Hopehealth, INC
Hopehealth, INC was paid $4.54M by Medicaid between Jan 2018 and Nov 2024, across 43 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
MANNING, SC 29102
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 | 12,913 | $1.13M | |
| 2019 | 5,063 | $584K | |
| 2020 | 5,101 | $537K | |
| 2021 | 7,502 | $654K | |
| 2022 | 8,187 | $641K | |
| 2023 | 6,441 | $593K | |
| 2024incomplete | 3,809 | $400K |
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 | 39% | 12,759 | 11,925 | $1.77M |
| 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 | 31% | 10,050 | 9,558 | $1.43M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 19% | 14,463 | 12,407 | $877K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.8% | 617 | 614 | $82K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.8% | 604 | 583 | $81K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.5% | 494 | 492 | $68K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.4% | 454 | 441 | $62K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 287 | 283 | $39K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 196 | 175 | $27K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 304 | 294 | $25K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 158 | 150 | $20K |
| 87428 | <1% | 196 | 193 | $11K |
31 more codes
| 0011A | <1% | 181 | $7K | |
| 0012A | <1% | 171 | $7K | |
| 99442 | <1% | 186 | $6K | |
| 99441 | <1% | 224 | $4K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 28 | $4K |
| G9153 | Mapcp demonstration - physician incentive pool | <1% | 115 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,140 | $3K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 790 | $3K |
| 90686 | <1% | 557 | $3K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 14 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 694 | $2K |
| 90461 | <1% | 501 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 614 | $2K |
| 81025 | <1% | 728 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 459 | $923.09 |
| 81003 | <1% | 1,006 | $752.01 | |
| 90656 | <1% | 31 | $512.31 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 153 | $458.02 |
| 99406 | <1% | 38 | $373.10 | |
| 90682 | <1% | 15 | $230.35 | |
| 87420 | <1% | 13 | $57.40 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 30 | $30.03 |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | <1% | 14 | $1.01 |
| 91301 | 0% | 208 | $0.00 | |
| 96127 | 0% | 109 | $0.00 | |
| 90647 | 0% | 73 | $0.00 | |
| 90723 | 0% | 52 | $0.00 | |
| 90651 | 0% | 13 | $0.00 | |
| 90670 | 0% | 250 | $0.00 | |
| 90633 | 0% | 15 | $0.00 | |
| 90681 | 0% | 12 | $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 | 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 | 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.