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

Waterway Primary Care,llc

Waterway Primary Care,llc was paid $152K by Medicaid between Jan 2018 and Oct 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 59% of everything it billed.

33Billing provider infoWATERWAY PRIMARY CARE,LLC
LITTLE RIVER, SC 29566
33aNPI1295165579assigned 11/22/2013
28Total paid$152K
24GClaims4,070
24DCodes billed5
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Family Medicine Physician providers in South Carolina

Rank by total paid#164 of 696
Median peer was paid$14K
This provider vs. median11×

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 FAILE, ROBERT controls 12+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K2018201920202021202220232024
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
20181,605$52K
2019657$25K
2020557$23K
2021431$18K
2022363$14K
2023343$14K
2024incomplete114$5K
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 59% 2,040 1,649 $90K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 41% 1,939 1,589 $62K
83036 Hemoglobin; glycosylated (A1C) <1% 39 27 $148.23
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 17 13 $63.10
J1030 Injection, methylprednisolone acetate, 40 mg <1% 35 24 $61.22

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 officialFAILE, ROBERT (AUTHORIZED OFFICIAL)
Same official

Other billing entities under FAILE, ROBERT

Full network →

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