Mcleod Physician Associates II
Mcleod Physician Associates II was paid $6.10M by Medicaid between Jan 2018 and Dec 2024, across 63 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.
DILLON, SC 29536
Next to other Family Nurse Practitioner providers in South Carolina
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.
Paid by month
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 20,943 | $848K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 29,119 | 24,223 | $1.70M |
| 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 | 27% | 18,938 | 17,370 | $1.67M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.9% | 7,620 | 6,898 | $602K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.2% | 6,538 | 6,204 | $564K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.2% | 14,014 | 13,172 | $379K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 5.0% | 3,948 | 3,045 | $303K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.5% | 2,462 | 2,208 | $213K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.9% | 2,116 | 1,995 | $179K |
| 90461 | 1.6% | 4,991 | 4,920 | $96K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.5% | 6,718 | 6,318 | $89K |
| 99460 | <1% | 778 | 653 | $61K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 1,004 | 870 | $59K |
51 more codes
| G9153 | Mapcp demonstration - physician incentive pool | <1% | 1,195 | $56K |
| 99499 | <1% | 291 | $22K | |
| 87428 | <1% | 353 | $20K | |
| 99462 | <1% | 585 | $20K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 1,528 | $17K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,698 | $13K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 156 | $5K |
| 99199 | Unlisted special service, procedure or report | <1% | 2,416 | $5K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 100 | $4K |
| 81002 | <1% | 1,163 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 653 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 255 | $3K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 76 | $3K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 26 | $3K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 38 | $2K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 172 | $2K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 37 | $1K |
| 99221 | <1% | 14 | $1K | |
| 54150 | <1% | 15 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 194 | $992.81 |
| 99218 | <1% | 14 | $973.94 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 477 | $781.14 |
| 90670 | <1% | 4,476 | $652.98 | |
| 90697 | <1% | 1,497 | $416.16 | |
| 90716 | <1% | 346 | $291.96 | |
| 90651 | <1% | 1,287 | $224.16 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 14 | $83.64 |
| 90707 | <1% | 358 | $82.66 | |
| 90686 | <1% | 703 | $82.10 | |
| 81003 | <1% | 47 | $73.84 | |
| 90647 | <1% | 956 | $52.50 | |
| 90656 | <1% | 519 | $30.00 | |
| 90633 | 0% | 2,946 | $0.00 | |
| 90681 | 0% | 1,401 | $0.00 | |
| 90710 | 0% | 537 | $0.00 | |
| 3078F | 0% | 972 | $0.00 | |
| 90715 | 0% | 611 | $0.00 | |
| 1159F | 0% | 1,258 | $0.00 | |
| 90734 | 0% | 390 | $0.00 | |
| 1160F | 0% | 1,235 | $0.00 | |
| 90658 | 0% | 15 | $0.00 | |
| 90655 | 0% | 28 | $0.00 | |
| 90723 | 0% | 1,075 | $0.00 | |
| 90696 | 0% | 443 | $0.00 | |
| 90698 | 0% | 1,871 | $0.00 | |
| 3074F | 0% | 1,010 | $0.00 | |
| 90744 | 0% | 774 | $0.00 | |
| 90680 | 0% | 196 | $0.00 | |
| 90619 | 0% | 46 | $0.00 | |
| 90620 | 0% | 19 | $0.00 | |
| 3079F | 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.
Who's on the registration
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.