Clinic
Sumter Family Health Center
Sumter Family Health Center was paid $540K by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is D1110, Prophylaxis - adult — 25% of everything it billed.
33Billing provider infoSUMTER FAMILY HEALTH CENTER
SUMTER, SC 29150
SUMTER, SC 29150
33aNPI1467810937assigned 01/29/2016
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$540K
24GClaims15,842
24DCodes billed13
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#51 of 85
Median peer was paid$746K
This provider vs. median0.7×
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
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 | 936 | $40K | |
| 2019 | 1,404 | $48K | |
| 2020 | 1,881 | $60K | |
| 2021 | 3,047 | $113K | |
| 2022 | 3,210 | $111K | |
| 2023 | 2,711 | $83K | |
| 2024incomplete | 2,653 | $86K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 25% | 2,753 | 2,753 | $135K |
| D0330 | Panoramic radiographic image | 13% | 1,561 | 1,561 | $71K |
| D0150 | Comprehensive oral evaluation - new or established patient | 13% | 1,733 | 1,732 | $68K |
| D0274 | Bitewings - four radiographic images | 12% | 2,604 | 2,604 | $63K |
| D7140 | Extraction, erupted tooth or exposed root | 11% | 765 | 482 | $62K |
| D0140 | Limited oral evaluation - problem focused | 9.0% | 1,289 | 1,289 | $48K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.4% | 1,546 | 1,546 | $35K |
| D0220 | Intraoral - periapical first radiographic image | 4.2% | 2,193 | 2,183 | $23K |
| D1206 | Topical application of fluoride varnish | 3.6% | 1,161 | 1,161 | $19K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.5% | 97 | 88 | $8K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.5% | 98 | 88 | $8K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 30 | 30 | $1K |
1 more codes
| D0272 | Bitewings - two radiographic images | <1% | 12 | $170.46 |
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 (CHIEF EXECUTIVE OFFICER)
Parent organizationSUMTER FAMILY HEALTH CENTER
| Provider | Location | Paid |
|---|---|---|
| Tandem Health SC | Sumter, SC | $17.35M |
| Tandem Health SC | Sumter, SC | $7.85M |
| Tandem Health SC | Sumter, SC | $1.28M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.