Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › SC › N Charleston › NPI 1629017694
Physician

Palmetto Primary Care Physicians, LLC

Palmetto Primary Care Physicians, LLC was paid $1.08M by Medicaid between Jan 2018 and Nov 2024, across 32 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.

33Billing provider infoPALMETTO PRIMARY CARE PHYSICIANS, LLC
N CHARLESTON, SC 29406
33aNPI1629017694assigned 06/05/2006
28Total paid$1.08M
24GClaims31,196
24DCodes billed32
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Diagnostic Radiology Physician providers in South Carolina

Rank by total paid#8 of 117
Median peer was paid$482.86
This provider vs. median2,244×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official ARNAU, THOMAS controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
20186,141$227K
20195,097$187K
20204,558$173K
20215,333$194K
20224,512$143K
20233,612$113K
2024incomplete1,943$46K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 38% 8,151 7,518 $411K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 13% 1,701 1,588 $141K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 12% 2,629 2,442 $132K
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 12% 1,696 1,593 $131K
76536 3.7% 733 714 $40K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 3.2% 274 257 $34K
71046 Radiologic examination, chest; 2 views 1.8% 1,813 1,752 $19K
72100 1.6% 1,168 1,139 $17K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 1.6% 180 177 $17K
A9577 Injection, gadobenate dimeglumine (multihance), per ml 1.6% 671 634 $17K
76705 Ultrasound, abdominal, real time with image documentation; limited 1.5% 460 450 $16K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.5% 243 232 $16K
20 more codes
36415 Collection of venous blood by venipuncture 1.4% 6,110 $15K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.3% 1,095 $15K
74177 Computed tomography, abdomen and pelvis; with contrast material 1.1% 119 $12K
73562 <1% 703 $9K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 180 $9K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 1,237 $9K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 194 $8K
72040 <1% 329 $4K
81003 <1% 801 $2K
73630 <1% 115 $1K
73030 <1% 126 $1K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 25 $1K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 52 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 233 $789.96
73610 <1% 33 $391.17
81025 <1% 56 $388.33
0011A <1% 13 $385.00
72070 <1% 27 $374.94
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 17 $123.20
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 12 $11.65

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 officialARNAU, THOMAS (PRESIDENT)
Same official

Other billing entities under ARNAU, THOMAS

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.