Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MCLEOD PHYSICIAN ASSOCIATES II

NPI: 1912392127 · FLORENCE, SC 29506 · Acute Care Nurse Practitioner · NPI assigned 04/03/2015

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official BEASLEY, KENNETH controls 20+ related entities in our dataset. Read more

$340K
Total Medicaid Paid
7,677
Total Claims
7,212
Beneficiaries
18
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBEASLEY, KENNETH (SENIOR VICE PRESIDENT)
Parent OrganizationMCLEOD HEALTH
NPI Enumeration Date04/03/2015

Related Entities

Other providers sharing the same authorized official: BEASLEY, KENNETH

ProviderCityStateTotal Paid
MCLEOD PHYSICIAN ASSOCIATES II FLORENCE SC $13.06M
MCLEOD PHYSICIAN ASSOCIATES II FLORENCE SC $6.47M
MCLEOD PHYSICIAN ASSOCIATES II DILLON SC $6.10M
MCLEOD PHYSICIAN ASSOCIATES II FLORENCE SC $4.18M
MCLEOD PHYSICIAN ASSOCIATES II FLORENCE SC $4.18M
MCLEOD PHYSICIAN ASSOCIATES LITTLE RIVER SC $2.61M
MCLEOD PHYSICIAN ASSOCIATES II FLORENCE SC $2.57M
MCLEOD PHYSICIAN ASSOCIATES II DILLON SC $2.46M
MCLEOD PHYSICIAN ASSOCIATES II DARLINGTON SC $2.29M
MCLEOD PHYSICIAN ASSOCIATES II FLORENCE SC $2.21M
MCLEOD PHYSICIAN ASSOCIATES II DILLON SC $1.75M
MCLEOD PHYSICIAN ASSOCIATES II CHERAW SC $1.64M
MCLEOD PHYSICIAN ASSOCIATES II FLORENCE SC $1.58M
MCLEOD PHYSICIAN ASSOCIATES II FLORENCE SC $1.29M
MCLEOD PHYSICIAN ASSOCIATES II FLORENCE SC $1.14M
MCLEOD PHYSICIAN ASSOCIATES II FLORENCE SC $1.08M
MCLEOD PHYSICIAN ASSOCIATES II LORIS SC $580K
MCLEOD PHYSICIAN ASSOCIATES II FLORENCE SC $539K
MCLEOD PHYSICIAN ASSOCIATES II FLORENCE SC $478K
MCLEOD PHYSICIAN ASSOCIATES II SUMTER SC $450K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 654 $32K
2019 629 $27K
2020 534 $23K
2021 1,074 $46K
2022 1,031 $51K
2023 1,552 $82K
2024 2,203 $80K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,790 3,590 $203K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,715 2,508 $123K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 120 109 $9K
99309 Subsequent nursing facility care, per day, low to moderate complexity 150 140 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13 12 $452.82
83036 Hemoglobin; glycosylated (A1C) 70 69 $326.01
82962 60 55 $131.24
90656 16 16 $110.06
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 316 301 $28.40
81003 12 12 $16.28
1160F 127 121 $0.00
1159F 128 122 $0.00
3078F 37 36 $0.00
3079F 13 13 $0.00
1126F 18 18 $0.00
1125F 26 24 $0.00
3074F 33 33 $0.00
G0008 Administration of influenza virus vaccine 33 33 $0.00