Physician
Piedmont Family Practice LLC
Piedmont Family Practice LLC was paid $544K by Medicaid between Mar 2018 and Oct 2024, across 26 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 79% of everything it billed.
33Billing provider infoPIEDMONT FAMILY PRACTICE LLC
PIEDMONT, SC 29673
PIEDMONT, SC 29673
33aNPI1437208790assigned 01/09/2007
33bProvider typeFamily Medicine Physician
28Total paid$544K
24GClaims13,770
24DCodes billed26
24AFirst – last monthMar 2018 – Oct 2024
Compared with peers
Next to other Family Medicine Physician providers in South Carolina
Rank by total paid#69 of 696
Median peer was paid$14K
This provider vs. median38×
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 | 823 | $24K | |
| 2019 | 1,860 | $73K | |
| 2020 | 1,773 | $100K | |
| 2021 | 2,375 | $99K | |
| 2022 | 2,458 | $98K | |
| 2023 | 3,468 | $102K | |
| 2024incomplete | 1,013 | $48K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 79% | 6,414 | 5,743 | $427K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 1,843 | 1,670 | $97K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 892 | 828 | $5K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 103 | 99 | $5K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 204 | 97 | $3K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 15 | 14 | $1K |
| 99406 | <1% | 154 | 138 | $1K | |
| 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 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 60 | 54 | $755.06 |
| 90682 | <1% | 15 | 13 | $592.17 | |
| 99490 | Ccm add 20min | <1% | 138 | 119 | $516.81 |
| 81001 | <1% | 132 | 107 | $280.51 |
14 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 14 | $269.00 |
| 90686 | <1% | 28 | $220.52 | |
| 99484 | <1% | 41 | $123.11 | |
| 80305 | <1% | 12 | $84.05 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 28 | $68.85 |
| 36415 | Collection of venous blood by venipuncture | <1% | 30 | $59.48 |
| 1159F | 0% | 641 | $0.00 | |
| 3078F | 0% | 491 | $0.00 | |
| 1160F | 0% | 693 | $0.00 | |
| 1126F | 0% | 374 | $0.00 | |
| 3074F | 0% | 626 | $0.00 | |
| 3008F | 0% | 586 | $0.00 | |
| 1125F | 0% | 164 | $0.00 | |
| 3079F | 0% | 60 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialSLOAN, ELAINE (PRACTICE ADMINISTRATOR)