Physician
Sandhills Medical Foundation, INC.
Sandhills Medical Foundation, INC. was paid $1.08M by Medicaid between Jan 2018 and Nov 2024, across 24 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.
33Billing provider infoSANDHILLS MEDICAL FOUNDATION, INC.
SUMTER, SC 29150
SUMTER, SC 29150
33aNPI1780742825assigned 12/04/2006
33bProvider typeFamily Medicine Physician
28Total paid$1.08M
24GClaims11,789
24DCodes billed24
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in South Carolina
Rank by total paid#34 of 696
Median peer was paid$14K
This provider vs. median75×
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 | |
|---|---|---|---|
| 2018 | 1,385 | $183K | |
| 2019 | 1,088 | $155K | |
| 2020 | 586 | $55K | |
| 2021 | 1,134 | $147K | |
| 2022 | 1,895 | $154K | |
| 2023 | 3,351 | $245K | |
| 2024incomplete | 2,350 | $143K |
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 | 50% | 2,785 | 2,549 | $537K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 35% | 4,278 | 3,534 | $382K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 717 | 678 | $133K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.0% | 56 | 51 | $11K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 51 | 37 | $10K |
| 36415 | Collection of venous blood by venipuncture | <1% | 989 | 955 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 381 | 354 | $1K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 156 | 150 | $929.53 |
| 0011A | <1% | 21 | 21 | $840.00 | |
| 99441 | <1% | 62 | 58 | $810.46 | |
| 0012A | <1% | 19 | 19 | $760.00 | |
| 82947 | <1% | 450 | 395 | $511.51 |
12 more codes
| 96127 | <1% | 461 | $473.78 | |
| 90688 | <1% | 27 | $396.74 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 46 | $63.24 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 13 | $11.16 |
| 99408 | <1% | 138 | $0.48 | |
| 3078F | <1% | 40 | $0.17 | |
| 99071 | <1% | 785 | $0.10 | |
| 3074F | <1% | 17 | $0.04 | |
| 3008F | 0% | 131 | $0.00 | |
| G0467 | Community health center visit, returning patient | 0% | 64 | $0.00 |
| S9452 | Nutrition classes, non-physician provider, per session | 0% | 78 | $0.00 |
| 99000 | 0% | 24 | $0.00 |
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 officialWARDLAW, ERNEST (CEO)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.