Medicaid Provider Spending

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

MCLEOD PHYSICIAN ASSOCIATES II

NPI: 1205113248 · LORIS, SC 29569 · Family Nurse Practitioner · NPI assigned 11/04/2011

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official BEASLEY, KENNETH controls 20+ related entities in our dataset. Read more

$344K
Total Medicaid Paid
9,849
Total Claims
8,443
Beneficiaries
20
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialBEASLEY, KENNETH (SENIOR VICE PRESIDENT)
Parent OrganizationMCLEOD HEALTH, INC.
NPI Enumeration Date11/04/2011

Related Entities

Other providers sharing the same authorized official: BEASLEY, KENNETH

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,152 $66K
2019 1,414 $51K
2020 1,085 $41K
2021 1,538 $60K
2022 1,822 $72K
2023 815 $33K
2024 1,023 $22K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,038 5,938 $287K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 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 425 382 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 15 12 $977.75
83036 Hemoglobin; glycosylated (A1C) 150 141 $777.74
87428 17 14 $729.99
90688 79 72 $701.93
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 52 46 $494.68
99309 Subsequent nursing facility care, per day, low to moderate complexity 122 65 $410.58
80305 55 52 $388.84
82947 161 150 $328.03
90682 17 17 $317.96
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 26 21 $90.77
90662 16 15 $42.32
81003 15 13 $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) 152 145 $14.36
3074F 13 13 $0.00
G0008 Administration of influenza virus vaccine 54 50 $0.00
1159F 18 18 $0.00
1160F 18 18 $0.00