Providence Physician Practices LLC
Providence Physician Practices LLC was paid $535K by Medicaid between Oct 2019 and Aug 2021, across 34 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 60% of everything it billed.
33Billing provider infoPROVIDENCE PHYSICIAN PRACTICES LLC
KERSHAW, SC 29067
KERSHAW, SC 29067
33aNPI1659921740assigned 09/19/2019
33bProvider typeOptometrist
28Total paid$535K
24GClaims14,420
24DCodes billed34
24AFirst – last monthOct 2019 – Aug 2021
Compared with peers
Next to other Optometrist providers in South Carolina
Rank by total paid#20 of 425
Median peer was paid$22K
This provider vs. median25×
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 TEAGUE, KATHY 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 | |
|---|---|---|---|
| 2019 | 2,263 | $83K | |
| 2020 | 7,586 | $278K | |
| 2021 | 4,571 | $173K |
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 | 60% | 6,339 | 5,462 | $322K |
| 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 | 30% | 2,506 | 2,259 | $158K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.4% | 464 | 449 | $7K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.1% | 698 | 428 | $6K |
| 87428 | <1% | 66 | 62 | $4K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 32 | 28 | $3K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 53 | 45 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 31 | 30 | $3K |
| 90461 | <1% | 164 | 159 | $3K | |
| 99307 | <1% | 515 | 307 | $3K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 210 | 101 | $3K |
| 81003 | <1% | 1,157 | 750 | $3K |
22 more codes
| 97802 | <1% | 74 | $2K | |
| 92015 | Determination of refractive state | <1% | 149 | $2K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 26 | $2K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 246 | $2K |
| 90686 | <1% | 352 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 660 | $1K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 13 | $1K |
| 80053 | Comprehensive metabolic panel | <1% | 122 | $1K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 73 | $950.37 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 15 | $745.16 |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 13 | $597.43 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 39 | $494.17 |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 14 | $426.67 |
| 80061 | Lipid panel | <1% | 39 | $410.43 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 58 | $369.34 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 14 | $260.35 |
| 99490 | Ccm add 20min | <1% | 111 | $166.57 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 13 | $111.22 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 32 | $84.69 |
| 1159F | 0% | 47 | $0.00 | |
| 3008F | 0% | 57 | $0.00 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 0% | 18 | $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 officialTEAGUE, KATHY (CORPORATE SECRETARY)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.