Dillon Family Medicine, P.A. — Billing Profile & Reimbursement Data
NPI 1629057401 · Dillon, SC · Family Medicine Physician
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Dillon Family Medicine, P.A. is a family medicine physician provider located in Dillon, South Carolina. This profile covers 0 Medicare and 52 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Dillon Family Medicine, P.A. |
| Address | 603 N 6th Ave |
| City | Dillon |
| State | SC |
| ZIP | 29536 |
| Taxonomy | Family Medicine Physician |
| NPI Enumerated | January 11, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $4M |
| Medicare | $0 |
Medicaid: Total Revenue Breakdown by CPT/HCPCS Code
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Medicaid: Complete Services Breakdown
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
52 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 25,190 | $70 | $1.9M |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 15,820 | $60 | $869.9K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high… | 3,080 | $100 | $295.3K |
| 99203 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider… | 1,340 | $100 | $128.4K |
| 85025 | A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a… | 13,700 | $10 | $95.9K |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 840 | $100 | $80K |
| 95165 | In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens. | 280 | $270 | $77.5K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 2,450 | $30 | $61.2K |
| 80048 | The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood… | 7,960 | $10 | $55.7K |
| 87804 | The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings. | 4,210 | $10 | $54.7K |
Showing 1–10 of 52
Medicaid: Competitive Analysis & Benchmarks
How this provider's Medicaid billing volume and revenue compare to other South Carolina providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. South Carolina median
52 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 95165 | In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens. | 17 | 40 | 120 | $220 | $367.6K |
| 80048 | The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood… | 34 | 150 | 2,500 | $50 | $324.9K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high… | 20 | 90 | 730 | $60 | $275.7K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 156 | 2,770 | 210 | $60 | $254.5K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 45 | 710 | 350 | $60 | $247.2K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 47 | 2,480 | 350 | $80 | $246K |
| 99392 | Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby… | 279 | 380 | 160 | $100 | $226.8K |
| 96372 | A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician… | 120 | 410 | 330 | $50 | $152.6K |
| 99393 | The provider performs an established well–patient visit for a child who is between the ages of 5 and 11. | 340 | 390 | 100 | $100 | $148.3K |
| 87635 | Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus… | 145 | 170 | 500 | $50 | $128.5K |
Showing 1–10 of 52
Nearby Providers
Other providers in the same ZIP code as Dillon Family Medicine, P.A., ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Mcleod Medical Center-dillon | SC | General Acute Care Hospital | $0 | $13.6M |
| Omni Physical Therapy Inc | SC | Physical Therapist | $0 | $4.9M |
| Caresouth Carolina, Inc | SC | Federally Qualified Health Center (FQHC) | $0 | $2.3M |
| Comprehensive Dental Center Of South Carolina | SC | Clinic/Center | $0 | $1.8M |
| Mcleod Physician Associates Ii | SC | Family Medicine Physician | $0 | $1.8M |
| County Of Dillon | SC | Ambulance | $428K | $1.2M |
| James Wallace | SC | Internal Medicine Physician | $541.7K | $1.6K |
| Extreme Medical Transport Of The Carolinas LLC | SC | Land Ambulance | $366K | $60.9K |
| Olivia Miller | SC | Dermatology Physician | $291.8K | $0 |
| Stephen Vance | SC | Family Medicine Physician | $188.8K | $51.3K |
Frequently Asked Questions
References
- 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
- 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.
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