Medicaid Provider Spending

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

PPCP SPECIALTY PHYSICIANS , LLC

NPI: 1841739968 · SUMMERVILLE, SC 29485 · Endocrinology, Diabetes & Metabolism Physician · NPI assigned 02/22/2017

$365K
Total Medicaid Paid
6,146
Total Claims
5,716
Beneficiaries
6
Codes Billed
2019-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCUNNINGHAM, TERRY (CEO)
NPI Enumeration Date02/22/2017

Related Entities

Other providers sharing the same authorized official: CUNNINGHAM, TERRY

ProviderCityStateTotal Paid
PPCP SPECIALTY PHYSICIANS, LLC SUMMERVILLE SC $120K
PPCP SPECIALTY PHYSICIANS , LLC GOOSE CREEK SC $67K
PALMETTO PRIMARY CARE PHYSICIANS, LLC COLUMBIA SC $25K
PALMETTO PRIMARY CARE PHYSICIANS, LLC SUMMERVILLE SC $14K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 506 $30K
2020 693 $49K
2021 1,078 $76K
2022 863 $44K
2023 1,325 $72K
2024 1,681 $95K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,632 4,310 $320K
99215 Prolong outpt/office vis 336 308 $29K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 100 93 $12K
36415 Collection of venous blood by venipuncture 950 885 $3K
95251 74 69 $1K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 54 51 $0.00