Hilton Head Regional Physician Network, LLC
Hilton Head Regional Physician Network, LLC was paid $1.36M by Medicaid between Jan 2018 and Jan 2024, across 24 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 85% of everything it billed.
BEAUFORT, SC 29907
Next to other Family Medicine Physician providers in South Carolina
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 4,641 | $218K | |
| 2019 | 6,909 | $208K | |
| 2020 | 5,904 | $223K | |
| 2021 | 4,666 | $248K | |
| 2022 | 5,159 | $225K | |
| 2023 | 9,147 | $224K | |
| 2024incomplete | 818 | $17K |
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 | 85% | 22,473 | 19,793 | $1.17M |
| 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 | 7.2% | 1,350 | 1,238 | $99K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 3.0% | 37 | 26 | $41K |
| 81002 | 1.1% | 5,547 | 4,808 | $15K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 1.0% | 185 | 176 | $14K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 166 | 149 | $14K |
| 59025 | Fetal non-stress test | <1% | 196 | 171 | $5K |
| 11721 | <1% | 450 | 381 | $4K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 117 | 107 | $3K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 26 | 26 | $2K |
| 76830 | Ultrasound, transvaginal | <1% | 19 | 13 | $1K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 15 | 13 | $888.83 |
12 more codes
| 81003 | <1% | 358 | $811.05 | |
| 93000 | <1% | 100 | $650.40 | |
| 81025 | <1% | 33 | $181.17 | |
| 51798 | <1% | 17 | $67.30 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 13 | $50.82 |
| 1159F | 0% | 1,343 | $0.00 | |
| 1160F | 0% | 1,343 | $0.00 | |
| 3078F | 0% | 528 | $0.00 | |
| 3725F | 0% | 192 | $0.00 | |
| 3008F | 0% | 754 | $0.00 | |
| 3074F | 0% | 913 | $0.00 | |
| 1036F | 0% | 1,069 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.