Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or South Carolina for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to South Carolina only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. South Carolina (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Hopehealth, Inc. (NPI 1801271903)

Hopehealth, Inc. is a federally qualified health center (fqhc) provider located in Florence, South Carolina. This profile covers 0 Medicare and 62 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Hopehealth, Inc.
Address	360 N Irby St
City	Florence
State	SC
ZIP	29501
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	July 30, 2015

Payer Source	Total Paid
Medicaid	$11.1M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

62 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	28,220	$150	$4.1M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	25,870	$140	$3.6M
T1015	Clinic visit/encounter, all-inclusive	52,330	$50	$2.7M
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	800	$140	$109.2K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	670	$140	$90.7K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	400	$130	$50.1K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	340	$140	$46.6K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	320	$130	$40.7K
99401	At an encounter separate from a preventive medicine visit, the provider offers counseling related to subjects appropriate for the patient’s age, family history, and areas of concern. The subjects…	740	$50	$37.9K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	270	$140	$35.9K

Showing 1–10 of 62

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other South Carolina providers billing the same CPT/HCPCS codes.

Claims Volume vs. South Carolina Distribution

Hopehealth, Inc. — 4 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Carolina

Full comparison — all codes billed, vs. South Carolina median

62 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	105	210	320	$130	$707.4K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	45	90	260	$430	$688.8K
T1015	Clinic visit/encounter, all-inclusive	30	350	3,560	$30	$525.5K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	417	650	800	$120	$413.8K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	170	280	600	$90	$299K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	53	160	270	$70	$268.1K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	103	2,770	210	$60	$254.5K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	38	2,480	350	$80	$246K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	147	380	160	$100	$226.8K
99244	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…	52	110	70	$150	$157.3K

Showing 1–10 of 62

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nightingale's Nursing & Attendant Care Services, Inc.	SC	Home Health Agency	$0	$90M
Florence Ck, LLC	SC	Home Health Agency	$0	$13.3M
Lifehme, Inc.	SC	Oxygen Equipment & Supplies (DME)	$0	$12M
Advanced Healthcare Staffing Solutions, LLC	SC	Home Health Agency	$0	$11M
Irby Street Dental Health Center, P.C.	SC	General Practice Dentistry	$0	$10.5M
Tender Care Home Health Care LLC	SC	Home Health Agency	$0	$8.1M
Active Sc One, Inc.	SC	Adult Day Care Clinic/Center	$0	$5.2M
Starting Point Of Florence, Inc	SC	Substance Use Disorder Rehabilitation Clinic/Center	$181.2K	$4.6M
Florence County Commission On Alcohol And Dru	SC	Substance Abuse Rehabilitation Facility	$0	$4.5M
Wellspring Psychology Group LLC	SC	Clinical Psychologist	$0	$4.2M

Hopehealth, Inc. — Billing Profile & Reimbursement Data

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Hopehealth, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hopehealth, Inc	SC	Federally Qualified Health Center (FQHC)	$0	$11.3M
Hopehealth Hospice & Palliative Care	MA	Community Based Hospice Care Agency	$0	$8.6M
Hopehealth, Inc	SC	Federally Qualified Health Center (FQHC)	$0	$4.6M
Hopehealth Inc	SC	Federally Qualified Health Center (FQHC)	$0	$3.3M
Hopehealth Inc	SC	Federally Qualified Health Center (FQHC)	$0	$2.7M
Hopehealth, Inc	SC	Federally Qualified Health Center (FQHC)	$0	$2.4M
Wilhelmenia Patterson	SC	Physician Assistant	$159K	$0
Mary Nutter	SC	Family Medicine Physician	$2.2K	$8.2K
Carol Ann Berry	SC	Family Nurse Practitioner	$4.5K	$0