Medicaid Provider Spending

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

PALMETTO HEALTH

NPI: 1518252782 · COLUMBIA, SC 29203 · Cardiovascular Disease Physician · NPI assigned 06/15/2011

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official COVEN, DARRELL controls 12+ related entities in our dataset. Read more

$154K
Total Medicaid Paid
5,031
Total Claims
4,650
Beneficiaries
12
Codes Billed
2018-01
First Month
2018-08
Last Month

Provider Details

Authorized OfficialCOVEN, DARRELL (DIRECTOR, AMBULATORY SERVICES-FINAN)
Parent OrganizationPALMETTO HEALTH
NPI Enumeration Date06/15/2011

Related Entities

Other providers sharing the same authorized official: COVEN, DARRELL

ProviderCityStateTotal Paid
PALMETTO HEALTH SUMTER SC $597K
PALMETTO HEALTH COLUMBIA SC $114K
PALMETTO HEALTH COLUMBIA SC $93K
PALMETTO HEALTH COLUMBIA SC $80K
PALMETTO HEALTH COLUMBIA SC $15K
PALMETTO HEALTH COLUMBIA SC $10K
PALMETTO HEALTH COLUMBIA SC $5K
PALMETTO HEALTH COLUMBIA SC $4K
PALMETTO HEALTH COLUMBIA SC $4K
PALMETTO HEALTH COLUMBIA SC $3K
PALMETTO HEALTH COLUMBIA SC $1K
PALMETTO HEALTH COLUMBIA SC $708.59

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,031 $154K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,712 1,607 $63K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,402 1,342 $57K
99233 Prolong inpt eval add15 m 186 81 $11K
93000 1,197 1,147 $10K
99215 Prolong outpt/office vis 69 63 $4K
99232 Subsequent hospital care, per day, moderate complexity 76 41 $3K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 73 66 $2K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 211 203 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 14 14 $705.28
99222 Initial hospital care, per day, moderate complexity 12 12 $530.75
93971 13 12 $286.62
36415 Collection of venous blood by venipuncture 66 62 $130.38