Physician
PPCP Specialty Physicians , LLC
PPCP Specialty Physicians , LLC was paid $67K by Medicaid between Jan 2019 and Aug 2021, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 52% of everything it billed.
33Billing provider infoPPCP SPECIALTY PHYSICIANS , LLC
GOOSE CREEK, SC 29445
GOOSE CREEK, SC 29445
33aNPI1780123984assigned 02/21/2017
33bProvider typeGastroenterology Physician
28Total paid$67K
24GClaims949
24DCodes billed5
24AFirst – last monthJan 2019 – Aug 2021
Compared with peers
Next to other Gastroenterology Physician providers in South Carolina
Rank by total paid#12 of 32
Median peer was paid$20K
This provider vs. median3.4×
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 | |
|---|---|---|---|
| 2019 | 466 | $32K | |
| 2020 | 386 | $30K | |
| 2021 | 97 | $6K |
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 | 52% | 560 | 534 | $35K |
| 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 | 34% | 213 | 197 | $23K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 13% | 132 | 121 | $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 | 1.7% | 19 | 18 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 25 | 25 | $55.66 |
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 | Summerville, SC | $120K |
| 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.