Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › SC › Manning › NPI 1396158200
Physician

Ploetzke, Monica

Ploetzke, Monica was paid $1K by Medicaid between Jul 2019 and Aug 2020, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 86% of everything it billed.

33Billing provider infoPLOETZKE, MONICA
MANNING, SC 29102
33aNPI1396158200assigned 06/09/2014
28Total paid$1K
24GClaims32
24DCodes billed2
24AFirst – last monthJul 2019 – Aug 2020
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in South Carolina

Rank by total paid#176 of 206
Median peer was paid$10K
This provider vs. median0.1×

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

$0$500$1.0K$1.5K2018201920202021202220232024
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
YearClaimsPaid
201920$1K
202012$180.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 86% 20 18 $1K
96160 14% 12 12 $180.00

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.