Sumter Radiological,pa

Sumter Radiological,pa was paid $562K by Medicaid between Jan 2018 and Sep 2021, across 25 billing codes. Its largest line is 70450, Computed tomography, head or brain; without contrast material — 23% of everything it billed.

33Billing provider infoSUMTER RADIOLOGICAL,PA
SUMTER, SC 29150

33aNPI1225061823assigned 07/08/2006

33bProvider typeDiagnostic Radiology Physician

28Total paid$562K

24GClaims41,090

24DCodes billed25

24AFirst – last monthJan 2018 – Sep 2021

Compared with peers

Next to other Diagnostic Radiology Physician providers in South Carolina

Rank by total paid#14 of 117

Median peer was paid$482.86

This provider vs. median1,164×

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	12,359	$147K
2019	11,630	$151K
2020	9,336	$134K
2021	7,765	$129K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
70450	Computed tomography, head or brain; without contrast material	23%	6,276	5,999	$127K
74177	Computed tomography, abdomen and pelvis; with contrast material	19%	2,415	2,314	$107K
74176	Computed tomography, abdomen and pelvis; without contrast material	13%	2,021	1,942	$75K
71045	Radiologic examination, chest; single view	12%	17,097	14,145	$68K
71046	Radiologic examination, chest; 2 views	8.4%	7,005	6,693	$47K
71275	Computed tomographic angiography, chest, with contrast material	6.6%	768	745	$37K
77067	Screening mammography, bilateral, including computer-aided detection	5.9%	1,243	1,222	$33K
76815	Ultrasound, pregnant uterus, real time with image documentation, limited	5.6%	1,413	1,243	$31K
77063	Screening digital breast tomosynthesis, bilateral	2.4%	785	773	$13K
76819	Fetal biophysical profile; without non-stress testing	<1%	190	150	$5K
73630		<1%	647	584	$3K
76700	Ultrasound, abdominal, real time with image documentation; complete	<1%	128	127	$3K

13 more codes

72125	Computed tomography, cervical spine; without contrast material	<1%	93	$3K
76642		<1%	90	$2K
73130		<1%	188	$1K
74018		<1%	189	$1K
73564		<1%	135	$961.27
76705	Ultrasound, abdominal, real time with image documentation; limited	<1%	53	$941.57
73610		<1%	160	$884.28
71250		<1%	39	$674.17
93976		<1%	13	$561.60
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	<1%	15	$558.14
73030		<1%	99	$555.67
72100		<1%	14	$95.15
73502		<1%	14	$59.72

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 officialPANNELL, TIMOTHY (PRESIDENT)