Medicaid Provider Spending

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

SANDHILLS MEDICAL FOUNDATION, INC.

NPI: 1487712923 · LUGOFF, SC 29078 · Family Medicine Physician · NPI assigned 12/05/2006

$3.16M
Total Medicaid Paid
30,568
Total Claims
28,218
Beneficiaries
46
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWARDLAW, ERNEST (CEO)
Parent OrganizationSANDHILLS MEDICAL FOUNDATION, INC.
NPI Enumeration Date12/05/2006

Related Entities

Other providers sharing the same authorized official: WARDLAW, ERNEST

ProviderCityStateTotal Paid
SANDHILLS MEDICAL FOUNDATION, INC. SUMTER SC $1.08M
SANDHILLS MEDICAL FOUNDATION, INC. KERSHAW SC $578K
SANDHILLS MEDICAL FOUNDATION, INC. JEFFERSON SC $450K
SANDHILLS MEDICAL FOUNDATION, INC. MCBEE SC $232K
SANDHILLS MEDICAL FOUNDATION, INC. CAMDEN SC $160K
SANDHILLS MEDICAL FOUNDATION, INC. RUBY SC $39K
SANDHILLS MEDICAL FOUNDATION, INC. PAGELAND SC $6K
SANDHILLS MEDICAL FOUNDATION, INC. BETHUNE SC $6K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,487 $612K
2019 3,094 $482K
2020 2,010 $195K
2021 3,989 $407K
2022 6,097 $490K
2023 7,152 $628K
2024 3,739 $344K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,957 6,363 $1.37M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,489 4,288 $857K
T1015 Clinic visit/encounter, all-inclusive 5,037 4,143 $458K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 571 512 $110K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,892 1,836 $93K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 329 315 $60K
97802 1,951 1,917 $54K
90834 Psychotherapy, 45 minutes with patient 249 187 $44K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 165 161 $32K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 134 128 $25K
90460 Immunization administration through 18 years of age via any route, first or only component 1,424 1,208 $21K
97803 348 346 $12K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 30 28 $6K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13 13 $3K
99441 160 153 $2K
36415 Collection of venous blood by venipuncture 783 764 $2K
96127 857 845 $2K
92561 234 230 $1K
99442 31 28 $933.02
G9153 Mapcp demonstration - physician incentive pool 41 41 $780.00
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 15 14 $769.65
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 208 196 $720.64
90686 141 140 $477.50
90688 112 99 $319.79
87430 204 198 $288.42
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 249 244 $260.52
87400 63 62 $184.37
92700 263 261 $98.62
83036 Hemoglobin; glycosylated (A1C) 125 121 $69.23
85018 126 123 $52.26
82947 65 63 $40.95
90674 67 65 $36.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 86 83 $20.10
99173 742 732 $1.60
99408 86 84 $0.27
99071 1,893 1,827 $0.21
96110 Developmental screening, with scoring and documentation, per standardized instrument 39 39 $0.07
85025 Blood count; complete (CBC), automated, and automated differential WBC count 90 89 $0.00
3008F 87 82 $0.00
36416 36 36 $0.00
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 17 16 $0.00
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 45 26 $0.00
80053 Comprehensive metabolic panel 28 28 $0.00
84443 Thyroid stimulating hormone (TSH) 12 12 $0.00
G0008 Administration of influenza virus vaccine 16 16 $0.00
80061 Lipid panel 58 56 $0.00