Physician
Privia Medical Group South Carolina, LLC
Privia Medical Group South Carolina, LLC was paid $1.36M by Medicaid between Apr 2021 and Nov 2024, across 28 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 25% of everything it billed.
33Billing provider infoPRIVIA MEDICAL GROUP SOUTH CAROLINA, LLC
GREENVILLE, SC 29605
GREENVILLE, SC 29605
33aNPI1649875816assigned 12/03/2020
33bProvider typePediatric Otolaryngology Physician
28Total paid$1.36M
24GClaims16,530
24DCodes billed28
24AFirst – last monthApr 2021 – Nov 2024
Compared with peers
Next to other Pediatric Otolaryngology Physician providers in South Carolina
Rank by total paid#2 of 6
Median peer was paid$41K
This provider vs. median33×
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.
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 | |
|---|---|---|---|
| 2021 | 3,167 | $283K | |
| 2022 | 6,313 | $567K | |
| 2023 | 5,776 | $444K | |
| 2024incomplete | 1,274 | $68K |
Box 24 · Service lines
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 | 25% | 3,679 | 3,186 | $336K |
| 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 | 21% | 2,144 | 1,894 | $287K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 3,204 | 2,898 | $176K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 10% | 923 | 793 | $141K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 9.2% | 1,384 | 695 | $126K |
| 31575 | 6.2% | 995 | 818 | $85K | |
| 31231 | 1.9% | 181 | 160 | $26K | |
| 92588 | 1.8% | 412 | 380 | $25K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.8% | 292 | 267 | $24K |
| 31622 | 1.7% | 373 | 263 | $23K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 1.5% | 87 | 78 | $21K |
| 92567 | 1.5% | 1,304 | 1,207 | $21K |
16 more codes
| 42975 | 1.3% | 140 | $18K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 614 | $17K |
| 31526 | <1% | 143 | $12K | |
| 92579 | <1% | 125 | $6K | |
| 99243 | <1% | 53 | $5K | |
| 92557 | <1% | 141 | $5K | |
| 42830 | <1% | 14 | $2K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 40 | $1K |
| 92504 | <1% | 85 | $1K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 47 | $862.48 |
| 69210 | <1% | 33 | $705.12 | |
| 31579 | <1% | 14 | $481.93 | |
| 92552 | <1% | 13 | $196.86 | |
| 92555 | <1% | 14 | $128.08 | |
| 3008F | 0% | 64 | $0.00 | |
| 1036F | 0% | 12 | $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 officialBROWN, ROBERT (MD-GREENVILLE ENT & ALLERGY ASSOC.)
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.