Carolina Health Centers, INC.
Carolina Health Centers, INC. was paid $218K by Medicaid between Jan 2018 and Oct 2024, across 6 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 50% of everything it billed.
WARE SHOALS, SC 29692
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 | 167 | $8K | |
| 2019 | 91 | $8K | |
| 2020 | 213 | $22K | |
| 2021 | 480 | $44K | |
| 2022 | 465 | $38K | |
| 2023 | 366 | $46K | |
| 2024incomplete | 284 | $52K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 50% | 1,420 | 1,129 | $108K |
| 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 | 24% | 319 | 295 | $53K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 283 | 245 | $53K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 15 | 13 | $2K |
| 87428 | <1% | 16 | 16 | $993.06 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 13 | 13 | $496.34 |
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 |
|---|---|---|
| Carolina Health Centers, INC. | Greenwood, SC | $20.19M |
| Carolina Health Centers, INC. | Clinton, SC | $7.66M |
| Carolina Health Centers, INC. | Greenwood, SC | $3.30M |
| Carolina Health Centers, INC. | Greenwood, SC | $992K |
| Carolina Health Centers, INC. | Waterloo, SC | $856K |
| Carolina Health Centers, INC. | Mc Cormick, SC | $839K |
| Carolina Health Centers, INC. | Clinton, SC | $584K |
| Carolina Health Centers, INC. | Calhoun Falls, SC | $380K |
| Carolina Health Centers, INC. | Ridge Spring, SC | $303K |
| Carolina Health Centers, INC. | Saluda, SC | $238K |
| Carolina Health Centers, INC. | Greenwood, SC | $18K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.