Physician
Berkeley Family Practice LLC
Berkeley Family Practice LLC was paid $1.42M by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 53% of everything it billed.
33Billing provider infoBERKELEY FAMILY PRACTICE LLC
MONCKS CORNER, SC 29461
MONCKS CORNER, SC 29461
33aNPI1962420927assigned 07/18/2006
33bProvider typeFamily Medicine Physician
28Total paid$1.42M
24GClaims33,843
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in South Carolina
Rank by total paid#24 of 696
Median peer was paid$14K
This provider vs. median98×
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 | 2,631 | $138K | |
| 2019 | 2,969 | $159K | |
| 2020 | 2,797 | $164K | |
| 2021 | 5,012 | $255K | |
| 2022 | 6,312 | $257K | |
| 2023 | 7,154 | $240K | |
| 2024incomplete | 6,968 | $211K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 53% | 10,108 | 9,215 | $756K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 43% | 10,084 | 9,285 | $614K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.2% | 330 | 315 | $17K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 518 | 494 | $11K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 414 | 395 | $6K |
| 81025 | <1% | 660 | 627 | $4K | |
| 90674 | <1% | 207 | 198 | $3K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 27 | 27 | $3K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 27 | 24 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 118 | 116 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 76 | 68 | $2K |
| 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% | 15 | 13 | $1K |
16 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 14 | $1K |
| 81003 | <1% | 546 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 96 | $1K |
| 90461 | <1% | 31 | $515.62 | |
| 99490 | Ccm add 20min | <1% | 29 | $395.16 |
| 90756 | <1% | 36 | $177.35 | |
| 90687 | <1% | 13 | $16.24 | |
| 1159F | <1% | 4,030 | $0.16 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 3,762 | $0.11 |
| 3008F | 0% | 2,558 | $0.00 | |
| 3074F | 0% | 32 | $0.00 | |
| 90633 | 0% | 12 | $0.00 | |
| 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) | 0% | 60 | $0.00 |
| 90685 | 0% | 12 | $0.00 | |
| 3078F | 0% | 13 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 15 | $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 officialSANTI, JEFFREY (M.D. - PARTNER)