Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PALMETTO HEALTH

NPI: 1780005827 · COLUMBIA, SC 29203 · Orthopaedic Hand Surgery Physician · NPI assigned 12/16/2013

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official COVEN, DARRELL controls 12+ related entities in our dataset. Read more

$114K
Total Medicaid Paid
2,197
Total Claims
1,925
Beneficiaries
19
Codes Billed
2018-01
First Month
2018-02
Last Month

Provider Details

Authorized OfficialCOVEN, DARRELL (DIRECTOR, BUS FINANCE)
Parent OrganizationPALMETTO HEALTH
NPI Enumeration Date12/16/2013

Related Entities

Other providers sharing the same authorized official: COVEN, DARRELL

ProviderCityStateTotal Paid
PALMETTO HEALTH SUMTER SC $597K
PALMETTO HEALTH COLUMBIA SC $154K
PALMETTO HEALTH COLUMBIA SC $93K
PALMETTO HEALTH COLUMBIA SC $80K
PALMETTO HEALTH COLUMBIA SC $15K
PALMETTO HEALTH COLUMBIA SC $10K
PALMETTO HEALTH COLUMBIA SC $5K
PALMETTO HEALTH COLUMBIA SC $4K
PALMETTO HEALTH COLUMBIA SC $4K
PALMETTO HEALTH COLUMBIA SC $3K
PALMETTO HEALTH COLUMBIA SC $1K
PALMETTO HEALTH COLUMBIA SC $708.59

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,197 $114K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 987 886 $55K
99203 378 352 $29K
99243 69 66 $8K
99214 99 92 $7K
A4590 Special casting material (e.g., fiberglass) 105 96 $3K
72082 58 58 $2K
73562 101 70 $2K
62323 23 15 $2K
99204 22 14 $2K
73630 54 31 $1K
72081 39 37 $1K
73560 52 33 $1K
20610 19 16 $476.87
73100 19 16 $476.59
99212 16 16 $368.17
A4550 Surgical trays 87 71 $338.40
J1040 Injection, methylprednisolone acetate, 80 mg 27 24 $289.13
73610 18 15 $289.06
J1100 Injection, dexamethasone sodium phosphate, 1 mg 24 17 $1.38