Medicaid Provider Spending

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

MCLEOD PHYSICIAN ASSOCIATES II

NPI: 1255731204 · FLORENCE, SC 29506 · Gastroenterology Physician · NPI assigned 08/27/2014

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

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

$245K
Total Medicaid Paid
7,516
Total Claims
6,767
Beneficiaries
11
Codes Billed
2018-01
First Month
2024-08
Last Month

Provider Details

Authorized OfficialBEASLEY, KENNETH (SENIOR VICE PRESIDENT)
Parent OrganizationMCLEOD HEALTH
NPI Enumeration Date08/27/2014

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 1,537 $45K
2019 1,406 $41K
2020 1,153 $38K
2021 911 $28K
2022 1,112 $36K
2023 790 $32K
2024 607 $26K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,301 4,132 $107K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,224 1,181 $63K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 579 569 $26K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 139 135 $12K
99231 Subsequent hospital care, per day, straightforward or low complexity 589 232 $9K
45380 Colonoscopy, flexible; with biopsy, single or multiple 95 93 $8K
99232 Subsequent hospital care, per day, moderate complexity 198 61 $6K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 59 54 $5K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 98 96 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 217 202 $4K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 17 12 $1K