Physician
Sentinel Health Partners, PA
Sentinel Health Partners, PA was paid $76K by Medicaid between Jan 2018 and Sep 2019, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.
33Billing provider infoSENTINEL HEALTH PARTNERS, PA
LUGOFF, SC 29078
LUGOFF, SC 29078
33aNPI1710195425assigned 05/18/2007
33bProvider typeInternal Medicine Physician
28Total paid$76K
24GClaims2,789
24DCodes billed8
24AFirst – last monthJan 2018 – Sep 2019
Compared with peers
Next to other Internal Medicine Physician providers in South Carolina
Rank by total paid#92 of 273
Median peer was paid$19K
This provider vs. median4.0×
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 | |
|---|---|---|---|
| 2018 | 1,464 | $43K | |
| 2019 | 1,325 | $33K |
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 | 52% | 1,081 | 872 | $39K |
| 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 | 34% | 430 | 347 | $26K |
| 99307 | 12% | 994 | 794 | $9K | |
| 99490 | Ccm add 20min | 1.4% | 154 | 154 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 15 | 12 | $41.35 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 23 | 18 | $0.00 |
| 1036F | 0% | 17 | 14 | $0.00 | |
| 3008F | 0% | 75 | 68 | $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 officialMCALPINE, JAMES (CEO)
| Provider | Location | Paid |
|---|---|---|
| Sentinel Health Partners, PA | Elgin, SC | $279K |
| Sentinel Health Partners, PA | Camden, SC | $163K |
| Sentinel Health Partners, PA | Camden, SC | $99K |
| Sentinel Health Partners, PA | Kershaw, SC | $83K |
| Sentinel Health Partners, PA | Camden, SC | $6K |
| Sentinel Health Partners, PA | Camden, SC | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.