Palmetto Health

Palmetto Health was paid $114K by Medicaid between Jan 2018 and Feb 2018, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.

33Billing provider infoPALMETTO HEALTH
COLUMBIA, SC 29203

33aNPI1780005827assigned 12/16/2013

33bProvider typeOrthopaedic Hand Surgery Physician

28Total paid$114K

24GClaims2,197

24DCodes billed19

24AFirst – last monthJan 2018 – Feb 2018

Compared with peers

Next to other Orthopaedic Hand Surgery Physician providers in South Carolina

Rank by total paid#4 of 7

Median peer was paid$114K

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

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

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	2,197	$114K

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	48%	987	886	$55K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	25%	378	352	$29K
99243		6.6%	69	66	$8K
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	6.1%	99	92	$7K
A4590	Special casting material (e.g., fiberglass)	2.4%	105	96	$3K
72082		2.0%	58	58	$2K
73562		2.0%	101	70	$2K
62323		1.6%	23	15	$2K
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	1.5%	22	14	$2K
73630		<1%	54	31	$1K
72081		<1%	39	37	$1K
73560		<1%	52	33	$1K

7 more codes

20610		<1%	19	$476.87
73100		<1%	19	$476.59
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	16	$368.17
A4550	Surgical trays	<1%	87	$338.40
J1040	Injection, methylprednisolone acetate, 80 mg	<1%	27	$289.13
73610		<1%	18	$289.06
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	24	$1.38

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 officialCOVEN, DARRELL (DIRECTOR, BUS FINANCE)

Parent organizationPALMETTO HEALTH

Same official

Other billing entities under COVEN, DARRELL

Full network →

Provider	Location	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

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.