Clinic
New Horizon Family Health Services, INC.
New Horizon Family Health Services, INC. was paid $5.79M by Medicaid between Jan 2018 and Nov 2024, across 30 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 41% of everything it billed.
33Billing provider infoNEW HORIZON FAMILY HEALTH SERVICES, INC.
GREENVILLE, SC 29605
GREENVILLE, SC 29605
33aNPI1043495526assigned 01/03/2008
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$5.79M
24GClaims45,826
24DCodes billed30
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in South Carolina
Rank by total paid#13 of 85
Median peer was paid$746K
This provider vs. median7.8×
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.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 9,588 | $1.04M | |
| 2019 | 10,572 | $1.34M | |
| 2020 | 6,118 | $803K | |
| 2021 | 6,572 | $825K | |
| 2022 | 4,524 | $547K | |
| 2023 | 5,144 | $708K | |
| 2024incomplete | 3,308 | $524K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 41% | 22,768 | 18,433 | $2.35M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 10,036 | 9,662 | $1.78M |
| 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 | 25% | 7,510 | 7,371 | $1.43M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 297 | 288 | $51K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 245 | 229 | $46K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 187 | 162 | $30K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,156 | 1,069 | $16K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 79 | 51 | $15K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 84 | 78 | $12K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 68 | 67 | $11K |
| G9153 | Mapcp demonstration - physician incentive pool | <1% | 319 | 278 | $10K |
| 90656 | <1% | 726 | 611 | $8K |
18 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 39 | $7K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 42 | $6K |
| 99051 | <1% | 374 | $4K | |
| 92552 | <1% | 393 | $3K | |
| 99441 | <1% | 250 | $2K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 455 | $1K |
| 90686 | <1% | 212 | $1K | |
| 90662 | <1% | 18 | $628.42 | |
| 90715 | <1% | 17 | $554.12 | |
| 90461 | <1% | 80 | $461.28 | |
| 82962 | <1% | 227 | $239.49 | |
| 90688 | <1% | 111 | $218.09 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 13 | $145.47 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 15 | $133.04 |
| 85610 | <1% | 38 | $51.70 | |
| 3008F | 0% | 40 | $0.00 | |
| 90734 | 0% | 14 | $0.00 | |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | 0% | 13 | $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 officialGAFFNEY, J BRANDON (CEO & PRESIDENT)
Parent organizationNEW HORIZON FAMILY HEALTH SERVICES, INC.
| Provider | Location | Paid |
|---|---|---|
| New Horizon Family Health Services, INC. | Travelers Rest, SC | $1.26M |
| New Horizon Family Health Services, INC. | Greer, SC | $683K |
| New Horizon Family Health Services, INC. | Greenville, SC | $562K |
| New Horizon Family Health Services, INC. | Greenville, SC | $88K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.