Medicaid Provider Spending

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

PROVIDENCE PHYSICIAN PRACTICES LLC

NPI: 1689030595 · COLUMBIA, SC 29204 · Internal Medicine Physician · NPI assigned 01/07/2016

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

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

$287K
Total Medicaid Paid
6,979
Total Claims
6,466
Beneficiaries
11
Codes Billed
2018-01
First Month
2021-07
Last Month

Provider Details

Authorized OfficialTEAGUE, KATHY (AVP, SECRETARY)
NPI Enumeration Date01/07/2016

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
2018 2,400 $104K
2019 2,052 $80K
2020 1,382 $57K
2021 1,145 $46K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,436 3,167 $231K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,346 1,247 $48K
36415 Collection of venous blood by venipuncture 881 845 $2K
83036 Hemoglobin; glycosylated (A1C) 324 293 $2K
82962 739 675 $1K
90688 91 85 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 85 80 $792.13
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 26 25 $512.85
90686 23 23 $336.60
99442 15 13 $312.58
90674 13 13 $218.10