Medicaid Provider Spending

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

MCLEOD PHYSICIAN ASSOCIATES

NPI: 1396031985 · LITTLE RIVER, SC 29566 · Obstetrics & Gynecology Physician · NPI assigned 06/22/2011

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

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

$2.61M
Total Medicaid Paid
77,534
Total Claims
56,464
Beneficiaries
26
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBEASLEY, KENNETH (SENIOR VICE PRESIDENT)
Parent OrganizationMCLEOD HEALTH
NPI Enumeration Date06/22/2011

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 DILLON SC $6.10M
MCLEOD PHYSICIAN ASSOCIATES II FLORENCE SC $4.18M
MCLEOD PHYSICIAN ASSOCIATES II FLORENCE SC $4.18M
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 11,137 $334K
2019 9,985 $322K
2020 11,643 $411K
2021 13,316 $458K
2022 12,069 $388K
2023 10,768 $363K
2024 8,616 $336K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 24,259 17,080 $1.45M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 2,868 2,458 $230K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,950 1,600 $164K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,895 2,276 $107K
76830 Ultrasound, transvaginal 1,311 1,171 $107K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 960 844 $97K
59025 Fetal non-stress test 3,669 2,151 $91K
81002 24,913 16,241 $77K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 882 794 $73K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 827 694 $72K
81025 5,486 4,643 $37K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 254 224 $31K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 4,526 3,869 $23K
H0002 Behavioral health screening to determine eligibility for admission to treatment program 662 620 $15K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 204 174 $12K
76801 79 61 $7K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 86 55 $4K
90715 87 79 $3K
87210 522 448 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 265 222 $2K
59430 12 12 $2K
99199 Unlisted special service, procedure or report 757 692 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 13 12 $928.10
90674 19 17 $399.33
90686 16 15 $207.82
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 12 12 $198.12