Dillon Family Medicine, P.A.
Dillon Family Medicine, P.A. was paid $3.96M by Medicaid between Jan 2018 and Sep 2023, across 52 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 47% of everything it billed.
DILLON, SC 29536
Next to other Family Medicine 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 | 32,319 | $860K | |
| 2019 | 30,544 | $852K | |
| 2020 | 27,315 | $975K | |
| 2021 | 35,107 | $1.27M | |
| 2022 | 1,346 | $5K | |
| 2023 | 723 | $2K |
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 | 47% | 25,191 | 22,140 | $1.86M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 15,816 | 14,112 | $866K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 7.5% | 3,076 | 2,698 | $296K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.2% | 1,337 | 1,250 | $128K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.4% | 13,700 | 12,938 | $96K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.0% | 842 | 780 | $80K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 2.0% | 284 | 230 | $78K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 1.5% | 2,449 | 2,144 | $61K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.4% | 4,206 | 2,057 | $57K |
| 80048 | Basic metabolic panel (calcium, ionized) | 1.4% | 7,959 | 7,526 | $55K |
| 71046 | Radiologic examination, chest; 2 views | 1.0% | 2,163 | 2,014 | $40K |
| 99490 | Ccm add 20min | <1% | 3,954 | 3,147 | $35K |
40 more codes
| 80076 | <1% | 5,335 | $34K | |
| 87430 | <1% | 2,475 | $33K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 15,124 | $31K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,734 | $28K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 557 | $24K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 1,734 | $23K |
| 80061 | Lipid panel | <1% | 2,410 | $21K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,186 | $15K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 154 | $15K |
| 99199 | Unlisted special service, procedure or report | <1% | 2,793 | $10K |
| 81000 | <1% | 3,048 | $9K | |
| 90461 | <1% | 441 | $9K | |
| 71045 | Radiologic examination, chest; single view | <1% | 436 | $8K |
| 93000 | <1% | 706 | $7K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,530 | $6K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 95 | $6K |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | <1% | 257 | $5K |
| 99334 | <1% | 132 | $4K | |
| 0012A | <1% | 79 | $3K | |
| 90688 | <1% | 375 | $3K | |
| 0011A | <1% | 93 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 233 | $3K |
| 95117 | <1% | 295 | $3K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 30 | $2K |
| 99070 | <1% | 587 | $2K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 42 | $2K |
| 80305 | <1% | 187 | $2K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 14 | $1K |
| 90674 | <1% | 62 | $1K | |
| 0013A | <1% | 30 | $831.00 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 393 | $776.64 |
| 81025 | <1% | 42 | $300.05 | |
| 96127 | <1% | 36 | $251.72 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 841 | $125.89 |
| 82044 | <1% | 12 | $48.08 | |
| 90715 | <1% | 12 | $43.38 | |
| 3078F | 0% | 632 | $0.00 | |
| 3074F | 0% | 1,051 | $0.00 | |
| 3079F | 0% | 93 | $0.00 | |
| 90686 | 0% | 91 | $0.00 |
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
| Provider | Location | Paid |
|---|---|---|
| Frontier Home Health Care | Anchorage, AK | $11.25M |
| A and D Home Health Agency Corporation | Roanoke Rapids, NC | $5.55M |
| Holmes Council on Aging | Bonifay, FL | $548K |
| Essential Care, LLC | Memphis, TN | $432K |
| Fairfield Memorial Hospital Association | Fairfield, IL | $396K |
| Future Foundations Services LLC | Las Vegas, NV | $284K |
| Vail Clinic, INC. | Vail, CO | $229K |
| Harold W. Blevins, M.D.,P.S.C. | Louisville, KY | $195K |
| Future Foundation Services LLC | Las Vegas, NV | $39K |
| Gravino & Brown Physical Therapy, PLLC | Amherst, NY | $33K |
| Richmond Urological Medical Group,inc | Pinole, CA | $28K |
| The Center for Colon and Digestive Disease P C | Huntsville, AL | $149.10 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.