Medicaid Provider Spending

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

PALMETTO PRIMARY CARE PHYSICIANS, LLC

NPI: 1225381320 · LADSON, SC 29456 · Family Medicine Physician · NPI assigned 10/26/2012

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

Authorized official ARNAU, THOMAS controls 20+ related entities in our dataset. Read more

$457K
Total Medicaid Paid
7,844
Total Claims
7,061
Beneficiaries
15
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialARNAU, THOMAS (PRESIDENT)
NPI Enumeration Date10/26/2012

Related Entities

Other providers sharing the same authorized official: ARNAU, THOMAS

ProviderCityStateTotal Paid
PALMETTO PRIMARY CARE PHYSICIANS, LLC N CHARLESTON SC $1.84M
PALMETTO PRIMARY CARE PHYSICIANS, LLC SUMMERVILLE SC $1.54M
PALMETTO PRIMARY CARE PHYSICIANS, LLC N CHARLESTON SC $1.08M
PALMETTO PRIMARY CARE PHYSICIANS, LLC HAMPTON SC $1.06M
PALMETTO PRIMARY CARE PHYSICIANS, LLC MONCKS CORNER SC $891K
PALMETTO PRIMARY CARE PHYSICIANS, LLC SUMMERVILLE SC $738K
PALMETTO PRIMARY CARE PHYSICIANS, LLC N CHARLESTON SC $563K
PALMETTO PRIMARY CARE PHYSICIANS, LLC CHARLESTON SC $549K
PALMETTO PRIMARY CARE PHYSICIANS, LLC CHARLESTON SC $515K
PALMETTO PRIMARY CARE PHYSICIANS, LLC BONNEAU SC $411K
PALMETTO PRIMARY CARE PHYSICIANS, LLC SUMMERVILLE SC $395K
PALMETTO PRIMARY CARE PHYSICIANS, LLC SAINT STEPHEN SC $357K
PALMETTO PRIMARY CARE PHYSICIANS, LLC SUMMERVILLE SC $332K
PALMETTO PRIMARY CARE PHYSICIANS, LLC SUMMERVILLE SC $279K
PALMETTO PRIMARY CARE PHYSICIANS, LLC SAINT GEORGE SC $178K
PALMETTO PRIMARY CARE PHYSICIANS,LLC SUMMERVILLE SC $156K
PALMETTO PRIMARY CARE PHYSICIANS, LLC SUMMERVILLE SC $126K
PALMETTO PRIMARY CARE PHYSICIANS, LLC DANIEL ISLAND SC $118K
PALMETTO PRIMARY CARE PHYSICIANS, LLC GOOSE CREEK SC $63K
PALMETTO PRIMARY CARE PHYSICIANS, LLC LADSON SC $54K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,207 $68K
2019 1,040 $61K
2020 1,157 $72K
2021 1,726 $105K
2022 1,086 $59K
2023 936 $55K
2024 692 $38K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,646 4,161 $337K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,397 1,256 $78K
99221 231 221 $21K
99215 Prolong outpt/office vis 120 112 $13K
99401 96 91 $3K
99222 Initial hospital care, per day, moderate complexity 16 16 $2K
36415 Collection of venous blood by venipuncture 976 893 $2K
96127 81 75 $832.84
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 190 148 $666.98
93000 15 14 $160.06
90674 13 13 $111.88
81003 27 25 $32.50
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 12 12 $0.00
G0444 Annual depression screening, 5 to 15 minutes 12 12 $0.00
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes 12 12 $0.00