Hopehealth, INC.
Hopehealth, INC. was paid $192K by Medicaid between Oct 2022 and Nov 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
HEMINGWAY, SC 29554
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 | |
|---|---|---|---|
| 2022 | 125 | $10K | |
| 2023 | 560 | $57K | |
| 2024incomplete | 1,053 | $125K |
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 | 40% | 510 | 486 | $77K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 33% | 855 | 772 | $62K |
| 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% | 275 | 267 | $47K |
| 99384 | 1.3% | 14 | 14 | $3K | |
| 87428 | <1% | 28 | 28 | $2K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 32 | 31 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 12 | 12 | $72.00 |
| 96127 | 0% | 12 | 12 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Hopehealth, INC | Manning, SC | $11.28M |
| Hopehealth, INC. | Florence, SC | $11.04M |
| Hopehealth, INC | Manning, SC | $4.54M |
| Hopehealth INC | Florence, SC | $3.32M |
| Hopehealth INC | Florence, SC | $2.75M |
| Hopehealth, INC | Kingstree, SC | $2.43M |
| Hopehealth, INC | Lake City, SC | $1.34M |
| Hopehealth, INC | Timmonsville, SC | $924K |
| Hopehealth, INC. | Florence, SC | $588K |
| Hopehealth, INC. | Greeleyville, SC | $416K |
| Hopehealth INC | Orangeburg, SC | $336K |
| Hopehealth, INC. | Florence, SC | $279K |
| Vision Care P a | Marion, SC | $177K |
| Hopehealth, INC | Lake City, SC | $71K |
| Vision Care P a | Dillon, SC | $62K |
| Hopehealth INC | Aiken, SC | $45K |
| Hopehealth, INC. | Manning, SC | $20K |
| Hopehealth, INC | Florence, SC | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.