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Medicare South Carolina · CY2024

Who bills the most New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more (99204) to Medicare in South Carolina?

Medicare Part B FFS · CY2024 · as published by CMS
581
Billing groups
216,948
Named-group FFS services
$72,667,013
Named-group submitted charges
$335
Avg charge / service
$150
Avg allowed / service
26%
Top-5 concentration
3%
Independent share

581 physician groups billed New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more (99204) to Medicare fee-for-service in South Carolina in 2024; the top five named groups hold 26% of that volume, and independent (non-hospital-affiliated) groups deliver 3%.

99204 — New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more · Source: CMS Medicare Physician & Other Practitioners PUF (Part B), CY2024 release. Medicare fee-for-service only.

Snapshot covers the whole South Carolina market — the table below shows the top 100 groups (free tier).

Payer-mix context

Medicare fee-for-service covers 54% of Medicare in South Carolina; Medicare Advantage penetration 33% → 46% since 2020.

Market structure — concentration, independent share, and the consolidation trend for this market — is part of the market analytics platform — built, not launched yet. Notify me at launch →
#Physician groupCityStSpecialty Providers 99204 svcs Share*Phone
1 LEXINGTON HEALTH INC WEST COLUMBIASCNURSE PRACTITIONER 909 13,980 5.1% (803) 744-4900
2 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTONSCPHYSICIAN ASSISTANT 1692 13,626 5.0% (843) 792-1414
3 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLESCNURSE PRACTITIONER 2447 12,732 4.7%
4 ROPER SAINT FRANCIS PHYSICIANS NETWORK CHARLESTONSCPHYSICIAN ASSISTANT 539 8,339 3.1% (843) 720-8448
5 PRISMA HEALTH MEDICAL GROUP-MIDLANDS COLUMBIASCPHYSICIAN ASSISTANT 1017 6,756 2.5% (803) 749-5101
6 MUSC COMMUNITY PHYSICIANS ORANGEBURGSCNURSE PRACTITIONER 1307 6,632 2.4% (803) 395-3400
7 BON SECOURS MEDICAL GROUP GREENVILLE SPECIALTY CARE LLC GREENVILLESCNURSE PRACTITIONER 288 6,235 2.3% (864) 255-1901
8 CHARLESTON ENT ASSOCIATES, LLC CHARLESTONSCOTOLARYNGOLOGY 76 5,040 1.9% (843) 766-7103
9 MCLEOD PHYSICIAN ASSOCIATES II FLORENCESCPHYSICIAN ASSISTANT 534 4,708 1.7%
10 CONWAY HOSPITAL INC CONWAYSCPHYSICIAN ASSISTANT 124 4,274 1.6% (843) 347-8041
11 GEORGETOWN PHYSICIAN ASSOCIATES, LLC MURRELLS INLETSCFAMILY PRACTICE 230 4,176 1.5% (843) 652-8450
12 NOVANT HEALTH URGENT CARES LLC AIKENSCPHYSICIAN ASSISTANT 191 3,862 1.4% (803) 648-1464
13 ORTHOSC LLC MYRTLE BEACHSCPHYSICAL THERAPIST IN PRIVATE PRACTICE 113 3,545 1.3% (843) 491-4937
14 MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE INC FLORENCESCNURSE PRACTITIONER 409 3,316 1.2% (843) 777-2000
15 SPARTANBURG MEDICAL CENTER SPARTANBURGSCNURSE PRACTITIONER 1070 3,296 1.2% (864) 587-3000
16 CLEMSON EYE PA EASLEYSCOPTOMETRY 51 3,190 1.2% (864) 654-6706
17 ANMED HEALTH ANDERSONSCFAMILY PRACTICE 343 2,889 1.1%
18 CAROLINA ORTHOPAEDIC AND NEUROSURGICAL ASSOCIATES SPARTANBURGSCPHYSICIAN ASSISTANT 60 2,356 0.9% (864) 582-6396
19 MEDCARE EXPRESS - NORTH CHARLESTON LLC NORTH CHARLESTONSCPHYSICIAN ASSISTANT 68 2,261 0.8% (843) 552-3629
20 GASTROENTEROLOGY ASSOCIATES, PA GREENVILLESCGASTROENTEROLOGY 58 2,029 0.7% (864) 232-7338
21 PRISMA HEALTH URGENT CARE OF SOUTH CAROLINA PC GREENVILLESCPHYSICIAN ASSISTANT 160 1,924 0.7% (864) 438-3500
22 CHARLESTON GASTROENTEROLOGY SPECIALISTS CHARLESTONSCCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 49 1,845 0.7% (843) 722-8000
23 MIDLANDS ORTHOPAEDICS AND NEUROSURGERY PA COLUMBIASCPHYSICIAN ASSISTANT 42 1,831 0.7% (803) 256-4107
24 STRAND PHYSICIAN SPECIALISTS PA MYRTLE BEACHSCPHYSICIAN ASSISTANT 55 1,798 0.7% (843) 497-5929
25 HILTON HEAD REGIONAL PHYSICIAN GROUP LLC BLUFFTONSCPHYSICIAN ASSISTANT 106 1,751 0.6% (843) 682-7480
26 COASTAL EYE GROUP, P.C. GEORGETOWNSCOPHTHALMOLOGY 10 1,595 0.6% (843) 546-8421
27 SELF MEDICAL GROUP GREENWOODSCNURSE PRACTITIONER 400 1,391 0.5%
28 CAROLINA CATARACT AND VISION CENTER LADSONSCOPHTHALMOLOGY 9 1,361 0.5% (843) 797-3676
29 EAST COOPER PHYSICIAN GROUP LLC DANIEL ISLANDSCPHYSICIAN ASSISTANT 78 1,287 0.5% (843) 380-9330
30 GRAND STRAND SURGICAL SPECIALISTS LLC MYRTLE BEACHSCPHYSICIAN ASSISTANT 51 1,209 0.4% (843) 848-1440
31 BON SECOURS AMBULATORY SERVICES - ST. FRANCIS, LLC GREENVILLESCNURSE PRACTITIONER 60 1,181 0.4% (864) 757-5059
32 CAROLINA EYECARE PHYSICIANS LLC CHARLESTONSCOPHTHALMOLOGY 28 1,177 0.4% (888) 856-1878
33 AUC UROLOGISTS LLC MYRTLE BEACHSCPHYSICIAN ASSISTANT 28 1,161 0.4% (843) 347-2450
34 PALMETTO RETINA CENTER LLC WEST COLUMBIASCOPHTHALMOLOGY 13 1,098 0.4% (803) 744-0156
35 ARCIS HEALTHCARE LLC NORTH CHARLESTONSCPHYSICIAN ASSISTANT 33 1,055 0.4% (843) 797-5050
36 CAROLINAS PHYSICIANS NETWORK INC CHARLOTTESCPHYSICIAN ASSISTANT 2360 1,033 0.4% (704) 667-1000
37 SOUTH CAROLINA ONCOLOGY ASSOC PA COLUMBIASCHEMATOLOGY/ONCOLOGY 18 1,021 0.4% (803) 461-3000
38 BEAUFORT COUNTY MEMORIAL HOSPITAL BEAUFORTSCPHYSICIAN ASSISTANT 204 1,014 0.4% (843) 522-5983
39 LOWCOUNTRY UROLOGY CLINICS, PA CHARLESTONSCUROLOGY 14 1,014 0.4% (843) 766-4070
40 SPARTANBURG EAR, NOSE AND THROAT - HEAD AND NECK SURGERY, PA GREERSCOTOLARYNGOLOGY 12 994 0.4% (864) 582-2900
41 PALMETTO EYE AND LASER CENTER LLC BOILING SPRINGSSCOPHTHALMOLOGY 7 994 0.4% (864) 583-6381
42 STRAND GI ASSOCIATES PA MYRTLE BEACHSCGASTROENTEROLOGY 10 951 0.3% (843) 449-3381
43 GRIFFIN EYE CENTER PLLC MYRTLE BEACHSCOPHTHALMOLOGY 3 914 0.3% (843) 449-6414
44 PPCP SPECIALTY PHYSICIANS , LLC GOOSE CREEKSCPHYSICIAN ASSISTANT 18 901 0.3% (843) 376-0670
45 AIKEN PROFESSIONAL ASSOCIATION LLC AIKENSCNURSE PRACTITIONER 52 891 0.3% (803) 226-0589
46 CHARLESTON CARENOW URGENT CARE LLC MYRTLE BEACHSCPHYSICIAN ASSISTANT 42 883 0.3% (843) 626-2273
47 DIGESTIVE DISEASE ASSOCIATES OF YORK COUTNY PA ROCK HILLSCGASTROENTEROLOGY 8 873 0.3% (803) 324-7607
48 COLUMBIA NEPHROLOGY ASSOCIATES PA COLUMBIASCNEPHROLOGY 33 841 0.3% 80325299071124
49 CHARLOTTE EYE EAR NOSE AND THROAT ASSOCIATES PA CHARLOTTESCQUALIFIED AUDIOLOGIST 158 824 0.3% (704) 295-3414
50 BISHOP EYE ASSOCIATES, PA HILTON HEADSCOPHTHALMOLOGY 6 794 0.3% (843) 689-3937
51 NOVANT HEALTH SOUTHEASTERN SPINE INSTITUTE LLC MT PLEASANTSCPHYSICIAN ASSISTANT 29 777 0.3%
52 PALMETTO DIGESTIVE DISEASE PA CHARLESTONSCGASTROENTEROLOGY 11 772 0.3% (843) 571-0643
53 LOWCOUNTRY URGENT CARE LLC BEAUFORTSCNURSE PRACTITIONER 82 769 0.3% (843) 322-1933
54 SC HOUSE CALLS INC WEST COLUMBIASCNURSE PRACTITIONER 435 736 0.3% (800) 491-0909
55 GRAND STRAND DERMATOLOGY MYRTLE BEACHSCDERMATOLOGY 8 734 0.3% (843) 215-1100
56 ARTICULARIS HEALTHCARE GROUP INC SUMMERVILLESCRHEUMATOLOGY 47 720 0.3% (843) 572-4840
57 PALMETTO ADULT AND CHILDRENS UROLOGY PA N CHARLESTONSCUROLOGY 6 713 0.3% (843) 797-6600
58 SOUTH CAROLINA ENT ALLERGY AND SLEEP MEDICINE PA COLUMBIASCPHYSICIAN ASSISTANT 24 696 0.3% (803) 408-3277
59 CAROLINA DERMATOLOGY GRP COLUMBIASCPHYSICIAN ASSISTANT 24 695 0.3% (803) 771-7506
60 SOUTH CAROLINA SPORTS MEDICINE AND ORTHOPAEDIC CENTER NORTH CHARLESTONSCPHYSICAL THERAPIST IN PRIVATE PRACTICE 43 682 0.3% (843) 300-8585
61 THE EYE CENTER PA COLUMBIASCOPHTHALMOLOGY 6 679 0.2% (803) 256-0641
62 WACCAMAW DERMATOLOGY LLC MYRTLE BEACHSCNURSE PRACTITIONER 26 674 0.2% (843) 449-0453
63 CAROLINA NEPHROLOGY PA GREENVILLESCNURSE PRACTITIONER 37 657 0.2%
64 CATARACT AND LASER CENTER OF CHARLESTON LADSONSCOPHTHALMOLOGY 4 644 0.2% (843) 553-2477
65 FOREFRONT DERMATOLOGY SC PENSACOLASCPHYSICIAN ASSISTANT 639 621 0.2% (800) 243-7546
66 ANDERSON EYE AND EAR ASSOCIATES PA ANDERSONSCOPHTHALMOLOGY 5 609 0.2% (864) 224-6375
67 PRIVIA MEDICAL GROUP SOUTH CAROLINA, LLC GREENVILLESCOTOLARYNGOLOGY 21 601 0.2% (864) 572-7001
68 UPSTATE LUNG AND CRITICAL CARE SPECIALISTS PC SPARTANBURGSCNURSE PRACTITIONER 11 572 0.2% (864) 573-6320
69 RETINA INSTITUTE OF THE CAROLINAS ROCK HILLSCOPHTHALMOLOGY 3 568 0.2% (803) 323-2020
70 STOKES REGIONAL EYE CENTERS SUMTERSCOPHTHALMOLOGY 7 556 0.2% 8436694156312
71 COLUMBIA GASTROENTEROLOGY ASSOCIATES PA COLUMBIASCGASTROENTEROLOGY 9 543 0.2% (803) 799-4800
72 CONSULTANTS IN GASTROENTEROLOGY PA WEST COLUMBIASCCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 37 519 0.2% (803) 794-4585
73 CAROLINA FAMILY CARE INC CHARLESTONSCFAMILY PRACTICE 87 511 0.2% (843) 876-3157
74 CAROLINA CARDIOLOGY ASSOCIATES LLC ROCK HILLSCCARDIOVASCULAR DISEASE (CARDIOLOGY) 16 511 0.2% (803) 324-5130
75 CHARLESTON NEUROSCIENCES INSTITUTE CHARLESTONSCOPHTHALMOLOGY 9 505 0.2% (843) 763-4466
76 DERRINGTON DERMATOLOGY PA NORTH CHARLESTONSCDERMATOLOGY 2 504 0.2% (843) 459-8400
77 MAY RIVER DERMATOLOGY BLUFFTONSCPHYSICIAN ASSISTANT 20 500 0.2% (843) 837-4400
78 DIGESTIVE DISEASE GROUP PA GREENWOODSCCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 14 500 0.2% 86422736362222
79 CENTERWELL SENIOR PRIMARY CARE SC PC ANDERSONSCNURSE PRACTITIONER 39 498 0.2% (864) 332-3098
80 BON SECOURS ST FRANCIS XAVIER HOSPITAL INC CHARLESTONSCANESTHESIOLOGY 210 483 0.2% (843) 402-1436
81 COASTAL CAROLINA MULTISPECIALTY ASSOCIATES LLC CHARLESTONSCNURSE PRACTITIONER 49 459 0.2%
82 ALLERGY PARTNERS PLLC ASHEVILLESCALLERGY/IMMUNOLOGY 143 459 0.2% (828) 253-3382
83 ST FRANCIS PHYSICIAN SERVICES INC GREENVILLESCFAMILY PRACTICE 110 443 0.2% (864) 271-9773
84 CHARLESTON NEPHROLOGY ASSOCIATES, LLC NORTH CHARLESTONSCNEPHROLOGY 17 441 0.2% (843) 767-9260
85 ADVANCED DERMATOLOGY OF SC PC SPARTANBURGSCPHYSICIAN ASSISTANT 35 439 0.2% (864) 574-0017
86 SOUTH CAROLINA RETINA INSTITUTE LLC CONWAYSCOPHTHALMOLOGY 4 433 0.2% (843) 488-1100
87 SC PAIN AND SPINE SPECIALISTS, LLC MURRELLS INLETSCNURSE PRACTITIONER 6 426 0.2% (843) 839-7246
88 PIEDMONT PHYSICIAN NETWORK LLC ROCK HILLSCPHYSICIAN ASSISTANT 100 422 0.2%
89 AIKEN OPHTHALMOLOGY PC AIKENSCOPHTHALMOLOGY 7 421 0.2% (803) 642-6060
90 JERVEY EYE GROUP PA GREENVILLESCOPHTHALMOLOGY 20 418 0.2% (864) 458-7956
91 INLET PULMONARY CRITICAL CARE AND SLEEP MEDICINE, PA MURRELLS INLETSCNURSE PRACTITIONER 6 416 0.2% 84365248001230
92 SUMTER EAR NOSE THROAT AND FACIAL PLASTIC SURGERY LLC SUMTERSCOTOLARYNGOLOGY 2 396 0.1% (803) 778-5970
93 GREENVILLE PODIATRY ASSOCIATES PA GREENVILLESCPODIATRY 2 391 0.1% (864) 234-7370
94 PALMETTO OPHTHALMOLOGY ASSOCIATES PA LEXINGTONSCOPHTHALMOLOGY 7 390 0.1% (803) 359-8777
95 ATREUS LLC SENECASCNURSE PRACTITIONER 7 390 0.1% (864) 800-0100
96 VAUGHT EYE ASSOCIATES, PA CONWAYSCOPHTHALMOLOGY 11 387 0.1%
97 COASTAL VASCULAR AND VEIN CENTER PA CHARLESTONSCPHYSICIAN ASSISTANT 11 376 0.1% (843) 577-4551
98 VERITAS HEALTHCARE SOLUTIONS, LLC MYRTLE BEACHSCCARDIOVASCULAR DISEASE (CARDIOLOGY) 5 373 0.1% (843) 293-5100
99 COLUMBIA EYE CLINIC PA COLUMBIASCOPHTHALMOLOGY 19 367 0.1% (803) 779-3070
100 HARTSVILLE MEDICAL GROUP LLC HARTSVILLESCDIAGNOSTIC RADIOLOGY 63 365 0.1%

*Share of South Carolina's disclosed Medicare-FFS services for 99204, counted once per clinician. Volume is placed in the state it was billed from, so this page ranks the groups actually billing 99204 in South Carolina — including groups registered elsewhere ("City" is each group's registered location). Group figures sum clinicians affiliated with exactly one group; clinicians in several groups are listed in each group's drill-down but not volume-attributed to any single group.

How to read this. Figures are Medicare fee-for-service only — not all-payer — from the CMS Medicare Physician & Other Practitioners Public Use File (Part B), CY2024 release. CMS suppresses any provider×code row under 11 beneficiaries, so a missing group means "suppressed," never zero. "Charges" are provider-submitted amounts, not payments. Groups are ranked by measured service volume attributed to clinicians in exactly one group — clinicians affiliated with several groups are listed in rosters but never volume-attributed to a single group — a direct read of the public record, not a rating or quality score. Full method: Methods & Sources.

Comparing against an all-payer estimate?

These are exact counts from Medicare fee-for-service claims — roughly a third to half of most procedure markets, depending on payer mix. Modeled all-payer databases project the remainder statistically; we publish the audited floor and label it as such. Same market, different denominator. How the numbers reconcile →