Palmetto Primary Care Physicians, LLC
Palmetto Primary Care Physicians, LLC was paid $1.54M by Medicaid between Jan 2018 and Nov 2024, across 25 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 70% of everything it billed.
33Billing provider infoPALMETTO PRIMARY CARE PHYSICIANS, LLC
SUMMERVILLE, SC 29483
SUMMERVILLE, SC 29483
33aNPI1851332951assigned 06/09/2006
33bProvider typeNutrition Education Nutritionist
28Total paid$1.54M
24GClaims37,118
24DCodes billed25
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Nutrition Education Nutritionist providers in South Carolina
Rank by total paid#2 of 5
Median peer was paid$411K
This provider vs. median3.7×
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 ARNAU, THOMAS controls 20+ 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 | 6,092 | $232K | |
| 2019 | 5,758 | $228K | |
| 2020 | 5,777 | $282K | |
| 2021 | 6,747 | $304K | |
| 2022 | 5,164 | $200K | |
| 2023 | 4,223 | $169K | |
| 2024incomplete | 3,357 | $123K |
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 | 70% | 16,274 | 14,681 | $1.08M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 7,715 | 7,067 | $416K |
| 36415 | Collection of venous blood by venipuncture | <1% | 8,491 | 7,927 | $15K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 71 | 68 | $7K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 49 | 46 | $5K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,496 | 1,222 | $4K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 201 | 197 | $3K |
| 81003 | <1% | 1,978 | 1,864 | $3K | |
| 90674 | <1% | 141 | 140 | $2K | |
| 81025 | <1% | 127 | 116 | $831.31 | |
| 99490 | Ccm add 20min | <1% | 129 | 125 | $760.55 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 84 | 83 | $751.66 |
13 more codes
| 93000 | <1% | 68 | $664.15 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 100 | $427.00 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 13 | $93.53 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 17 | $30.55 |
| G9459 | Currently a tobacco non-user | 0% | 12 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 24 | $0.00 |
| 90686 | 0% | 16 | $0.00 | |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | 0% | 24 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 18 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 13 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 24 | $0.00 |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 18 | $0.00 |
| G8476 | Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg | 0% | 15 | $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 officialARNAU, THOMAS (PRESIDENT)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.