Clinic
Sandhills Medical Foundation, INC.
Sandhills Medical Foundation, INC. was paid $578K by Medicaid between Jan 2018 and Nov 2024, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.
33Billing provider infoSANDHILLS MEDICAL FOUNDATION, INC.
KERSHAW, SC 29067
KERSHAW, SC 29067
33aNPI1386902542assigned 04/25/2012
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$578K
24GClaims4,657
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in South Carolina
Rank by total paid#49 of 85
Median peer was paid$746K
This provider vs. median0.8×
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 | 660 | $102K | |
| 2019 | 752 | $117K | |
| 2020 | 198 | $34K | |
| 2021 | 442 | $67K | |
| 2022 | 861 | $89K | |
| 2023 | 1,147 | $113K | |
| 2024incomplete | 597 | $57K |
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 | 50% | 1,505 | 1,364 | $291K |
| 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 | 30% | 937 | 848 | $175K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 18% | 1,180 | 944 | $105K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 102 | 101 | $5K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 12 | 12 | $2K |
| 87430 | <1% | 64 | 62 | $425.74 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 77 | 72 | $165.28 |
| 96127 | <1% | 288 | 279 | $130.48 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 16 | 14 | $98.63 |
| 36415 | Collection of venous blood by venipuncture | <1% | 79 | 75 | $39.10 |
| 81025 | <1% | 13 | 12 | $16.11 | |
| 99071 | <1% | 183 | 173 | $0.01 |
3 more codes
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 officialWARDLAW, ERNEST (CEO)
| Provider | Location | Paid |
|---|---|---|
| Sandhills Medical Foundation, INC. | Lugoff, SC | $3.16M |
| Sandhills Medical Foundation, INC. | Sumter, SC | $1.08M |
| Sandhills Medical Foundation, INC. | Jefferson, SC | $450K |
| Sandhills Medical Foundation, INC. | Mcbee, SC | $232K |
| Sandhills Medical Foundation, INC. | Camden, SC | $160K |
| Sandhills Medical Foundation, INC. | Ruby, SC | $39K |
| Sandhills Medical Foundation, INC. | Pageland, SC | $6K |
| Sandhills Medical Foundation, INC. | Bethune, SC | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.