence, SC | $4.18M |
| Mcleod Physician Associates | Little River, SC | $2.61M |
| Mcleod Physician Associates II | Florence, SC | $2.57M |
| Mcleod Physician Associates II | Dillon, SC | $2.46M |
| Mcleod Physician Associates II | Darlington, SC | $2.29M |
| Mcleod Physician Associates II | Florence, SC | $2.21M |
| Mcleod Physician Associates II | Dillon, SC | $1.75M |
| Mcleod Physician Associates II | Cheraw, SC | $1.64M |
| Mcleod Physician Associates II | Florence, SC | $1.58M |
| Mcleod Physician Associates II | Florence, SC | $1.29M |
| Mcleod Physician Associates II | Florence, SC | $1.14M |
| Mcleod Physician Associates II | Florence, SC | $1.08M |
| Mcleod Physician Associates II | Loris, SC | $580K |
| Mcleod Physician Associates II | Florence, SC | $539K |
| Mcleod Physician Associates II | Florence, SC | $478K |
| Mcleod Physician Associates II | Sumter, SC | $450K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.