Medicaid Provider Spending

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

NPI: 1194322586 · FLORENCE, SC 29501 · Federally Qualified Health Center (FQHC) · NPI assigned 10/08/2020

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

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

$2.75M
Total Medicaid Paid
45,873
Total Claims
44,693
Beneficiaries
50
Codes Billed
2020-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialVINSON, MARK (CFO)
NPI Enumeration Date10/08/2020

Related Entities

Other providers sharing the same authorized official: VINSON, MARK

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 455 $25K
2021 7,655 $406K
2022 12,662 $670K
2023 13,277 $829K
2024 11,824 $820K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,186 7,675 $1.18M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,470 1,461 $217K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,441 1,436 $215K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,060 1,054 $157K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 864 827 $144K
90460 Immunization administration through 18 years of age via any route, first or only component 5,354 5,262 $130K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 789 778 $122K
T1015 Clinic visit/encounter, all-inclusive 834 650 $112K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 715 689 $102K
90832 Psychotherapy, 30 minutes with patient 602 555 $87K
87428 1,244 1,221 $73K
90834 Psychotherapy, 45 minutes with patient 512 441 $68K
G9153 Mapcp demonstration - physician incentive pool 1,428 1,415 $46K
92552 2,575 2,559 $18K
99244 Office or other outpatient consultation, moderate to high complexity 113 113 $18K
99383 102 102 $15K
99188 1,740 1,724 $10K
96110 Developmental screening, with scoring and documentation, per standardized instrument 3,626 3,603 $8K
96161 2,708 2,699 $7K
99384 37 37 $5K
83655 470 460 $2K
90461 1,747 1,726 $2K
0072A 40 40 $2K
90677 171 167 $2K
90651 387 384 $896.64
85018 880 878 $788.93
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 14 14 $714.26
0071A 16 16 $640.00
90670 233 231 $535.44
96160 33 33 $385.48
99173 2,363 2,359 $295.05
90647 259 259 $288.66
90686 1,511 1,502 $283.57
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 13 12 $242.67
87420 82 80 $228.76
96127 1,062 1,059 $221.57
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 65 61 $165.50
99070 103 98 $148.24
90672 76 76 $90.32
90723 296 289 $87.99
99174 40 40 $43.60
90473 43 43 $29.76
90656 195 195 $16.45
90619 25 24 $0.00
90660 48 48 $0.00
91307 55 54 $0.00
90620 15 15 $0.00
90633 192 190 $0.00
90734 26 26 $0.00
90648 13 13 $0.00