Medicaid Provider Spending

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

PROVIDENCE GROUP PRACTICES II, LLC

NPI: 1396192001 · COLUMBIA, SC 29204 · Cardiovascular Disease Physician · NPI assigned 05/23/2016

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

Authorized official TEAGUE, KATHY controls 20+ related entities in our dataset. Read more

$390K
Total Medicaid Paid
17,245
Total Claims
15,257
Beneficiaries
11
Codes Billed
2018-01
First Month
2021-07
Last Month

Provider Details

Authorized OfficialTEAGUE, KATHY (AVP, CORPORATE SECRETARY)
NPI Enumeration Date05/23/2016

Related Entities

Other providers sharing the same authorized official: TEAGUE, KATHY

ProviderCityStateTotal Paid
RCHP-WILMINGTON, LLC WILMINGTON OH $13.53M
PROVIDENCE HOSPITAL, LLC COLUMBIA SC $12.68M
VAUGHAN REGIONAL MEDICAL CENTER LLC SELMA AL $8.15M
KERSHAW HOSPITAL LLC CAMDEN SC $7.93M
BOLIVAR PHYSICIAN PRACTICES LLC CLEVELAND MS $3.05M
WILMINGTON PHYSICIANS GROUP LLC WILMINGTON OH $3.04M
PHC-MORGAN CITY LP MORGAN CITY LA $2.37M
COMMUNITY HOSPITAL OF ANDALUSIA LLC ANDALUSIA AL $2.27M
VAUGHAN REGIONAL MEDICAL CENTER LLC MARION AL $2.15M
PRHC ENNIS LP ENNIS TX $1.81M
ANDALUSIA PHYSICIAN PRACTICES LLC ANDALUSIA AL $847K
MEADOWVIEW PHYSICIAN PRACTICE LLC MAYSVILLE KY $783K
LOGAN PHYSICIAN PRACTICE LLC RUSSELLVILLE KY $317K
KENTUCKY MSO LLC GEORGETOWN KY $248K
RCHP-WILMINGTON, LLC WILMINGTON OH $165K
MEADOWVIEW PHYSICIAN PRACTICE LLC MAYSVILLE KY $140K
AMG-SOUTHERN TENNESSEE LLC MONTEAGLE TN $136K
LAKE CUMBERLAND PHYSICIAN PRACTICES LLC SOMERSET KY $135K
LAKE CUMBERLAND PHYSICIAN PRACTICES LLC SOMERSET KY $57K
KERSHAW HOSPITAL LLC LUGOFF SC $49K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,362 $46K
2019 6,609 $128K
2020 4,906 $120K
2021 3,368 $98K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,998 6,406 $279K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,017 935 $56K
93000 5,222 4,843 $30K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 3,603 2,714 $16K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 213 200 $6K
99232 Subsequent hospital care, per day, moderate complexity 41 12 $2K
99215 Prolong outpt/office vis 12 12 $995.99
93296 59 59 $603.55
93297 41 40 $350.02
93971 15 12 $191.02
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results 24 24 $154.21