Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Tandem Health SC

Tandem Health SC was paid $1.28M by Medicaid between Jan 2018 and Oct 2024, across 21 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 41% of everything it billed.

33Billing provider infoTANDEM HEALTH SC
SUMTER, SC 29150
33aNPI1356772776assigned 12/11/2013
28Total paid$1.28M
24GClaims10,913
24DCodes billed21
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in South Carolina

Rank by total paid#33 of 85
Median peer was paid$746K
This provider vs. median1.7×

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.

Box 24A · Dates of service

Paid by month

$0$25K$50K$75K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20184,355$539K
2019210$27K
2020500$57K
20211,601$133K
20221,947$185K
20231,603$227K
2024incomplete697$114K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 41% 4,697 4,124 $520K
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% 2,474 2,227 $394K
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 19% 1,108 1,072 $245K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3.6% 300 290 $46K
J1050 Injection, medroxyprogesterone acetate, 1 mg 2.5% 399 392 $32K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1.1% 211 210 $14K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1.0% 297 270 $13K
76801 <1% 183 179 $10K
76830 Ultrasound, transvaginal <1% 49 46 $3K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 57 54 $2K
76819 Fetal biophysical profile; without non-stress testing <1% 26 16 $949.86
83036 Hemoglobin; glycosylated (A1C) <1% 163 149 $565.56
9 more codes
90686 <1% 40 $531.75
81025 <1% 12 $15.42
85018 <1% 14 $8.67
3074F <1% 30 $0.02
1160F <1% 310 $0.01
3008F 0% 260 $0.00
1036F 0% 122 $0.00
3078F 0% 87 $0.00
1159F 0% 74 $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.

From NPPES

Who's on the registration

Authorized officialBROWN, ANNIE (CEO)
Parent organizationSUMTER FAMILY HEALTH CENTER
Same official

Other billing entities under BROWN, ANNIE

Full network →
ProviderLocationPaid
Tandem Health SCSumter, SC$17.35M
Tandem Health SCSumter, SC$7.85M
Sumter Family Health CenterSumter, SC$540K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.