Medicaid Provider Spending

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

PALMETTO PRIMARY CARE PHYSICIANS, LLC

NPI: 1851332951 · SUMMERVILLE, SC 29483 · Nutrition Education Nutritionist · NPI assigned 06/09/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official ARNAU, THOMAS controls 20+ related entities in our dataset. Read more

$1.54M
Total Medicaid Paid
37,118
Total Claims
33,878
Beneficiaries
25
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialARNAU, THOMAS (PRESIDENT)
NPI Enumeration Date06/09/2006

Related Entities

Other providers sharing the same authorized official: ARNAU, THOMAS

ProviderCityStateTotal Paid
PALMETTO PRIMARY CARE PHYSICIANS, LLC N CHARLESTON SC $1.84M
PALMETTO PRIMARY CARE PHYSICIANS, LLC N CHARLESTON SC $1.08M
PALMETTO PRIMARY CARE PHYSICIANS, LLC HAMPTON SC $1.06M
PALMETTO PRIMARY CARE PHYSICIANS, LLC MONCKS CORNER SC $891K
PALMETTO PRIMARY CARE PHYSICIANS, LLC SUMMERVILLE SC $738K
PALMETTO PRIMARY CARE PHYSICIANS, LLC N CHARLESTON SC $563K
PALMETTO PRIMARY CARE PHYSICIANS, LLC CHARLESTON SC $549K
PALMETTO PRIMARY CARE PHYSICIANS, LLC CHARLESTON SC $515K
PALMETTO PRIMARY CARE PHYSICIANS, LLC LADSON SC $457K
PALMETTO PRIMARY CARE PHYSICIANS, LLC BONNEAU SC $411K
PALMETTO PRIMARY CARE PHYSICIANS, LLC SUMMERVILLE SC $395K
PALMETTO PRIMARY CARE PHYSICIANS, LLC SAINT STEPHEN SC $357K
PALMETTO PRIMARY CARE PHYSICIANS, LLC SUMMERVILLE SC $332K
PALMETTO PRIMARY CARE PHYSICIANS, LLC SUMMERVILLE SC $279K
PALMETTO PRIMARY CARE PHYSICIANS, LLC SAINT GEORGE SC $178K
PALMETTO PRIMARY CARE PHYSICIANS,LLC SUMMERVILLE SC $156K
PALMETTO PRIMARY CARE PHYSICIANS, LLC SUMMERVILLE SC $126K
PALMETTO PRIMARY CARE PHYSICIANS, LLC DANIEL ISLAND SC $118K
PALMETTO PRIMARY CARE PHYSICIANS, LLC GOOSE CREEK SC $63K
PALMETTO PRIMARY CARE PHYSICIANS, LLC LADSON SC $54K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,092 $232K
2019 5,758 $228K
2020 5,777 $282K
2021 6,747 $304K
2022 5,164 $200K
2023 4,223 $169K
2024 3,357 $123K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 16,274 14,681 $1.08M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,715 7,067 $416K
36415 Collection of venous blood by venipuncture 8,491 7,927 $15K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 71 68 $7K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 49 46 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,496 1,222 $4K
90460 Immunization administration through 18 years of age via any route, first or only component 201 197 $3K
81003 1,978 1,864 $3K
90674 141 140 $2K
81025 127 116 $831.31
99490 Ccm add 20min 129 125 $760.55
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 84 83 $751.66
93000 68 64 $664.15
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 100 93 $427.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 13 12 $93.53
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 17 13 $30.55
G9459 Currently a tobacco non-user 12 12 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 24 24 $0.00
90686 16 16 $0.00
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes 24 24 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 18 17 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 13 12 $0.00
G0444 Annual depression screening, 5 to 15 minutes 24 24 $0.00
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 18 17 $0.00
G8476 Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg 15 14 $0.00