Medicaid Provider Spending

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

SANDHILLS MEDICAL FOUNDATION, INC.

NPI: 1780742825 · SUMTER, SC 29150 · Family Medicine Physician · NPI assigned 12/04/2006

$1.08M
Total Medicaid Paid
11,789
Total Claims
10,528
Beneficiaries
24
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialWARDLAW, ERNEST (CEO)
NPI Enumeration Date12/04/2006

Related Entities

Other providers sharing the same authorized official: WARDLAW, ERNEST

ProviderCityStateTotal Paid
SANDHILLS MEDICAL FOUNDATION, INC. LUGOFF SC $3.16M
SANDHILLS MEDICAL FOUNDATION, INC. KERSHAW SC $578K
SANDHILLS MEDICAL FOUNDATION, INC. JEFFERSON SC $450K
SANDHILLS MEDICAL FOUNDATION, INC. MCBEE SC $232K
SANDHILLS MEDICAL FOUNDATION, INC. CAMDEN SC $160K
SANDHILLS MEDICAL FOUNDATION, INC. RUBY SC $39K
SANDHILLS MEDICAL FOUNDATION, INC. PAGELAND SC $6K
SANDHILLS MEDICAL FOUNDATION, INC. BETHUNE SC $6K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,385 $183K
2019 1,088 $155K
2020 586 $55K
2021 1,134 $147K
2022 1,895 $154K
2023 3,351 $245K
2024 2,350 $143K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,785 2,549 $537K
T1015 Clinic visit/encounter, all-inclusive 4,278 3,534 $382K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 717 678 $133K
90832 Psychotherapy, 30 minutes with patient 56 51 $11K
90834 Psychotherapy, 45 minutes with patient 51 37 $10K
36415 Collection of venous blood by venipuncture 989 955 $2K
83036 Hemoglobin; glycosylated (A1C) 381 354 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 156 150 $929.53
0011A 21 21 $840.00
99441 62 58 $810.46
0012A 19 19 $760.00
82947 450 395 $511.51
96127 461 452 $473.78
90688 27 27 $396.74
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 46 40 $63.24
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 13 13 $11.16
99408 138 137 $0.48
3078F 40 36 $0.17
99071 785 732 $0.10
3074F 17 16 $0.04
3008F 131 120 $0.00
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 64 59 $0.00
S9452 Nutrition classes, non-physician provider, per session 78 71 $0.00
99000 24 24 $0.00