Medicaid Provider Spending

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

PALMETTO PRIMARY CARE PHYSICIANS, LLC

NPI: 1285673269 · CHARLESTON, SC 29420 · Family Medicine Physician · NPI assigned 06/05/2006

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

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

$549K
Total Medicaid Paid
10,588
Total Claims
9,777
Beneficiaries
25
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialARNAU, THOMAS (PRESIDENT)
NPI Enumeration Date06/05/2006

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 $515K
PALMETTO PRIMARY CARE PHYSICIANS, LLC LADSON SC $457K
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 1,906 $92K
2019 2,100 $107K
2020 1,771 $103K
2021 1,868 $107K
2022 1,261 $67K
2023 915 $46K
2024 767 $26K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,233 3,933 $314K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,704 3,343 $197K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 105 94 $9K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 97 92 $9K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 43 38 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 87 85 $3K
36415 Collection of venous blood by venipuncture 1,634 1,524 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 23 21 $2K
90460 Immunization administration through 18 years of age via any route, first or only component 102 99 $2K
90461 25 25 $481.29
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 25 24 $359.65
90674 28 28 $346.01
85025 Blood count; complete (CBC), automated, and automated differential WBC count 67 67 $337.62
81003 180 176 $330.01
84443 Thyroid stimulating hormone (TSH) 30 30 $275.10
80061 Lipid panel 34 34 $261.00
80053 Comprehensive metabolic panel 42 42 $238.96
83036 Hemoglobin; glycosylated (A1C) 35 35 $199.63
93000 15 12 $188.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 13 12 $121.12
81025 15 14 $81.73
84439 13 13 $56.32
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes 13 12 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 13 12 $0.00
90686 12 12 $0.00