Hopehealth, INC
Hopehealth, INC was paid $924K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 36% of everything it billed.
TIMMONSVILLE, SC 29161
Next to other Federally Qualified Health Center (FQHC) providers in South Carolina
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,553 | $136K | |
| 2019 | 1,425 | $120K | |
| 2020 | 1,282 | $107K | |
| 2021 | 1,841 | $133K | |
| 2022 | 2,589 | $159K | |
| 2023 | 2,024 | $154K | |
| 2024incomplete | 1,275 | $115K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 36% | 2,287 | 2,208 | $331K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 33% | 6,399 | 5,528 | $303K |
| 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% | 2,069 | 1,938 | $289K |
| 90686 | <1% | 100 | 98 | $732.32 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 152 | 147 | $247.56 |
| 90656 | <1% | 15 | 14 | $228.05 | |
| 99406 | <1% | 12 | 12 | $101.69 | |
| 96127 | <1% | 795 | 752 | $88.21 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 12 | 12 | $50.51 |
| 99490 | Ccm add 20min | <1% | 53 | 39 | $37.91 |
| 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% | 95 | 95 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Hopehealth, INC | Manning, SC | $11.28M |
| 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. | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.