Physician
Sandhills Medical Foundation, INC.
Sandhills Medical Foundation, INC. was paid $3.16M by Medicaid between Jan 2018 and Dec 2024, across 46 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.
33Billing provider infoSANDHILLS MEDICAL FOUNDATION, INC.
LUGOFF, SC 29078
LUGOFF, SC 29078
33aNPI1487712923assigned 12/05/2006
33bProvider typeFamily Medicine Physician
28Total paid$3.16M
24GClaims30,568
24DCodes billed46
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in South Carolina
Rank by total paid#14 of 696
Median peer was paid$14K
This provider vs. median218×
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 | 4,487 | $612K | |
| 2019 | 3,094 | $482K | |
| 2020 | 2,010 | $195K | |
| 2021 | 3,989 | $407K | |
| 2022 | 6,097 | $490K | |
| 2023 | 7,152 | $628K | |
| 2024incomplete | 3,739 | $344K |
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 | 43% | 6,957 | 6,363 | $1.37M |
| 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 | 27% | 4,489 | 4,288 | $857K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 14% | 5,037 | 4,143 | $458K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.5% | 571 | 512 | $110K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.9% | 1,892 | 1,836 | $93K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.9% | 329 | 315 | $60K |
| 97802 | 1.7% | 1,951 | 1,917 | $54K | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.4% | 249 | 187 | $44K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.0% | 165 | 161 | $32K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 134 | 128 | $25K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,424 | 1,208 | $21K |
| 97803 | <1% | 348 | 346 | $12K |
34 more codes
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 30 | $6K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 13 | $3K |
| 99441 | <1% | 160 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 783 | $2K |
| 96127 | <1% | 857 | $2K | |
| 92561 | <1% | 234 | $1K | |
| 99442 | <1% | 31 | $933.02 | |
| G9153 | Mapcp demonstration - physician incentive pool | <1% | 41 | $780.00 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 15 | $769.65 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 208 | $720.64 |
| 90686 | <1% | 141 | $477.50 | |
| 90688 | <1% | 112 | $319.79 | |
| 87430 | <1% | 204 | $288.42 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 249 | $260.52 |
| 87400 | <1% | 63 | $184.37 | |
| 92700 | <1% | 263 | $98.62 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 125 | $69.23 |
| 85018 | <1% | 126 | $52.26 | |
| 82947 | <1% | 65 | $40.95 | |
| 90674 | <1% | 67 | $36.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 86 | $20.10 |
| 99173 | <1% | 742 | $1.60 | |
| 99408 | <1% | 86 | $0.27 | |
| 99071 | <1% | 1,893 | $0.21 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 39 | $0.07 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 90 | $0.00 |
| 3008F | 0% | 87 | $0.00 | |
| 36416 | 0% | 36 | $0.00 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 17 | $0.00 |
| G0467 | Community health center visit, returning patient | 0% | 45 | $0.00 |
| 80053 | Comprehensive metabolic panel | 0% | 28 | $0.00 |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 12 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 16 | $0.00 |
| 80061 | Lipid panel | 0% | 58 | $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 officialWARDLAW, ERNEST (CEO)
Parent organizationSANDHILLS MEDICAL FOUNDATION, INC.
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.