Physician
Palmetto Health Council INC
Palmetto Health Council INC was paid $2.55M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 63% of everything it billed.
33Billing provider infoPALMETTO HEALTH COUNCIL INC
PALMETTO, GA 30268
PALMETTO, GA 30268
33aNPI1740372473assigned 09/29/2006
33bProvider typeFamily Medicine Physician
28Total paid$2.55M
24GClaims31,074
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Georgia
Rank by total paid#5 of 162
Median peer was paid$12K
This provider vs. median206×
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 | 5,308 | $340K | |
| 2019 | 5,588 | $375K | |
| 2020 | 4,166 | $327K | |
| 2021 | 4,105 | $353K | |
| 2022 | 5,348 | $516K | |
| 2023 | 4,286 | $419K | |
| 2024incomplete | 2,273 | $217K |
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 | 63% | 17,582 | 15,670 | $1.60M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 18% | 4,610 | 4,184 | $453K |
| 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 | 8.9% | 2,516 | 2,272 | $226K |
| D0999 | Unspecified diagnostic procedure, by report | 5.4% | 1,066 | 969 | $138K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.9% | 474 | 439 | $50K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.7% | 368 | 325 | $43K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 138 | 138 | $12K |
| D1110 | Prophylaxis - adult | <1% | 192 | 190 | $10K |
| D0140 | Limited oral evaluation - problem focused | <1% | 112 | 112 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 147 | 144 | $4K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 31 | 25 | $4K |
| D0330 | Panoramic radiographic image | <1% | 61 | 59 | $2K |
11 more codes
| D0120 | Dental checkup, returning patient | <1% | 102 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 12 | $2K |
| D0274 | Bitewings - four radiographic images | <1% | 46 | $320.52 |
| D1206 | Topical application of fluoride varnish | <1% | 52 | $152.97 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 16 | $112.00 |
| G0467 | Community health center visit, returning patient | 0% | 3,429 | $0.00 |
| D0601 | 0% | 13 | $0.00 | |
| D0603 | 0% | 67 | $0.00 | |
| G8732 | No documentation of pain assessment, reason not given | 0% | 14 | $0.00 |
| G8432 | Depression screening not documented, reason not given | 0% | 12 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 14 | $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 officialWOLLENZIEN, JON (CHIEF EXECUTIVE OFFICER)