Palmetto Health

Palmetto Health was paid $80K by Medicaid between Jan 2018 and Dec 2018, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 71% of everything it billed.

33Billing provider infoPALMETTO HEALTH
COLUMBIA, SC 29203

33aNPI1831128586assigned 07/02/2006

33bProvider typePediatric Hematology & Oncology Physician

28Total paid$80K

24GClaims1,610

24DCodes billed6

24AFirst – last monthJan 2018 – Dec 2018

Compared with peers

Next to other Pediatric Hematology & Oncology Physician providers in South Carolina

Rank by total paid#1 of 5

Median peer was paid$2K

This provider vs. median46×

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	1,610	$80K

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	71%	748	738	$57K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	18%	343	331	$14K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	4.5%	377	354	$4K
93888		4.3%	116	114	$3K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	1.2%	12	12	$985.46
93886		<1%	14	14	$631.61

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 - BUSINESS DEV/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	$114K
Palmetto Health	Columbia, SC	$93K
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.