Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Hopehealth, INC

Hopehealth, INC was paid $11.28M by Medicaid between Jan 2018 and Dec 2024, across 60 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 59% of everything it billed.

33Billing provider infoHOPEHEALTH, INC
MANNING, SC 29102
33aNPI1013259712assigned 03/20/2013
28Total paid$11.28M
24GClaims147,290
24DCodes billed60
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in South Carolina

Rank by total paid#6 of 85
Median peer was paid$746K
This provider vs. median15×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official VINSON, MARK controls 18+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$100K$200K$300K2018201920202021202220232024
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
YearClaimsPaid
20189,862$842K
201922,798$1.79M
202017,878$1.29M
202126,365$1.73M
202228,533$1.80M
202322,571$1.95M
2024incomplete19,283$1.87M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 59% 45,572 40,899 $6.67M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 7.0% 5,500 5,463 $788K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 7.0% 5,273 5,258 $786K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 5.8% 4,504 4,334 $649K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 4.8% 3,612 3,582 $537K
87428 4.1% 7,782 7,492 $464K
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 4.1% 3,750 3,131 $463K
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 2.7% 2,170 2,073 $304K
90460 Immunization administration through 18 years of age via any route, first or only component 2.0% 13,103 12,965 $220K
G9153 Mapcp demonstration - physician incentive pool <1% 3,716 3,618 $110K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 11,288 10,845 $47K
99442 <1% 1,470 1,350 $47K
48 more codes
99441 <1% 1,983 $34K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 842 $33K
90834 Psychotherapy session, about 45 minutes <1% 193 $25K
99188 <1% 2,719 $22K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 3,546 $14K
90461 <1% 4,981 $14K
81003 <1% 8,961 $7K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 48 $6K
90832 Psychotherapy session, about 30 minutes <1% 50 $5K
99383 <1% 38 $5K
87420 <1% 1,545 $5K
0071A <1% 84 $3K
J0561 Injection, penicillin g benzathine, 100,000 units <1% 29 $3K
0072A <1% 67 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 1,367 $3K
92551 <1% 838 $2K
90791 Psychiatric diagnostic evaluation <1% 17 $2K
96160 <1% 77 $822.11
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 38 $630.00
83036 Hemoglobin; glycosylated (A1C) <1% 152 $570.84
90651 <1% 612 $448.32
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 124 $251.79
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 68 $168.54
90620 <1% 78 $167.90
81025 <1% 111 $151.54
90686 <1% 4,254 $77.44
90723 <1% 715 $77.27
90633 <1% 771 $64.48
96127 <1% 732 $53.23
90700 <1% 27 $52.16
90647 <1% 772 $51.38
83655 <1% 13 $41.95
85018 <1% 13 $9.84
85014 <1% 12 $8.20
90670 0% 2,032 $0.00
90715 0% 173 $0.00
90734 0% 257 $0.00
99173 0% 466 $0.00
90681 0% 43 $0.00
90710 0% 16 $0.00
90698 0% 75 $0.00
90677 0% 209 $0.00
90696 0% 31 $0.00
90619 0% 32 $0.00
90744 0% 44 $0.00
90656 0% 194 $0.00
91307 0% 89 $0.00
96161 0% 12 $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 officialVINSON, MARK (CFO)
Same official

Other billing entities under VINSON, MARK

Full network →
ProviderLocationPaid
Hopehealth, INC.Florence, SC$11.04M
Hopehealth, INCManning, SC$4.54M
Hopehealth INCFlorence, SC$3.32M
Hopehealth INCFlorence, SC$2.75M
Hopehealth, INCKingstree, SC$2.43M
Hopehealth, INCLake City, SC$1.34M
Hopehealth, INCTimmonsville, SC$924K
Hopehealth, INC.Florence, SC$588K
Hopehealth, INC.Greeleyville, SC$416K
Hopehealth INCOrangeburg, SC$336K
Hopehealth, INC.Florence, SC$279K
Hopehealth, INC.Hemingway, SC$192K
Vision Care P aMarion, SC$177K
Hopehealth, INCLake City, SC$71K
Vision Care P aDillon, SC$62K
Hopehealth INCAiken, SC$45K
Hopehealth, INC.Manning, SC$20K
Hopehealth, INCFlorence, SC$5K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.