Mcleod Physician Associates II

Mcleod Physician Associates II was paid $114K by Medicaid between Jan 2018 and Nov 2019, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.

33Billing provider infoMCLEOD PHYSICIAN ASSOCIATES II
TIMMONSVILLE, SC 29161

33aNPI1528162112assigned 09/12/2006

33bProvider typeFamily Nurse Practitioner

28Total paid$114K

24GClaims3,132

24DCodes billed9

24AFirst – last monthJan 2018 – Nov 2019

Compared with peers

Next to other Family Nurse Practitioner providers in South Carolina

Rank by total paid#15 of 207

Median peer was paid$3K

This provider vs. median45×

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	2,043	$70K
2019	1,089	$44K

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	50%	1,098	1,038	$57K
T1015	A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive	36%	1,161	903	$40K
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	13%	180	175	$14K
36415	Collection of venous blood by venipuncture	<1%	398	368	$987.89
82947		<1%	187	177	$864.48
90686		<1%	16	16	$195.38
83036	Hemoglobin; glycosylated (A1C)	<1%	15	14	$172.56
81003		<1%	64	60	$163.42
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	13	13	$88.17

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 officialPROVENZANO, PAUL (REGIONAL PRACTICE MANAGER/AVP)

Parent organizationMCLEOD HEALTH