Medicaid Provider Spending

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

MCLEOD PHYSICIAN ASSOCIATES II

NPI: 1427437870 · CHERAW, SC 29520 · Pediatric Nurse Practitioner · NPI assigned 05/19/2015

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

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

$1.64M
Total Medicaid Paid
38,647
Total Claims
34,678
Beneficiaries
35
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBEASLEY, KENNETH (SENIOR VICE PRESIDENT)
Parent OrganizationMCLEOD HEALTH
NPI Enumeration Date05/19/2015

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 LITTLE RIVER SC $2.61M
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 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 7,867 $261K
2019 6,985 $261K
2020 5,174 $202K
2021 5,117 $254K
2022 4,956 $255K
2023 4,446 $237K
2024 4,102 $174K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13,429 12,268 $776K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,879 2,703 $272K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,500 1,466 $138K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,463 1,402 $126K
90460 Immunization administration through 18 years of age via any route, first or only component 4,840 4,709 $119K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,923 1,969 $52K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,629 2,494 $31K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 833 800 $28K
90461 1,878 1,826 $26K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 410 401 $20K
87428 340 328 $20K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 176 175 $17K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 127 124 $13K
G9153 Mapcp demonstration - physician incentive pool 66 66 $3K
87807 160 155 $2K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 41 41 $1K
92551 46 46 $117.40
81003 12 12 $18.60
90670 740 709 $0.00
3078F 289 268 $0.00
90633 66 66 $0.00
1159F 476 441 $0.00
90710 39 38 $0.00
1160F 477 442 $0.00
90715 39 39 $0.00
90734 25 25 $0.00
90685 14 14 $0.00
90723 374 359 $0.00
90697 138 137 $0.00
90680 162 152 $0.00
90651 72 71 $0.00
90696 32 30 $0.00
90647 301 286 $0.00
3074F 315 291 $0.00
90686 336 325 $0.00