Physician
Sumter Medical Specialists PA
Sumter Medical Specialists PA was paid $277K by Medicaid between Jan 2018 and Aug 2024, across 16 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.
33Billing provider infoSUMTER MEDICAL SPECIALISTS PA
SUMTER, SC 29150
SUMTER, SC 29150
33aNPI1619069481assigned 09/29/2006
33bProvider typeInternal Medicine Physician
28Total paid$277K
24GClaims10,919
24DCodes billed16
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Internal Medicine Physician providers in South Carolina
Rank by total paid#44 of 273
Median peer was paid$19K
This provider vs. median15×
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 | 2,356 | $54K | |
| 2019 | 1,394 | $38K | |
| 2020 | 1,621 | $40K | |
| 2021 | 1,949 | $54K | |
| 2022 | 1,671 | $40K | |
| 2023 | 1,028 | $30K | |
| 2024incomplete | 900 | $21K |
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 | 45% | 4,436 | 4,076 | $124K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 34% | 2,917 | 2,777 | $95K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | 7.8% | 810 | 309 | $22K |
| 90961 | 3.7% | 346 | 340 | $10K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.4% | 463 | 171 | $9K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.8% | 168 | 74 | $8K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.3% | 783 | 711 | $4K |
| 99223 | Prolong inpt eval add15 m | <1% | 45 | 38 | $1K |
| 80053 | Comprehensive metabolic panel | <1% | 209 | 194 | $1K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 14 | 14 | $909.63 |
| 36415 | Collection of venous blood by venipuncture | <1% | 568 | 495 | $884.46 |
| 86140 | <1% | 42 | 41 | $179.24 |
4 more codes
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 officialSUCHINDA, PUSADEE (OWNER, SEC/TREAS)