Clinic
Tandem Health SC
Tandem Health SC was paid $7.85M by Medicaid between Jan 2018 and Dec 2024, across 58 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.
33Billing provider infoTANDEM HEALTH SC
SUMTER, SC 29150
SUMTER, SC 29150
33aNPI1386630192assigned 09/27/2005
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$7.85M
24GClaims67,086
24DCodes billed58
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in South Carolina
Rank by total paid#10 of 85
Median peer was paid$746K
This provider vs. median11×
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
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
| Year | Claims | 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 | |
| 2024incomplete | 5,187 | $822K |
Box 24 · Service lines
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 | 53% | 23,743 | 22,665 | $4.16M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 24% | 20,262 | 17,655 | $1.92M |
| 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 | 12% | 4,476 | 4,386 | $958K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.8% | 772 | 651 | $140K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 1.7% | 129 | 118 | $131K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.4% | 601 | 530 | $113K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 658 | 641 | $104K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.2% | 487 | 486 | $94K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 265 | 265 | $40K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 189 | 188 | $28K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 159 | 159 | $23K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 150 | 148 | $23K |
46 more codes
| 90834 | Psychotherapy session, about 45 minutes | <1% | 106 | $18K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 103 | $12K |
| 90686 | <1% | 853 | $12K | |
| 0012A | <1% | 263 | $10K | |
| 1126F | <1% | 402 | $8K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,856 | $8K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 51 | $7K |
| 3074F | <1% | 702 | $7K | |
| 0011A | <1% | 169 | $6K | |
| 1159F | <1% | 614 | $4K | |
| 99441 | <1% | 313 | $4K | |
| G9153 | Mapcp demonstration - physician incentive pool | <1% | 116 | $3K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 27 | $3K |
| 0064A | <1% | 108 | $2K | |
| 90461 | <1% | 294 | $2K | |
| 82962 | <1% | 1,564 | $2K | |
| 99442 | <1% | 119 | $2K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 649 | $1K |
| 0134A | <1% | 55 | $854.34 | |
| 99218 | <1% | 12 | $766.77 | |
| 1125F | <1% | 51 | $635.99 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 258 | $598.49 |
| 92551 | <1% | 359 | $590.52 | |
| 81003 | <1% | 954 | $411.81 | |
| 0124A | <1% | 18 | $341.68 | |
| 3079F | <1% | 183 | $323.88 | |
| 98968 | <1% | 14 | $237.91 | |
| 85018 | <1% | 318 | $210.60 | |
| 90656 | <1% | 13 | $195.05 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 133 | $191.38 |
| 3078F | <1% | 569 | $150.10 | |
| 81025 | <1% | 121 | $146.18 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 49 | $71.08 |
| 1160F | <1% | 1,223 | $1.27 | |
| 3080F | <1% | 28 | $0.14 | |
| 3077F | <1% | 87 | $0.04 | |
| 3075F | <1% | 38 | $0.01 | |
| 3725F | 0% | 114 | $0.00 | |
| 90715 | 0% | 43 | $0.00 | |
| 90670 | 0% | 131 | $0.00 | |
| 90685 | 0% | 12 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 74 | $0.00 |
| 90662 | 0% | 29 | $0.00 | |
| 1036F | 0% | 726 | $0.00 | |
| 3008F | 0% | 1,087 | $0.00 | |
| 3044F | 0% | 187 | $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)
| Provider | Location | Paid |
|---|---|---|
| Tandem Health SC | Sumter, SC | $17.35M |
| Tandem Health SC | Sumter, SC | $1.28M |
| Sumter Family Health Center | Sumter, SC | $540K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.