Physician
Sandhills Medical Foundation, INC.
Sandhills Medical Foundation, INC. was paid $450K by Medicaid between Jan 2018 and Apr 2024, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 65% of everything it billed.
33Billing provider infoSANDHILLS MEDICAL FOUNDATION, INC.
JEFFERSON, SC 29718
JEFFERSON, SC 29718
33aNPI1912065467assigned 12/05/2006
33bProvider typeFamily Medicine Physician
28Total paid$450K
24GClaims3,516
24DCodes billed11
24AFirst – last monthJan 2018 – Apr 2024
Compared with peers
Next to other Family Medicine Physician providers in South Carolina
Rank by total paid#80 of 696
Median peer was paid$14K
This provider vs. median31×
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.
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 | 912 | $132K | |
| 2019 | 528 | $76K | |
| 2020 | 243 | $26K | |
| 2021 | 394 | $56K | |
| 2022 | 509 | $61K | |
| 2023 | 852 | $88K | |
| 2024incomplete | 78 | $11K |
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 | 65% | 1,521 | 1,438 | $293K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 21% | 1,195 | 916 | $96K |
| 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 | 13% | 304 | 288 | $59K |
| 99441 | <1% | 35 | 32 | $383.99 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 57 | 53 | $372.05 |
| 98968 | <1% | 16 | 13 | $364.92 | |
| 90688 | <1% | 12 | 12 | $153.90 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 62 | 59 | $18.22 |
| 96127 | <1% | 166 | 164 | $0.43 | |
| 99071 | <1% | 95 | 95 | $0.07 | |
| S9452 | Nutrition classes, non-physician provider, per session | 0% | 53 | 53 | $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 officialWARDLAW, ERNEST (CEO)
| Provider | Location | Paid |
|---|---|---|
| Sandhills Medical Foundation, INC. | Lugoff, SC | $3.16M |
| Sandhills Medical Foundation, INC. | Sumter, SC | $1.08M |
| Sandhills Medical Foundation, INC. | Kershaw, SC | $578K |
| Sandhills Medical Foundation, INC. | Mcbee, SC | $232K |
| Sandhills Medical Foundation, INC. | Camden, SC | $160K |
| Sandhills Medical Foundation, INC. | Ruby, SC | $39K |
| Sandhills Medical Foundation, INC. | Pageland, SC | $6K |
| Sandhills Medical Foundation, INC. | Bethune, SC | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.