JUAN MIGUEL BONETTI, M.D.
NPI 1487657870, individual, Greenwood, SC, Pediatrics
- Medicaid dollars per patient on code 99391 ($179 per patient-month) sit in the top 5% of every provider billing that code.
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | JUAN MIGUEL BONETTI, M.D. |
| Type | Individual |
| Status | Active |
| NPI issued | May 31, 2005, last updated September 18, 2013 |
| Practice location | 113 LINER DR, Greenwood, SC 29646-2311, 864-941-8170 |
| Mailing address | 313 MAIN ST, SUITE B, Greenwood, SC 29646-2757 |
| Specialties | Pediatrics (208000000X, primary, license 16583 SC) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $2.7M | 54% | $179 | $44 (top 5% from $110) | 98th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $556K | 11% | $178 | $60 (top 5% from $133) | 98th percentile | |
| 99391 | Medicaid service code | $437K | 9% | $170 | $76 (top 5% from $126) | 98th percentile | |
| 99392 | Medicaid service code | $427K | 9% | $166 | $78 (top 5% from $124) | 98th percentile | |
| T1015 | Medicaid service code | $256K | 5% | $210 | $182 (top 5% from $488) | 62nd percentile | |
| 99393 | Medicaid service code | $246K | 5% | $164 | $78 (top 5% from $121) | 98th percentile | |
| 99394 | Medicaid service code | $157K | 3% | $162 | $83 (top 5% from $128) | 98th percentile | |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | $85K | 2% | $154 | $28 (top 5% from $147) | 95th percentile |
In this area
79 providers in SC carry an indicator in the public record, with $44.8M at stake between them. The most common is part of a provider network, on 39 of them, followed by more hours than a day holds on 31. 4 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | TRANSFORMATION SERVICES Lancaster, SC, ranked 203 | $41K |
|
| 1 | ACHIEVE BEHAVIORAL HEALTH PA Greenville, SC, ranked 224 | $27K |
|
| 1 | KEVIN PATEL Charleston, SC, ranked 226 | $26K |
|
| 1 | PREMIER MEDICAL, INC. Greenville, SC, ranked 499 | $0 |
|
| 2 | RYEDENNA SIMON - MCQUEEN Florence, SC, ranked 708 | $239K |
|
| 2 | KENNETH MARTIN Columbia, SC, ranked 725 | $1.9M |
|
| 3 | ROPER ST FRANCIS ANCILLARY SERVICES Ladson, SC, ranked 804 | $328K |
|
| 3 | INSPIRIUM IHC UPSTATE, LLC Greenville, SC, ranked 1077 | $794K |
|
Recent enforcement in SC
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.