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.
N CHARLESTON, SC 29406
Next to other Diagnostic Radiology Physician providers in South Carolina
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 6,141 | $227K | |
| 2019 | 5,097 | $187K | |
| 2020 | 4,558 | $173K | |
| 2021 | 5,333 | $194K | |
| 2022 | 4,512 | $143K | |
| 2023 | 3,612 | $113K | |
| 2024incomplete | 1,943 | $46K |
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 | 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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.