Prisma Health Tuomey
Prisma Health Tuomey was paid $1.25M by Medicaid between Jan 2018 and Nov 2024, across 4 billing codes. Its largest line is T1030, Nursing care, in the home, by registered nurse, per diem — 63% of everything it billed.
SUMTER, SC 29154
Next to other Home Health Agency 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 | 3,801 | $330K | |
| 2019 | 3,126 | $276K | |
| 2020 | 2,469 | $215K | |
| 2021 | 2,698 | $234K | |
| 2022 | 2,211 | $167K | |
| 2023 | 177 | $7K | |
| 2024incomplete | 199 | $16K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1030 | Nursing care, in the home, by registered nurse, per diem | 63% | 9,646 | 1,934 | $782K |
| S9131 | Physical therapy; in the home, per diem | 33% | 4,378 | 870 | $408K |
| A9900 | Miscellaneous dme supply, accessory, and/or service component of another hcpcs code | 2.8% | 440 | 125 | $34K |
| S9129 | Occupational therapy, in the home, per diem | 1.7% | 217 | 37 | $21K |
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 |
|---|---|---|
| Prisma Health-Midlands | Columbia, SC | $74.58M |
| Prisma Health-Midlands | Columbia, SC | $68.26M |
| Prisma Health-Upstate | Greenville, SC | $25.04M |
| Prisma Health-Upstate | Greenville, SC | $21.98M |
| Prisma Health-Upstate | Greenville, SC | $19.69M |
| Prisma Health-Upstate | Seneca, SC | $15.64M |
| Prisma Health-Midlands | Columbia, SC | $11.77M |
| Prisma Health-Upstate | Greenville, SC | $10.74M |
| Greenville Health Corporation | Greenville, SC | $8.90M |
| Prisma Health-Upstate | Greenville, SC | $8.32M |
| Prisma Health-Upstate | Greenville, SC | $7.45M |
| Prisma Health University Medical Group | Greenville, SC | $7.44M |
| Prisma Health-Midlands | Coulmbia, SC | $7.43M |
| Prisma Health-Midlands | Columbia, SC | $6.88M |
| Prisma Health Tuomey | Sumter, SC | $6.84M |
| Prisma Health-Midlands | Columbia, SC | $6.77M |
| Prisma Health-Upstate | Greenville, SC | $6.37M |
| Prisma Health-Upstate | Greenville, SC | $5.00M |
| Prisma Health-Upstate | Greenville, SC | $4.65M |
| Prisma Health-Midlands | Columbia, SC | $4.63M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.