Physician
Palmetto Primary Care Physicians, LLC
Palmetto Primary Care Physicians, LLC was paid $549K by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 57% of everything it billed.
33Billing provider infoPALMETTO PRIMARY CARE PHYSICIANS, LLC
CHARLESTON, SC 29420
CHARLESTON, SC 29420
33aNPI1285673269assigned 06/05/2006
33bProvider typeFamily Medicine Physician
28Total paid$549K
24GClaims10,588
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in South Carolina
Rank by total paid#68 of 696
Median peer was paid$14K
This provider vs. median38×
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
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 | 1,906 | $92K | |
| 2019 | 2,100 | $107K | |
| 2020 | 1,771 | $103K | |
| 2021 | 1,868 | $107K | |
| 2022 | 1,261 | $67K | |
| 2023 | 915 | $46K | |
| 2024incomplete | 767 | $26K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 57% | 4,233 | 3,933 | $314K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 36% | 3,704 | 3,343 | $197K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.7% | 105 | 94 | $9K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.6% | 97 | 92 | $9K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.1% | 43 | 38 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 87 | 85 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,634 | 1,524 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 23 | 21 | $2K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 102 | 99 | $2K |
| 90461 | <1% | 25 | 25 | $481.29 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 25 | 24 | $359.65 |
| 90674 | <1% | 28 | 28 | $346.01 |
13 more codes
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 67 | $337.62 |
| 81003 | <1% | 180 | $330.01 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 30 | $275.10 |
| 80061 | Lipid panel | <1% | 34 | $261.00 |
| 80053 | Comprehensive metabolic panel | <1% | 42 | $238.96 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 35 | $199.63 |
| 93000 | <1% | 15 | $188.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 13 | $121.12 |
| 81025 | <1% | 15 | $81.73 | |
| 84439 | <1% | 13 | $56.32 | |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | 0% | 13 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 13 | $0.00 |
| 90686 | 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)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.