Agency
Inspirium Ihc Upstate, LLC
Inspirium Ihc Upstate, LLC was paid $6.39M by Medicaid between Feb 2019 and Nov 2024, across 5 billing codes. Its largest line is T1030, Nursing care, in the home, by registered nurse, per diem — 49% of everything it billed.
33Billing provider infoINSPIRIUM IHC UPSTATE, LLC
GREENVILLE, SC 29607
GREENVILLE, SC 29607
33aNPI1750897609assigned 12/14/2017
33bProvider typeNursing Care Agency
28Total paid$6.39M
24GClaims69,635
24DCodes billed5
24AFirst – last monthFeb 2019 – Nov 2024
Compared with peers
Next to other Nursing Care Agency providers in South Carolina
Rank by total paid#11 of 39
Median peer was paid$2.91M
This provider vs. median2.2×
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 | |
|---|---|---|---|
| 2019 | 6,537 | $629K | |
| 2020 | 15,293 | $1.43M | |
| 2021 | 14,760 | $1.37M | |
| 2022 | 13,253 | $1.23M | |
| 2023 | 10,390 | $943K | |
| 2024incomplete | 9,402 | $794K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1030 | Nursing care, in the home, by registered nurse, per diem | 49% | 36,094 | 9,323 | $3.11M |
| S9131 | Physical therapy; in the home, per diem | 35% | 22,430 | 7,406 | $2.24M |
| S9129 | Occupational therapy, in the home, per diem | 15% | 9,679 | 3,841 | $959K |
| S9128 | Speech therapy, in the home, per diem | <1% | 592 | 273 | $60K |
| S5161 | Emergency response system; service fee, per month (excludes installation and testing) | <1% | 840 | 763 | $23K |
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 officialMAIORANA, DAVID (CFO)
| Provider | Location | Paid |
|---|---|---|
| Inspirium Ihc Upstate, LLC | Greenville, SC | $3.17M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.