Palmetto Digestive Disease PA
Palmetto Digestive Disease PA was paid $169K by Medicaid between Jan 2018 and Sep 2024, across 7 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 42% of everything it billed.
33Billing provider infoPALMETTO DIGESTIVE DISEASE PA
CHARLESTON, SC 29414
CHARLESTON, SC 29414
33aNPI1922057843assigned 05/08/2006
33bProvider typeSpecialist
28Total paid$169K
24GClaims3,029
24DCodes billed7
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Specialist providers in South Carolina
Rank by total paid#30 of 89
Median peer was paid$41K
This provider vs. median4.1×
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 | 387 | $13K | |
| 2019 | 368 | $15K | |
| 2020 | 413 | $18K | |
| 2021 | 410 | $20K | |
| 2022 | 561 | $27K | |
| 2023 | 582 | $50K | |
| 2024incomplete | 308 | $27K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 42% | 1,004 | 935 | $71K |
| 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 | 28% | 1,002 | 922 | $47K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.9% | 545 | 479 | $17K |
| 88312 | 6.6% | 79 | 74 | $11K | |
| 88313 | 4.7% | 89 | 86 | $8K | |
| 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 | 4.5% | 79 | 76 | $8K |
| 88342 | 4.5% | 231 | 226 | $8K |
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 officialWYATT, SONYA (CEO)