Physician
PPCP Specialty Physicians , LLC
PPCP Specialty Physicians , LLC was paid $365K by Medicaid between Jan 2019 and Dec 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 88% of everything it billed.
33Billing provider infoPPCP SPECIALTY PHYSICIANS , LLC
SUMMERVILLE, SC 29485
SUMMERVILLE, SC 29485
33aNPI1841739968assigned 02/22/2017
33bProvider typeEndocrinology, Diabetes & Metabolism Physician
28Total paid$365K
24GClaims6,146
24DCodes billed6
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers
Next to other Endocrinology, Diabetes & Metabolism Physician providers in South Carolina
Rank by total paid#4 of 28
Median peer was paid$36K
This provider vs. median10×
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 | |
|---|---|---|---|
| 2019 | 506 | $30K | |
| 2020 | 693 | $49K | |
| 2021 | 1,078 | $76K | |
| 2022 | 863 | $44K | |
| 2023 | 1,325 | $72K | |
| 2024incomplete | 1,681 | $95K |
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 | 88% | 4,632 | 4,310 | $320K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 7.8% | 336 | 308 | $29K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.3% | 100 | 93 | $12K |
| 36415 | Collection of venous blood by venipuncture | <1% | 950 | 885 | $3K |
| 95251 | <1% | 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) | 0% | 54 | 51 | $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 officialCUNNINGHAM, TERRY (CEO)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.