Physician
Aiken Professional Association, LLC
Aiken Professional Association, LLC was paid $1.35M by Medicaid between Jan 2018 and Nov 2024, across 41 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoAIKEN PROFESSIONAL ASSOCIATION, LLC
AIKEN, SC 29803
AIKEN, SC 29803
33aNPI1639479801assigned 10/22/2010
33bProvider typeFamily Medicine Physician
28Total paid$1.35M
24GClaims47,925
24DCodes billed41
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in South Carolina
Rank by total paid#29 of 696
Median peer was paid$14K
This provider vs. median93×
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 EVANS, TODD controls 20+ related entities in our dataset. Read more
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 | 7,526 | $211K | |
| 2019 | 6,771 | $215K | |
| 2020 | 4,537 | $132K | |
| 2021 | 5,552 | $167K | |
| 2022 | 6,739 | $197K | |
| 2023 | 7,681 | $204K | |
| 2024incomplete | 9,119 | $226K |
Box 24 · Service lines
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 | 40% | 16,230 | 14,572 | $541K |
| 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 | 29% | 10,187 | 9,517 | $398K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 11% | 4,077 | 3,751 | $155K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.4% | 1,207 | 1,150 | $73K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 3.1% | 684 | 650 | $41K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.1% | 1,143 | 1,062 | $28K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.0% | 348 | 326 | $27K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.6% | 399 | 385 | $22K |
| 99205 | Prolong outpt/office vis | <1% | 73 | 68 | $9K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 216 | 202 | $9K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 87 | 79 | $8K |
| 93000 | <1% | 1,568 | 1,484 | $8K |
29 more codes
| 81003 | <1% | 6,452 | $7K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 220 | $6K |
| 99460 | <1% | 45 | $4K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 257 | $3K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 13 | $2K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 40 | $2K |
| 99223 | Prolong inpt eval add15 m | <1% | 27 | $2K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 17 | $1K |
| 81025 | <1% | 191 | $1K | |
| 99441 | <1% | 84 | $1K | |
| 93015 | <1% | 13 | $525.33 | |
| 94060 | <1% | 45 | $450.64 | |
| 94727 | <1% | 57 | $425.71 | |
| 94729 | <1% | 46 | $424.39 | |
| 90686 | <1% | 26 | $353.70 | |
| 93298 | <1% | 39 | $172.69 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 117 | $146.27 |
| 51798 | <1% | 14 | $84.62 | |
| 94618 | <1% | 14 | $70.68 | |
| 93296 | <1% | 13 | $28.07 | |
| 3074F | 0% | 341 | $0.00 | |
| 3008F | 0% | 350 | $0.00 | |
| 1000F | 0% | 32 | $0.00 | |
| 3079F | 0% | 26 | $0.00 | |
| 1159F | 0% | 1,386 | $0.00 | |
| 1160F | 0% | 1,380 | $0.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 54 | $0.00 |
| 3078F | 0% | 335 | $0.00 | |
| 3077F | 0% | 72 | $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.
From NPPES
Who's on the registration
Authorized officialEVANS, TODD (CFO)
| Provider | Location | Paid |
|---|---|---|
| Mcallen Hospitalist Group, PLLC | Edinburg, TX | $7.40M |
| Texomacare | Denison, TX | $5.95M |
| Northwest Texas Wyatt Clinic PLLC | Amarillo, TX | $4.39M |
| Northern Nevada Medical Group, LLC | Sparks, NV | $2.60M |
| Texomacare | Madill, OK | $2.35M |
| Mid Atlantic Medicine LLC | Washington, DC | $1.84M |
| ST. Mary's Physician Associates, LLC | Enid, OK | $1.76M |
| Las Vegas Medical Group LLC | Las Vegas, NV | $1.36M |
| Northwest Urgent Care, PLLC | Amarillo, TX | $1.02M |
| Texomacare Specialty Physicians | Denison, TX | $644K |
| Eastern Pennsylvania Physician Alliance LLC | Clarion, PA | $636K |
| NWTX Physician Network, PLLC | Amarillo, TX | $475K |
| Heart Clinic, PLLC | Mcallen, TX | $385K |
| Laredo Physicians Group | Laredo, TX | $365K |
| Nevada Urgent Care Network LLC | Sparks, NV | $211K |
| Uhs of Desert Springs, INC. | Henderson, NV | $151K |
| Manatee Cardiology Associates, LLC | Bradenton, FL | $23K |
| Wellington Physician Alliances INC | Wellington, FL | $14K |
| Manatee Physician Alliance, LLC | Bradenton, FL | $14K |
| Mary Alice Cowan, MD, PLLC | Houston, TX | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.