Physician
Palmetto Adult and Childrens Urology PA
Palmetto Adult and Childrens Urology PA was paid $744K by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 53% of everything it billed.
33Billing provider infoPALMETTO ADULT AND CHILDRENS UROLOGY PA
NORTH CHARLESTON, SC 29406
NORTH CHARLESTON, SC 29406
33aNPI1467440644assigned 10/11/2005
33bProvider typeUrology Physician
28Total paid$744K
24GClaims24,061
24DCodes billed16
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Urology Physician providers in South Carolina
Rank by total paid#1 of 33
Median peer was paid$4K
This provider vs. median175×
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 | 2,255 | $84K | |
| 2019 | 2,039 | $83K | |
| 2020 | 2,011 | $79K | |
| 2021 | 3,258 | $128K | |
| 2022 | 5,255 | $158K | |
| 2023 | 4,344 | $116K | |
| 2024incomplete | 4,899 | $97K |
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 | 53% | 10,970 | 8,031 | $394K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 17% | 1,545 | 1,335 | $129K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 4,290 | 3,479 | $122K |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | 4.1% | 148 | 113 | $30K |
| 99205 | Prolong outpt/office vis | 3.2% | 209 | 185 | $23K |
| 81002 | 1.6% | 4,897 | 4,136 | $12K | |
| 87481 | <1% | 122 | 91 | $6K | |
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | <1% | 32 | 29 | $5K |
| 87641 | <1% | 202 | 159 | $5K | |
| 87500 | <1% | 151 | 132 | $4K | |
| 87653 | <1% | 147 | 129 | $4K | |
| 87640 | <1% | 181 | 144 | $4K |
4 more codes
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 116 | $3K |
| 51798 | <1% | 199 | $1K | |
| 52000 | <1% | 16 | $429.56 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 836 | $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 officialMUNKBERG, AMELIA (PRACTICE ADMINISTRATOR)