Medicaid Provider Spending

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

MCLEOD PHYSICIAN ASSOCIATES II

NPI: 1346344934 · DILLON, SC 29536 · Family Nurse Practitioner · NPI assigned 09/12/2006

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

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

$6.10M
Total Medicaid Paid
134,744
Total Claims
121,442
Beneficiaries
63
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBEASLEY, KENNETH (SENIOR VICE PRESIDENT)
Parent OrganizationMCLEOD HEALTH
NPI Enumeration Date09/12/2006

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 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
MCLEOD PHYSICIAN ASSOCIATES II FLORENCE SC $445K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 18,232 $761K
2019 19,291 $859K
2020 16,387 $787K
2021 19,988 $943K
2022 20,423 $995K
2023 19,480 $911K
2024 20,943 $848K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 29,119 24,223 $1.70M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 18,938 17,370 $1.67M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 7,620 6,898 $602K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 6,538 6,204 $564K
90460 Immunization administration through 18 years of age via any route, first or only component 14,014 13,172 $379K
T1015 Clinic visit/encounter, all-inclusive 3,948 3,045 $303K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,462 2,208 $213K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,116 1,995 $179K
90461 4,991 4,920 $96K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 6,718 6,318 $89K
99460 778 653 $61K
99238 Hospital discharge day management, 30 minutes or less 1,004 870 $59K
G9153 Mapcp demonstration - physician incentive pool 1,195 1,178 $56K
99499 291 260 $22K
87428 353 324 $20K
99462 585 424 $20K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,528 1,388 $17K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,698 1,578 $13K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 156 150 $5K
99199 Unlisted special service, procedure or report 2,416 2,223 $5K
99239 Hospital discharge day management, more than 30 minutes 100 57 $4K
81002 1,163 1,041 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 653 570 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 255 126 $3K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 76 74 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 26 25 $3K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 38 38 $2K
90472 Immunization administration, each additional vaccine (list separately) 172 137 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity 37 17 $1K
99221 14 14 $1K
54150 15 15 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 194 158 $992.81
99218 14 13 $973.94
J0696 Injection, ceftriaxone sodium, per 250 mg 477 420 $781.14
90670 4,476 4,192 $652.98
90697 1,497 1,387 $416.16
90716 346 330 $291.96
90651 1,287 1,156 $224.16
J1030 Injection, methylprednisolone acetate, 40 mg 14 13 $83.64
90707 358 341 $82.66
90686 703 645 $82.10
81003 47 41 $73.84
90647 956 886 $52.50
90656 519 473 $30.00
90633 2,946 2,806 $0.00
90681 1,401 1,319 $0.00
90710 537 520 $0.00
3078F 972 892 $0.00
90715 611 562 $0.00
1159F 1,258 1,134 $0.00
90734 390 328 $0.00
1160F 1,235 1,111 $0.00
90658 15 15 $0.00
90655 28 27 $0.00
90723 1,075 998 $0.00
90696 443 430 $0.00
90698 1,871 1,798 $0.00
3074F 1,010 928 $0.00
90744 774 738 $0.00
90680 196 191 $0.00
90619 46 45 $0.00
90620 19 18 $0.00
3079F 12 12 $0.00