Managed care
Foothills Family Medicine of Westminster PA
Foothills Family Medicine of Westminster PA was paid $452K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.
33Billing provider infoFOOTHILLS FAMILY MEDICINE OF WESTMINSTER PA
WESTMINSTER, SC 29693
WESTMINSTER, SC 29693
33aNPI1710958210assigned 02/01/2006
33bProvider typePreferred Provider Organization
28Total paid$452K
24GClaims8,625
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Preferred Provider Organization providers in South Carolina
Rank by total paid#4 of 7
Median peer was paid$452K
This provider vs. median1.0×
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 | 1,407 | $51K | |
| 2019 | 1,289 | $50K | |
| 2020 | 1,073 | $51K | |
| 2021 | 1,306 | $80K | |
| 2022 | 1,341 | $87K | |
| 2023 | 1,351 | $78K | |
| 2024incomplete | 858 | $54K |
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 | 55% | 4,625 | 4,116 | $248K |
| 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 | 42% | 2,317 | 2,176 | $189K |
| 87428 | 1.5% | 116 | 103 | $7K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 167 | 79 | $2K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 36 | 36 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 961 | 888 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 164 | 154 | $1K |
| 99406 | <1% | 74 | 67 | $762.22 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 73 | 69 | $207.34 |
| 81002 | <1% | 51 | 49 | $114.14 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 41 | 38 | $14.88 |
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 officialDICKSON, SHANNON (BILLING MANAGER)