Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Palmetto Primary Care Physicians, LLC

Palmetto Primary Care Physicians, LLC was paid $457K by Medicaid between Jan 2018 and Nov 2024, across 15 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 74% of everything it billed.

33Billing provider infoPALMETTO PRIMARY CARE PHYSICIANS, LLC
LADSON, SC 29456
33aNPI1225381320assigned 10/26/2012
28Total paid$457K
24GClaims7,844
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Family Medicine Physician providers in South Carolina

Rank by total paid#79 of 696
Median peer was paid$14K
This provider vs. median32×

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.

Entity ProliferationAuthorized official ARNAU, THOMAS controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20181,207$68K
20191,040$61K
20201,157$72K
20211,726$105K
20221,086$59K
2023936$55K
2024incomplete692$38K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 74% 4,646 4,161 $337K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17% 1,397 1,256 $78K
99221 4.5% 231 221 $21K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 2.7% 120 112 $13K
99401 <1% 96 91 $3K
99222 Initial hospital care, per day, moderate complexity <1% 16 16 $2K
36415 Collection of venous blood by venipuncture <1% 976 893 $2K
96127 <1% 81 75 $832.84
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 190 148 $666.98
93000 <1% 15 14 $160.06
90674 <1% 13 13 $111.88
81003 <1% 27 25 $32.50
3 more codes
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 0% 12 $0.00
G0444 Annual depression screening, 5 to 15 minutes 0% 12 $0.00
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes 0% 12 $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.

From NPPES

Who's on the registration

Authorized officialARNAU, THOMAS (PRESIDENT)
Same official

Other billing entities under ARNAU, THOMAS

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.