Abbeville County Memorial Hospital
Abbeville County Memorial Hospital was paid $364K by Medicaid between Jan 2018 and Nov 2024, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
DUE WEST, SC 29639
Next to other Sports Medicine (Family Medicine) Physician 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 | 1,772 | $104K | |
| 2019 | 1,336 | $76K | |
| 2020 | 412 | $26K | |
| 2021 | 1,000 | $44K | |
| 2022 | 1,433 | $40K | |
| 2023 | 1,788 | $42K | |
| 2024incomplete | 1,336 | $32K |
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 | 33% | 2,274 | 2,096 | $120K |
| 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 | 28% | 1,324 | 1,220 | $101K |
| U0004 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r | 13% | 482 | 469 | $48K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 11% | 377 | 336 | $40K |
| 87428 | 10% | 622 | 602 | $38K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.6% | 433 | 412 | $6K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.3% | 313 | 194 | $5K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 334 | 330 | $2K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 22 | 22 | $1K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 143 | 140 | $1K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 55 | 54 | $753.95 |
| 81003 | <1% | 184 | 173 | $368.06 |
10 more codes
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 |
|---|---|---|
| Einstein Practice Plan INC | Philadelphia, PA | $13.85M |
| Always on Time Homecare LLC | Luthersville, GA | $8.22M |
| Einstein Practice Plan INC | Philadelphia, PA | $2.98M |
| Einstein Practice Plan INC | Philadelphia, PA | $2.46M |
| Einstein Practice Plan INC | Philadelphia, PA | $1.99M |
| Geriatric Care Solutions | Saint Charles, MO | $1.52M |
| Abbeville County Memorial Hospital | Abbeville, SC | $1.46M |
| Einstein Practice Plan INC | Phila, PA | $1.05M |
| Einstein Practice Plan, INC. | Philadelphia, PA | $682K |
| Einstein Practice Plan INC | Phila, PA | $624K |
| Einstein Practice Plan,inc | Philadelphia, PA | $322K |
| Einstein Practice Plan INC | Philadelphia, PA | $38K |
| Einstein Practice Plan INC | Philadelphia, PA | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.