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

Mcleod Physician Associates II

Mcleod Physician Associates II was paid $140K by Medicaid between Jan 2018 and Jul 2019, across 11 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 47% of everything it billed.

33Billing provider infoMCLEOD PHYSICIAN ASSOCIATES II
KINGSTREE, SC 29556
33aNPI1275689002assigned 01/26/2007
28Total paid$140K
24GClaims4,057
24DCodes billed11
24AFirst – last monthJan 2018 – Jul 2019
Compared with peers

Next to other Family Medicine Physician providers in South Carolina

Rank by total paid#175 of 696
Median peer was paid$14K
This provider vs. median9.7×

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 ERVIN, SAMUEL 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
20182,755$92K
20191,302$48K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 47% 1,913 1,606 $66K
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 30% 738 667 $42K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19% 634 596 $27K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1.7% 170 83 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.2% 28 28 $2K
81002 <1% 317 298 $769.98
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 31 26 $429.93
90460 Immunization administration through 18 years of age via any route, first or only component <1% 32 31 $297.65
90686 <1% 25 25 $266.00
85013 <1% 83 79 $182.13
36415 Collection of venous blood by venipuncture <1% 86 84 $168.20

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 officialERVIN, SAMUEL (SR VICE PRESIDENT AND CFO)
Parent organizationMCLEOD HEALTH
Same official

Other billing entities under ERVIN, SAMUEL

Full network →

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