Physician
Sentinel Health Partners, PA
Sentinel Health Partners, PA was paid $279K by Medicaid between Jan 2018 and Sep 2019, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 65% of everything it billed.
33Billing provider infoSENTINEL HEALTH PARTNERS, PA
ELGIN, SC 29045
ELGIN, SC 29045
33aNPI1952519662assigned 05/18/2007
33bProvider typePediatrics Physician
28Total paid$279K
24GClaims6,915
24DCodes billed20
24AFirst – last monthJan 2018 – Sep 2019
Compared with peers
Next to other Pediatrics Physician providers in South Carolina
Rank by total paid#79 of 471
Median peer was paid$18K
This provider vs. median16×
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 | 4,365 | $171K | |
| 2019 | 2,550 | $109K |
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% | 3,450 | 3,003 | $181K |
| 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 | 21% | 876 | 776 | $58K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.0% | 583 | 286 | $8K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.9% | 520 | 497 | $8K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.1% | 68 | 65 | $6K |
| 90461 | 1.7% | 219 | 210 | $5K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.1% | 34 | 32 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.0% | 203 | 196 | $3K |
| 97802 | <1% | 68 | 62 | $2K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 97 | 85 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 12 | 12 | $963.35 |
| 36415 | Collection of venous blood by venipuncture | <1% | 310 | 287 | $771.19 |
8 more codes
| 90682 | <1% | 16 | $550.52 | |
| 81003 | <1% | 161 | $414.98 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 13 | $303.00 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 29 | $234.47 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 29 | $116.17 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 15 | $58.00 |
| 90686 | <1% | 117 | $19.70 | |
| 3008F | 0% | 95 | $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 officialMCALPINE, JAMES (CEO)
| Provider | Location | Paid |
|---|---|---|
| Sentinel Health Partners, PA | Camden, SC | $163K |
| Sentinel Health Partners, PA | Camden, SC | $99K |
| Sentinel Health Partners, PA | Kershaw, SC | $83K |
| Sentinel Health Partners, PA | Lugoff, SC | $76K |
| Sentinel Health Partners, PA | Camden, SC | $6K |
| Sentinel Health Partners, PA | Camden, SC | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.