Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

HOPEHEALTH, INC

NPI: 1013259712 · MANNING, SC 29102 · Federally Qualified Health Center (FQHC) · NPI assigned 03/20/2013

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official VINSON, MARK controls 18+ related entities in our dataset. Read more

$11.28M
Total Medicaid Paid
147,290
Total Claims
138,008
Beneficiaries
60
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialVINSON, MARK (CFO)
NPI Enumeration Date03/20/2013

Related Entities

Other providers sharing the same authorized official: VINSON, MARK

ProviderCityStateTotal Paid
HOPEHEALTH, INC. FLORENCE SC $11.04M
HOPEHEALTH, INC MANNING SC $4.54M
HOPEHEALTH INC FLORENCE SC $3.32M
HOPEHEALTH INC FLORENCE SC $2.75M
HOPEHEALTH, INC KINGSTREE SC $2.43M
HOPEHEALTH, INC LAKE CITY SC $1.34M
HOPEHEALTH, INC TIMMONSVILLE SC $924K
HOPEHEALTH, INC. FLORENCE SC $588K
HOPEHEALTH, INC. GREELEYVILLE SC $416K
HOPEHEALTH INC ORANGEBURG SC $336K
HOPEHEALTH, INC. FLORENCE SC $279K
HOPEHEALTH, INC. HEMINGWAY SC $192K
VISION CARE P A MARION SC $177K
HOPEHEALTH, INC LAKE CITY SC $71K
VISION CARE P A DILLON SC $62K
HOPEHEALTH INC AIKEN SC $45K
HOPEHEALTH, INC. MANNING SC $20K
HOPEHEALTH, INC FLORENCE SC $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 9,862 $842K
2019 22,798 $1.79M
2020 17,878 $1.29M
2021 26,365 $1.73M
2022 28,533 $1.80M
2023 22,571 $1.95M
2024 19,283 $1.87M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 45,572 40,899 $6.67M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,500 5,463 $788K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5,273 5,258 $786K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,504 4,334 $649K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3,612 3,582 $537K
87428 7,782 7,492 $464K
T1015 Clinic visit/encounter, all-inclusive 3,750 3,131 $463K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,170 2,073 $304K
90460 Immunization administration through 18 years of age via any route, first or only component 13,103 12,965 $220K
G9153 Mapcp demonstration - physician incentive pool 3,716 3,618 $110K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 11,288 10,845 $47K
99442 1,470 1,350 $47K
99441 1,983 1,768 $34K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 842 822 $33K
90834 Psychotherapy, 45 minutes with patient 193 179 $25K
99188 2,719 2,709 $22K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,546 1,841 $14K
90461 4,981 4,921 $14K
81003 8,961 8,650 $7K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 48 48 $6K
90832 Psychotherapy, 30 minutes with patient 50 43 $5K
99383 38 38 $5K
87420 1,545 1,484 $5K
0071A 84 84 $3K
J0561 Injection, penicillin g benzathine, 100,000 units 29 29 $3K
0072A 67 67 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,367 1,308 $3K
92551 838 837 $2K
90791 Psychiatric diagnostic evaluation 17 17 $2K
96160 77 77 $822.11
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 38 36 $630.00
83036 Hemoglobin; glycosylated (A1C) 152 151 $570.84
90651 612 604 $448.32
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 124 113 $251.79
96110 Developmental screening, with scoring and documentation, per standardized instrument 68 68 $168.54
90620 78 77 $167.90
81025 111 108 $151.54
90686 4,254 4,230 $77.44
90723 715 711 $77.27
90633 771 768 $64.48
96127 732 731 $53.23
90700 27 25 $52.16
90647 772 769 $51.38
83655 13 13 $41.95
85018 13 13 $9.84
85014 12 12 $8.20
90670 2,032 2,025 $0.00
90715 173 169 $0.00
90734 257 251 $0.00
99173 466 465 $0.00
90681 43 43 $0.00
90710 16 16 $0.00
90698 75 75 $0.00
90677 209 207 $0.00
90696 31 31 $0.00
90619 32 28 $0.00
90744 44 44 $0.00
90656 194 194 $0.00
91307 89 87 $0.00
96161 12 12 $0.00