NP / PA
Mcleod Physician Associates II
Mcleod Physician Associates II was paid $645K by Medicaid between Jan 2018 and Jul 2020, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoMCLEOD PHYSICIAN ASSOCIATES II
BENNETTSVILLE, SC 29512
BENNETTSVILLE, SC 29512
33aNPI1861871220assigned 05/19/2015
33bProvider typePediatric Nurse Practitioner
28Total paid$645K
24GClaims16,649
24DCodes billed27
24AFirst – last monthJan 2018 – Jul 2020
Compared with peers
Next to other Pediatric Nurse Practitioner providers in South Carolina
Rank by total paid#3 of 39
Median peer was paid$7K
This provider vs. median95×
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 FICCO, DANE controls 11+ 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 | 6,556 | $239K | |
| 2019 | 6,852 | $279K | |
| 2020 | 3,241 | $127K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 39% | 4,250 | 3,705 | $254K |
| 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 | 23% | 1,890 | 1,710 | $146K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.4% | 652 | 596 | $54K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.2% | 592 | 559 | $53K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.6% | 2,616 | 2,479 | $43K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.2% | 452 | 438 | $40K |
| 90461 | 3.7% | 1,436 | 1,349 | $24K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.6% | 1,221 | 1,122 | $16K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.6% | 731 | 345 | $10K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 41 | 41 | $4K |
| 90670 | <1% | 516 | 478 | $202.78 | |
| 90620 | <1% | 55 | 55 | $167.90 |
15 more codes
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 14 | $134.37 |
| 36415 | Collection of venous blood by venipuncture | <1% | 44 | $100.33 |
| 81003 | <1% | 29 | $74.24 | |
| 90686 | <1% | 442 | $42.59 | |
| 90647 | <1% | 250 | $31.33 | |
| 90688 | <1% | 457 | $15.39 | |
| 90685 | 0% | 149 | $0.00 | |
| 90710 | 0% | 48 | $0.00 | |
| 90633 | 0% | 103 | $0.00 | |
| 90734 | 0% | 73 | $0.00 | |
| 90715 | 0% | 13 | $0.00 | |
| 90723 | 0% | 275 | $0.00 | |
| 90651 | 0% | 254 | $0.00 | |
| 90680 | 0% | 29 | $0.00 | |
| 90696 | 0% | 17 | $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 officialFICCO, DANE (SENIOR VICE PRESIDENT)
Parent organizationMCLEOD HEALTH
| Provider | Location | Paid |
|---|---|---|
| Mcleod Physician Associates II | Manning, SC | $136K |
| Mcleod Physician Associates II | Manning, SC | $105K |
| Mcleod Physician Associates II | Cheraw, SC | $102K |
| Mcleod Physician Associates II | Bennettsville, SC | $54K |
| Mcleod Physician Associates II | Little River, SC | $33K |
| Mcleod Physician Associates II | Manning, SC | $32K |
| Mcleod Physician Associates II | Manning, SC | $27K |
| Mcleod Physician Associates II | Manning, SC | $11K |
| Mcleod Physician Associates II | Tabor City, NC | $11K |
| Mcleod Physician Associates II | Florence, SC | $10K |
| Mcleod Physician Associates II | Florence, SC | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.