Medicaid Provider Spending

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

PPCP SPECIALTY PHYSICIANS , LLC

NPI: 1780123984 · GOOSE CREEK, SC 29445 · Gastroenterology Physician · NPI assigned 02/21/2017

$67K
Total Medicaid Paid
949
Total Claims
895
Beneficiaries
5
Codes Billed
2019-01
First Month
2021-08
Last Month

Provider Details

Authorized OfficialCUNNINGHAM, TERRY (CEO)
NPI Enumeration Date02/21/2017

Related Entities

Other providers sharing the same authorized official: CUNNINGHAM, TERRY

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 466 $32K
2020 386 $30K
2021 97 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 560 534 $35K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 213 197 $23K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 132 121 $8K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 19 18 $1K
36415 Collection of venous blood by venipuncture 25 25 $55.66