Medicaid Provider Spending

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

TANDEM HEALTH SC

NPI: 1386630192 · SUMTER, SC 29150 · Federally Qualified Health Center (FQHC) · NPI assigned 09/27/2005

$7.85M
Total Medicaid Paid
67,086
Total Claims
62,486
Beneficiaries
58
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBROWN, ANNIE (CEO)
NPI Enumeration Date09/27/2005

Related Entities

Other providers sharing the same authorized official: BROWN, ANNIE

ProviderCityStateTotal Paid
TANDEM HEALTH SC SUMTER SC $17.35M
TANDEM HEALTH SC SUMTER SC $1.28M
SUMTER FAMILY HEALTH CENTER SUMTER SC $540K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 19,281 $2.00M
2019 8,051 $915K
2020 6,885 $816K
2021 9,020 $1.04M
2022 9,406 $994K
2023 9,256 $1.26M
2024 5,187 $822K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 23,743 22,665 $4.16M
T1015 Clinic visit/encounter, all-inclusive 20,262 17,655 $1.92M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,476 4,386 $958K
90832 Psychotherapy, 30 minutes with patient 772 651 $140K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 129 118 $131K
90837 Psychotherapy, 53 minutes with patient 601 530 $113K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 658 641 $104K
90792 Psychiatric diagnostic evaluation with medical services 487 486 $94K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 265 265 $40K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 189 188 $28K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 159 159 $23K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 150 148 $23K
90834 Psychotherapy, 45 minutes with patient 106 105 $18K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 103 93 $12K
90686 853 842 $12K
0012A 263 260 $10K
1126F 402 394 $8K
83036 Hemoglobin; glycosylated (A1C) 1,856 1,761 $8K
90791 Psychiatric diagnostic evaluation 51 51 $7K
3074F 702 667 $7K
0011A 169 168 $6K
1159F 614 592 $4K
99441 313 282 $4K
G9153 Mapcp demonstration - physician incentive pool 116 115 $3K
99222 Initial hospital care, per day, moderate complexity 27 25 $3K
0064A 108 104 $2K
90461 294 292 $2K
82962 1,564 1,462 $2K
99442 119 106 $2K
90460 Immunization administration through 18 years of age via any route, first or only component 649 646 $1K
0134A 55 54 $854.34
99218 12 12 $766.77
1125F 51 50 $635.99
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 258 251 $598.49
92551 359 356 $590.52
81003 954 929 $411.81
0124A 18 17 $341.68
3079F 183 180 $323.88
98968 14 12 $237.91
85018 318 317 $210.60
90656 13 13 $195.05
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 133 131 $191.38
3078F 569 544 $150.10
81025 121 118 $146.18
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 49 49 $71.08
1160F 1,223 1,155 $1.27
3080F 28 26 $0.14
3077F 87 84 $0.04
3075F 38 38 $0.01
3725F 114 111 $0.00
90715 43 42 $0.00
90670 131 131 $0.00
90685 12 12 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 74 74 $0.00
90662 29 28 $0.00
1036F 726 687 $0.00
3008F 1,087 1,024 $0.00
3044F 187 184 $0.00