Medicaid Provider Spending

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

MCLEOD PHYSICIAN ASSOCIATES II

NPI: 1619949435 · FLORENCE, SC 29506 · Pediatric Nurse Practitioner · NPI assigned 02/06/2006

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

Authorized official BEASLEY, KENNETH controls 20+ related entities in our dataset. Read more

$13.06M
Total Medicaid Paid
303,025
Total Claims
293,685
Beneficiaries
70
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBEASLEY, KENNETH (SENIOR VICE PRESIDENT)
Parent OrganizationMCLEOD HEALTH
NPI Enumeration Date02/06/2006

Related Entities

Other providers sharing the same authorized official: BEASLEY, KENNETH

ProviderCityStateTotal Paid
MCLEOD PHYSICIAN ASSOCIATES II FLORENCE SC $6.47M
MCLEOD PHYSICIAN ASSOCIATES II DILLON SC $6.10M
MCLEOD PHYSICIAN ASSOCIATES II FLORENCE SC $4.18M
MCLEOD PHYSICIAN ASSOCIATES II FLORENCE SC $4.18M
MCLEOD PHYSICIAN ASSOCIATES LITTLE RIVER SC $2.61M
MCLEOD PHYSICIAN ASSOCIATES II FLORENCE SC $2.57M
MCLEOD PHYSICIAN ASSOCIATES II DILLON SC $2.46M
MCLEOD PHYSICIAN ASSOCIATES II DARLINGTON SC $2.29M
MCLEOD PHYSICIAN ASSOCIATES II FLORENCE SC $2.21M
MCLEOD PHYSICIAN ASSOCIATES II DILLON SC $1.75M
MCLEOD PHYSICIAN ASSOCIATES II CHERAW SC $1.64M
MCLEOD PHYSICIAN ASSOCIATES II FLORENCE SC $1.58M
MCLEOD PHYSICIAN ASSOCIATES II FLORENCE SC $1.29M
MCLEOD PHYSICIAN ASSOCIATES II FLORENCE SC $1.14M
MCLEOD PHYSICIAN ASSOCIATES II FLORENCE SC $1.08M
MCLEOD PHYSICIAN ASSOCIATES II LORIS SC $580K
MCLEOD PHYSICIAN ASSOCIATES II FLORENCE SC $539K
MCLEOD PHYSICIAN ASSOCIATES II FLORENCE SC $478K
MCLEOD PHYSICIAN ASSOCIATES II SUMTER SC $450K
MCLEOD PHYSICIAN ASSOCIATES II FLORENCE SC $445K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 40,936 $1.49M
2019 41,179 $1.54M
2020 20,818 $876K
2021 53,694 $2.30M
2022 49,204 $2.30M
2023 47,171 $2.44M
2024 50,023 $2.12M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 60,954 56,897 $4.11M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 21,081 19,973 $1.94M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 18,916 18,733 $1.90M
90460 Immunization administration through 18 years of age via any route, first or only component 40,726 40,113 $1.30M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,732 9,378 $1.04M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 8,474 8,394 $867K
90461 14,026 13,903 $396K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,545 2,517 $290K
G9153 Mapcp demonstration - physician incentive pool 3,742 3,725 $207K
54150 2,311 2,234 $179K
92552 12,501 12,361 $164K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 8,159 7,885 $116K
96110 Developmental screening, with scoring and documentation, per standardized instrument 11,711 11,595 $93K
87428 1,247 1,213 $81K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,037 1,804 $50K
96160 5,397 5,288 $44K
99381 423 386 $42K
99188 2,510 2,476 $40K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 2,965 2,962 $34K
96161 3,661 3,485 $29K
99242 416 400 $29K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 539 523 $22K
96127 2,791 2,747 $21K
85018 6,506 6,430 $15K
54450 198 196 $11K
81003 3,208 3,161 $7K
99177 1,602 1,590 $7K
99499 53 50 $4K
0071A 74 74 $3K
99051 246 245 $3K
0072A 67 67 $3K
99383 25 25 $3K
87807 157 155 $2K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 34 34 $1K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 31 31 $1K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 114 111 $1K
80061 Lipid panel 95 92 $1K
83655 67 67 $857.81
17250 12 12 $803.28
90697 3,283 3,201 $582.26
99401 13 13 $497.21
69210 13 13 $446.45
90651 590 586 $264.35
99050 17 17 $216.60
99441 12 12 $197.81
90670 9,323 9,158 $185.87
94760 91 86 $63.29
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12 12 $49.12
92551 12 12 $40.95
90686 5,056 4,999 $32.84
90656 287 284 $20.25
90633 3,788 3,751 $0.00
1160F 4,062 3,735 $0.00
1159F 4,028 3,703 $0.00
3078F 946 925 $0.00
90685 472 470 $0.00
99173 474 466 $0.00
90710 324 319 $0.00
90707 721 718 $0.00
90672 105 105 $0.00
90715 44 43 $0.00
90734 170 169 $0.00
90698 7,228 7,172 $0.00
90716 693 692 $0.00
90744 2,488 2,466 $0.00
90696 326 321 $0.00
90680 7,853 7,687 $0.00
3074F 1,008 985 $0.00
91307 157 157 $0.00
90619 76 76 $0.00