Physician
Sentinel Health Partners, PA
Sentinel Health Partners, PA was paid $83K by Medicaid between Jan 2018 and Sep 2019, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.
33Billing provider infoSENTINEL HEALTH PARTNERS, PA
KERSHAW, SC 29067
KERSHAW, SC 29067
33aNPI1356559793assigned 05/18/2007
33bProvider typeInternal Medicine Physician
28Total paid$83K
24GClaims2,608
24DCodes billed12
24AFirst – last monthJan 2018 – Sep 2019
Compared with peers
Next to other Internal Medicine Physician providers in South Carolina
Rank by total paid#89 of 273
Median peer was paid$19K
This provider vs. median4.3×
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.
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 | 1,740 | $52K | |
| 2019 | 868 | $31K |
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 | 49% | 766 | 628 | $40K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 46% | 840 | 723 | $38K |
| 99490 | Ccm add 20min | 1.9% | 322 | 319 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 64 | 29 | $762.73 |
| 90682 | <1% | 16 | 16 | $600.02 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 38 | 34 | $491.66 |
| 36415 | Collection of venous blood by venipuncture | <1% | 231 | 219 | $403.18 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 51 | 45 | $159.36 |
| 81003 | <1% | 33 | 28 | $83.93 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 12 | 12 | $67.74 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 71 | 63 | $0.00 |
| 3008F | 0% | 164 | 139 | $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 officialMCALPINE, JAMES (CEO)
| Provider | Location | Paid |
|---|---|---|
| Sentinel Health Partners, PA | Elgin, SC | $279K |
| Sentinel Health Partners, PA | Camden, SC | $163K |
| Sentinel Health Partners, PA | Camden, SC | $99K |
| Sentinel Health Partners, PA | Lugoff, SC | $76K |
| Sentinel Health Partners, PA | Camden, SC | $6K |
| Sentinel Health Partners, PA | Camden, SC | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.