Physician
Providence Physician Practices LLC
Providence Physician Practices LLC was paid $5K by Medicaid between Mar 2018 and Jul 2021, across 5 billing codes. Its largest line is 93970, — 34% of everything it billed.
33Billing provider infoPROVIDENCE PHYSICIAN PRACTICES LLC
COLUMBIA, SC 29204
COLUMBIA, SC 29204
33aNPI1689034548assigned 03/04/2016
33bProvider typePlastic Surgery Physician
28Total paid$5K
24GClaims330
24DCodes billed5
24AFirst – last monthMar 2018 – Jul 2021
Compared with peers
Next to other Plastic Surgery Physician providers in South Carolina
Rank by total paid#2 of 5
Median peer was paid$1K
This provider vs. median3.8×
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 JUDY, JESS 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 | 116 | $1K | |
| 2019 | 73 | $690.58 | |
| 2020 | 28 | $477.62 | |
| 2021 | 113 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 93970 | 34% | 150 | 83 | $2K | |
| 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 | 23% | 29 | 26 | $1K |
| 93971 | 23% | 107 | 79 | $1K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 15% | 30 | 24 | $785.64 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.7% | 14 | 13 | $239.67 |
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 officialJUDY, JESS (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| DLP Twin County Physician Practices LLC | Galax, VA | $3.66M |
| DLP Marquette Physician Practices INC | Marquette, MI | $1.23M |
| DLP Twin County Physician Practices LLC | Hillsville, VA | $570K |
| DLP Twin County Physician Practices LLC | Galax, VA | $482K |
| Amg - Hillside, LLC | Pulaski, TN | $309K |
| DLP Maria Parham Physician Practices, LLC | Henderson, NC | $169K |
| DLP Maria Parham Physician Practices, LLC | Henderson, NC | $138K |
| Vaughan Physician Practices LLC | Selma, AL | $136K |
| DLP Twin County Physician Practices LLC | Galax, VA | $119K |
| Castleview Physician Practices, LLC | Price, UT | $110K |
| Bolivar Physician Practices LLC | Cleveland, MS | $105K |
| Amg-Hillside LLC | Pulaski, TN | $98K |
| Clark Regional Physician Practices LLC | Winchester, KY | $62K |
| Vaughan Physician Practices LLC | Selma, AL | $59K |
| DLP Conemaugh Physician Practices LLC | Johnstown, PA | $49K |
| Minden Physician Practices LLC | Minden, LA | $30K |
| Amg Hillside LLC | Pulaski, TN | $24K |
| Meadowview Physician Practice LLC | Maysville, KY | $20K |
| Castleview Physician Practices LLC | Price, UT | $14K |
| Castleview Physician Practices, LLC | Price, UT | $12K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.