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    OpenPayerNPI Medicare & MedicaidPalmetto Primary Care Physicians, LLC
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    Palmetto Primary Care Physicians, LLC — Billing Profile & Reimbursement Data

    NPI 1659660645 · N Charleston, SC · Clinical Medical Laboratory

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    Palmetto Primary Care Physicians, LLC is a clinical medical laboratory provider located in N Charleston, South Carolina. This profile covers 0 Medicare and 45 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationPalmetto Primary Care Physicians, LLC
    Address2500 Elms Center Rd
    CityN Charleston
    StateSC
    ZIP29406
    TaxonomyClinical Medical Laboratory
    NPI EnumeratedMarch 31, 2011

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$1.8M
    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.

    45 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…20,650$10$289.1K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.30,480$10$274.3K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.21,030$10$231.3K
    85025A 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…27,160$10$190.1K
    82306The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…7,330$30$183.2K
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…19,060$10$152.5K
    84481The lab analyst performs a test to measure free T3 in patient blood.4,760$20$71.4K
    82607The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood.4,990$10$64.8K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.1,510$40$57.5K
    84439The lab analyst performs a test to measure free thyroxine, or free T4, typically in patient serum.7,280$10$51K

    Showing 1–10 of 45

    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

    45 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.222101,470$60$615K
    80048The 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…791502,500$50$324.9K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.481201,100$30$170.4K
    81001Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other…1091801,360$20$152.1K
    87086Culture, bacterial; quantitative, colony count, urine.931102,340$20$103.9K
    87077The lab analyst performs additional tests on a presumptively identified aerobic isolate to definitively, which means more specifically, identify the organism, such as to the level of species.87901,160$20$57.6K
    87661The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique.2560790$10$49.5K
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.491101,110$10$43.6K
    82306The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…10100310$20$39.5K
    81003The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…187500180$20$33K

    Showing 1–10 of 45

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Palmetto Primary Care Physicians, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Thomas ArnauSCFamily Medicine Physician$2.4M$27K
    David CastelloneSCFamily Medicine Physician$605K$36.6K
    Brian KellerSCFamily Medicine Physician$398K$28.3K
    Sara MontoyaSCFamily Medicine Physician$388.5K$0
    John LucasSCNeurology Physician$375.2K$0
    Joseph MathewsSCEndocrinology, Diabetes & Metabolism Physician$325.8K$7.7K
    John SutterlinSCFamily Medicine Physician$307.7K$16.7K
    Elizabeth AnisisSCFamily Medicine Physician$311.9K$970
    Frederick FunkeSCCardiovascular Disease Physician$312.8K$0
    Claudius DawsonSCFamily Medicine Physician$301.4K$3.1K

    Nearby Providers

    Other providers in the same ZIP code as Palmetto Primary Care Physicians, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Trident Medical Center, LLCSCGeneral Acute Care Hospital$0$55.8M
    Sweetgrass PediatricsSCPediatrics Physician$0$37.1M
    Trident Ambulatory Surgery Center, L.P.SCAmbulatory Surgical Clinic/Center$1M$10.9M
    Palmetto Pediatrics, PASCPediatrics Physician$0$9M
    Taylor Consultants, LLCSCCase Manager/Care Coordinator$0$7.5M
    Charleston Children's Therapy Center, LLCSCPediatric Physical Therapist$0$5.7M
    Trident Medical Center, LLCSCGeneral Acute Care Hospital$0$4.1M
    Med-trans CorporationSCAir Ambulance$292K$3.6M
    Oral Surgery Of South Carolina LLCSCOral and Maxillofacial Surgery (Dentist)$0$3.8M
    Crossroads Treatment Center Of Charleston, PCSCSubstance Use Disorder Rehabilitation Clinic/Center$153.1K$3.2M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. South Carolina Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. South Carolina Distribution
    Palmetto Primary Care Physicians, LLC — 5 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina