Clinic
Tandem Health SC
Tandem Health SC was paid $17.35M by Medicaid between Oct 2018 and Dec 2024, across 75 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.
33Billing provider infoTANDEM HEALTH SC
SUMTER, SC 29150
SUMTER, SC 29150
33aNPI1740641919assigned 03/15/2016
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$17.35M
24GClaims139,995
24DCodes billed75
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in South Carolina
Rank by total paid#2 of 85
Median peer was paid$746K
This provider vs. median23×
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 | 3,886 | $330K | |
| 2019 | 20,404 | $2.09M | |
| 2020 | 17,193 | $2.02M | |
| 2021 | 31,796 | $2.82M | |
| 2022 | 23,529 | $3.38M | |
| 2023 | 23,542 | $3.85M | |
| 2024incomplete | 19,645 | $2.86M |
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 | 55% | 47,158 | 42,980 | $9.54M |
| 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 | 8.5% | 6,794 | 6,548 | $1.47M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.6% | 5,328 | 4,813 | $1.14M |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 6.2% | 7,811 | 7,549 | $1.07M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 5.8% | 5,393 | 4,602 | $1.00M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.2% | 3,414 | 3,400 | $729K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.6% | 2,164 | 2,130 | $448K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.6% | 2,154 | 2,140 | $445K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.5% | 2,592 | 2,522 | $433K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 1.5% | 3,355 | 3,311 | $263K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 3,104 | 3,021 | $127K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 10,526 | 10,274 | $120K |
63 more codes
| G9153 | Mapcp demonstration - physician incentive pool | <1% | 2,451 | $118K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 587 | $113K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 1,497 | $73K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 624 | $41K |
| 87807 | <1% | 909 | $28K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 622 | $26K |
| 76801 | <1% | 404 | $22K | |
| 99381 | <1% | 88 | $17K | |
| 3074F | <1% | 1,641 | $16K | |
| 76830 | Ultrasound, transvaginal | <1% | 254 | $15K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 464 | $12K |
| 90461 | <1% | 3,899 | $11K | |
| 92551 | <1% | 2,866 | $9K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 781 | $7K |
| 85018 | <1% | 3,934 | $6K | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 149 | $5K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 815 | $4K |
| 90677 | <1% | 288 | $4K | |
| 0071A | <1% | 98 | $4K | |
| 99188 | <1% | 38 | $3K | |
| 0072A | <1% | 73 | $3K | |
| 76818 | <1% | 56 | $3K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 13 | $3K |
| 99177 | <1% | 1,364 | $3K | |
| 81025 | <1% | 1,258 | $3K | |
| 59430 | <1% | 12 | $2K | |
| 99384 | <1% | 13 | $2K | |
| 90715 | <1% | 220 | $2K | |
| 0011A | <1% | 63 | $2K | |
| 0012A | <1% | 49 | $2K | |
| 99441 | <1% | 130 | $2K | |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 56 | $1K |
| 90686 | <1% | 2,813 | $985.35 | |
| 59025 | Fetal non-stress test | <1% | 68 | $975.93 |
| 81003 | <1% | 1,028 | $883.55 | |
| 83655 | <1% | 172 | $711.46 | |
| 0001A | <1% | 14 | $480.00 | |
| 99443 | <1% | 21 | $369.20 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 99 | $269.96 |
| 1159F | <1% | 195 | $238.56 | |
| 87210 | <1% | 156 | $230.98 | |
| 90620 | <1% | 12 | $162.98 | |
| 90670 | <1% | 1,238 | $55.55 | |
| 94760 | <1% | 500 | $54.66 | |
| 90656 | <1% | 45 | $19.68 | |
| 3078F | <1% | 1,434 | $8.25 | |
| 90647 | <1% | 521 | $0.30 | |
| 90723 | <1% | 503 | $0.23 | |
| 90633 | <1% | 961 | $0.18 | |
| 90651 | <1% | 278 | $0.07 | |
| 90681 | <1% | 83 | $0.05 | |
| 1160F | <1% | 1,082 | $0.04 | |
| 90734 | <1% | 309 | $0.03 | |
| 99173 | 0% | 387 | $0.00 | |
| 90700 | 0% | 13 | $0.00 | |
| 3725F | 0% | 133 | $0.00 | |
| 90707 | 0% | 12 | $0.00 | |
| 3008F | 0% | 1,520 | $0.00 | |
| 1036F | 0% | 738 | $0.00 | |
| 36416 | 0% | 98 | $0.00 | |
| 3075F | 0% | 26 | $0.00 | |
| 90716 | 0% | 12 | $0.00 | |
| 90696 | 0% | 15 | $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 (CHIEF EXECUTICE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Tandem Health SC | Sumter, SC | $7.85M |
| 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.