Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

PPCP Specialty Physicians, LLC

PPCP Specialty Physicians, LLC was paid $128K by Medicaid between Nov 2020 and Nov 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 69% of everything it billed.

33Billing provider infoPPCP SPECIALTY PHYSICIANS, LLC
SUMMERVILLE, SC 29486
33aNPI1861007163assigned 09/14/2020
28Total paid$128K
24GClaims2,421
24DCodes billed6
24AFirst – last monthNov 2020 – Nov 2024
Compared with peers

Next to other Gastroenterology Physician providers in South Carolina

Rank by total paid#7 of 32
Median peer was paid$20K
This provider vs. median6.5×

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 TURNER, SCOTT controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
202076$5K
2021521$36K
2022618$37K
2023559$23K
2024incomplete647$28K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 69% 1,766 1,701 $88K
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 20% 275 263 $25K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 5.2% 125 117 $7K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4.4% 117 109 $6K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.0% 33 24 $3K
36415 Collection of venous blood by venipuncture <1% 105 98 $226.26

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 officialTURNER, SCOTT (CFO/CONTROLLER)
Same official

Other billing entities under TURNER, SCOTT

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.