Physician
Walterboro Adult and Pediatric Medicine,llc
Walterboro Adult and Pediatric Medicine,llc was paid $857K by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoWALTERBORO ADULT AND PEDIATRIC MEDICINE,LLC
WALTERBORO, SC 29488
WALTERBORO, SC 29488
33aNPI1467438499assigned 12/21/2005
33bProvider typeFamily Medicine Physician
28Total paid$857K
24GClaims27,386
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in South Carolina
Rank by total paid#44 of 696
Median peer was paid$14K
This provider vs. median59×
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 | 5,331 | $200K | |
| 2019 | 3,248 | $134K | |
| 2020 | 1,804 | $55K | |
| 2021 | 3,779 | $106K | |
| 2022 | 4,637 | $122K | |
| 2023 | 4,785 | $116K | |
| 2024incomplete | 3,802 | $125K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 48% | 7,711 | 6,804 | $408K |
| 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 | 23% | 2,510 | 2,285 | $199K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 16% | 1,721 | 1,420 | $134K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 4.5% | 3,418 | 3,286 | $39K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.8% | 1,775 | 1,737 | $33K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 1.2% | 2,479 | 2,368 | $10K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 131 | 126 | $4K |
| 81025 | <1% | 585 | 564 | $3K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 327 | 306 | $3K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 31 | 31 | $3K |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 1,391 | 1,242 | $3K |
| 83655 | <1% | 230 | 227 | $2K |
14 more codes
| 81003 | <1% | 1,199 | $2K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 25 | $2K |
| 88738 | <1% | 455 | $2K | |
| 90658 | <1% | 185 | $2K | |
| 90461 | <1% | 897 | $2K | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 2,011 | $2K |
| 90756 | <1% | 52 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 14 | $1K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 50 | $496.68 |
| 90686 | <1% | 58 | $492.60 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 79 | $491.08 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 14 | $241.98 |
| 82947 | <1% | 25 | $66.54 | |
| 86580 | <1% | 13 | $63.55 |
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 officialMALPHRUS, CATHY (OFFICE MANAGER)