Cherokee Internal Medicine PA

Cherokee Internal Medicine PA was paid $305K by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 60% of everything it billed.

33Billing provider infoCHEROKEE INTERNAL MEDICINE PA
GAFFNEY, SC 29341

33aNPI1386606556assigned 04/04/2006

33bProvider typeInternal Medicine Physician

28Total paid$305K

24GClaims9,696

24DCodes billed5

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Internal Medicine Physician providers in South Carolina

Rank by total paid#41 of 273

Median peer was paid$19K

This provider vs. median16×

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	2,716	$65K
2019	2,412	$66K
2020	1,460	$44K
2021	1,306	$45K
2022	598	$30K
2023	829	$36K
2024incomplete	375	$20K

Box 24 · Service lines

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	60%	3,883	2,112	$185K
99308	Subsequent nursing facility care, per day, straightforward	32%	5,143	1,979	$97K
99309	Subsequent nursing facility care, per day, low to moderate complexity	6.5%	568	402	$20K
99335		<1%	70	49	$3K
99336		<1%	32	26	$1K

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 officialEZMAN, ALFRED (OWNER)