Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PROVIDENCE PHYSICIAN PRACTICES LLC

NPI: 1659921740 · KERSHAW, SC 29067 · Optometrist · NPI assigned 09/19/2019

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official TEAGUE, KATHY controls 20+ related entities in our dataset. Read more

$535K
Total Medicaid Paid
14,420
Total Claims
12,138
Beneficiaries
34
Codes Billed
2019-10
First Month
2021-08
Last Month

Provider Details

Authorized OfficialTEAGUE, KATHY (CORPORATE SECRETARY)
NPI Enumeration Date09/19/2019

Related Entities

Other providers sharing the same authorized official: TEAGUE, KATHY

ProviderCityStateTotal Paid
RCHP-WILMINGTON, LLC WILMINGTON OH $13.53M
PROVIDENCE HOSPITAL, LLC COLUMBIA SC $12.68M
VAUGHAN REGIONAL MEDICAL CENTER LLC SELMA AL $8.15M
KERSHAW HOSPITAL LLC CAMDEN SC $7.93M
BOLIVAR PHYSICIAN PRACTICES LLC CLEVELAND MS $3.05M
WILMINGTON PHYSICIANS GROUP LLC WILMINGTON OH $3.04M
PHC-MORGAN CITY LP MORGAN CITY LA $2.37M
COMMUNITY HOSPITAL OF ANDALUSIA LLC ANDALUSIA AL $2.27M
VAUGHAN REGIONAL MEDICAL CENTER LLC MARION AL $2.15M
PRHC ENNIS LP ENNIS TX $1.81M
ANDALUSIA PHYSICIAN PRACTICES LLC ANDALUSIA AL $847K
MEADOWVIEW PHYSICIAN PRACTICE LLC MAYSVILLE KY $783K
LOGAN PHYSICIAN PRACTICE LLC RUSSELLVILLE KY $317K
KENTUCKY MSO LLC GEORGETOWN KY $248K
RCHP-WILMINGTON, LLC WILMINGTON OH $165K
MEADOWVIEW PHYSICIAN PRACTICE LLC MAYSVILLE KY $140K
AMG-SOUTHERN TENNESSEE LLC MONTEAGLE TN $136K
LAKE CUMBERLAND PHYSICIAN PRACTICES LLC SOMERSET KY $135K
LAKE CUMBERLAND PHYSICIAN PRACTICES LLC SOMERSET KY $57K
KERSHAW HOSPITAL LLC LUGOFF SC $49K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 2,263 $83K
2020 7,586 $278K
2021 4,571 $173K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 6,339 5,462 $322K
99214 2,506 2,259 $158K
90460 464 449 $7K
99308 698 428 $6K
87428 66 62 $4K
99394 32 28 $3K
92014 53 45 $3K
99393 31 30 $3K
90461 164 159 $3K
99307 515 307 $3K
87804 210 101 $3K
81003 1,157 750 $3K
97802 74 71 $2K
92015 149 123 $2K
76815 26 25 $2K
85025 246 234 $2K
90686 352 333 $1K
36415 660 628 $1K
92004 13 13 $1K
80053 122 121 $1K
84443 73 69 $950.37
87426 15 15 $745.16
93306 13 13 $597.43
87880 39 38 $494.17
92012 14 14 $426.67
80061 39 38 $410.43
90471 58 56 $369.34
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 14 14 $260.35
99490 Ccm add 20min 111 107 $166.57
83036 13 13 $111.22
96372 32 24 $84.69
1159F 47 43 $0.00
3008F 57 53 $0.00
99309 18 13 $0.00