Physician
PPCP Specialty Physicians, LLC
PPCP Specialty Physicians, LLC was paid $120K by Medicaid between Jan 2021 and Nov 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 78% of everything it billed.
33Billing provider infoPPCP SPECIALTY PHYSICIANS, LLC
SUMMERVILLE, SC 29486
SUMMERVILLE, SC 29486
33aNPI1720693039assigned 09/14/2020
33bProvider typeNeurology Physician
28Total paid$120K
24GClaims2,548
24DCodes billed5
24AFirst – last monthJan 2021 – Nov 2024
Compared with peers
Next to other Neurology Physician providers in South Carolina
Rank by total paid#13 of 37
Median peer was paid$41K
This provider vs. median2.9×
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 | |
|---|---|---|---|
| 2021 | 642 | $32K | |
| 2022 | 571 | $27K | |
| 2023 | 655 | $32K | |
| 2024incomplete | 680 | $28K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 78% | 1,892 | 1,806 | $94K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 496 | 474 | $16K |
| 95886 | 6.9% | 122 | 116 | $8K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.1% | 26 | 26 | $1K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 12 | 12 | $615.27 |
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 officialCUNNINGHAM, TERRY (CEO)
| Provider | Location | Paid |
|---|---|---|
| PPCP Specialty Physicians , LLC | Summerville, SC | $365K |
| PPCP Specialty Physicians , LLC | Goose Creek, SC | $67K |
| Palmetto Primary Care Physicians, LLC | Columbia, SC | $25K |
| Palmetto Primary Care Physicians, LLC | Summerville, SC | $14K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.