Hopehealth INC
Hopehealth INC was paid $2.75M by Medicaid between Nov 2020 and Dec 2024, across 50 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.
FLORENCE, SC 29501
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 | |
|---|---|---|---|
| 2020 | 455 | $25K | |
| 2021 | 7,655 | $406K | |
| 2022 | 12,662 | $670K | |
| 2023 | 13,277 | $829K | |
| 2024incomplete | 11,824 | $820K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 43% | 8,186 | 7,675 | $1.18M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.9% | 1,470 | 1,461 | $217K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.8% | 1,441 | 1,436 | $215K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.7% | 1,060 | 1,054 | $157K |
| 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 | 5.2% | 864 | 827 | $144K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.7% | 5,354 | 5,262 | $130K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.4% | 789 | 778 | $122K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 4.1% | 834 | 650 | $112K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.7% | 715 | 689 | $102K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 3.2% | 602 | 555 | $87K |
| 87428 | 2.7% | 1,244 | 1,221 | $73K | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.5% | 512 | 441 | $68K |
38 more codes
| G9153 | Mapcp demonstration - physician incentive pool | 1.7% | 1,428 | $46K |
| 92552 | <1% | 2,575 | $18K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 113 | $18K |
| 99383 | <1% | 102 | $15K | |
| 99188 | <1% | 1,740 | $10K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 3,626 | $8K |
| 96161 | <1% | 2,708 | $7K | |
| 99384 | <1% | 37 | $5K | |
| 83655 | <1% | 470 | $2K | |
| 90461 | <1% | 1,747 | $2K | |
| 0072A | <1% | 40 | $2K | |
| 90677 | <1% | 171 | $2K | |
| 90651 | <1% | 387 | $896.64 | |
| 85018 | <1% | 880 | $788.93 | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 14 | $714.26 |
| 0071A | <1% | 16 | $640.00 | |
| 90670 | <1% | 233 | $535.44 | |
| 96160 | <1% | 33 | $385.48 | |
| 99173 | <1% | 2,363 | $295.05 | |
| 90647 | <1% | 259 | $288.66 | |
| 90686 | <1% | 1,511 | $283.57 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 13 | $242.67 |
| 87420 | <1% | 82 | $228.76 | |
| 96127 | <1% | 1,062 | $221.57 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 65 | $165.50 |
| 99070 | <1% | 103 | $148.24 | |
| 90672 | <1% | 76 | $90.32 | |
| 90723 | <1% | 296 | $87.99 | |
| 99174 | <1% | 40 | $43.60 | |
| 90473 | <1% | 43 | $29.76 | |
| 90656 | <1% | 195 | $16.45 | |
| 90619 | 0% | 25 | $0.00 | |
| 90660 | 0% | 48 | $0.00 | |
| 91307 | 0% | 55 | $0.00 | |
| 90620 | 0% | 15 | $0.00 | |
| 90633 | 0% | 192 | $0.00 | |
| 90734 | 0% | 26 | $0.00 | |
| 90648 | 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.
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 | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.