Providers

Every flagged provider, ranked.

One row per provider. The tier says what the public record can prove; the score, out of 100, rises when independent detectors agree. Dollars at stake come from the strongest finding, never a sum. Every row is a candidate for a records review, not a finding. Use the search box above to look up any provider in the country.

Tiers: 1 on a public list and still paid; 2 more hours than a day holds across organizations; 3 part of a network that touches a public list; 4 network structure alone or hours beyond a day under one organization; 5 worth knowing.

Detail: paid after a list action Detail: hours per day

rank	tier	provider	state	score	at stake	why
203	1	TRANSFORMATION SERVICES 1205484664, organization, Lancaster	SC	95	$41K	Adjudicated (sentenced, pleaded guilty) per a Department of Justice release dated April 2, 2025. Medicaid paid $41,463 in the last 12 observed months.
224	1	ACHIEVE BEHAVIORAL HEALTH PA 1376294041, organization, Greenville	SC	94	$27K	Listed on the Medicare revocation list and the SC Medicaid exclusion list since May 24, 2023. Medicaid still paid claims in 17 later months, $26,595 in total.
226	1	KEVIN PATEL 1508285966, individual, Charleston	SC	94	$26K	Listed on the Medicare revocation list since February 18, 2021. Medicaid still paid claims in 8 later months, $25,913 in total.
499	1	PREMIER MEDICAL, INC. 1689971822, organization, Greenville	SC	90	$0	Adjudicated (civil judgment) per a Department of Justice release dated July 17, 2025. No Medicaid payments in the last 12 observed months.
708	2	RYEDENNA SIMON - MCQUEEN 1285923383, individual, Florence	SC	84	$239K	Billed more hands-on hours than a day holds in 1 month, peaking at 17.8 hours per day across 3 billing organizations. Medicaid dollars per patient on code 90837 ($451 per patient-month) sit in the top 5% of every provider billing that code.
725	2	KENNETH MARTIN 1093899007, individual, Columbia	SC	81	$1.9M	Billed more hands-on hours than a day holds in 6 months, peaking at 18.3 hours per day across 3 billing organizations.
804	3	ROPER ST FRANCIS ANCILLARY SERVICES 1619947140, organization, Ladson	SC	70	$328K	Part of provider network D1-00115, ranked 115 nationally. Medicaid dollars per patient on code A9900 ($504 per patient-month) sit in the top 5% of every provider billing that code.
1077	3	INSPIRIUM IHC UPSTATE, LLC 1750897609, organization, Greenville	SC	66	$794K	Part of provider network D1-00040, ranked 40 nationally.
1104	3	LUTHERAN HOMES OF SC, INC. 1275531758, organization, Chapin	SC	66	$666K	Part of provider network D1-00104, ranked 104 nationally.
1257	3	TRADITIONS HOSPICE OF GREENVILLE, LLC 1629540901, organization, Spartanburg	SC	65	$249K	Part of provider network D1-00051, ranked 51 nationally.
1313	3	INSPIRIUM IHC UPSTATE, LLC 1538638994, organization, Greenville	SC	65	$145K	Part of provider network D1-00040, ranked 40 nationally.
1512	3	SAFE AT HOME MEDICAL EQUIPMENT 1528015807, organization, Dillon	SC	64	$15K	Charged (indicted) per a Department of Justice release dated June 30, 2025, not adjudicated. Medicaid paid $14,585 in the last 12 observed months.
1763	3	LORIS REHAB AND NURSING CENTER, LLC 1194128520, organization, Loris	SC	60	$0	Part of provider network D1-00043, ranked 43 nationally.
1911	3	AUGUSTA HOME CARE SERVICES, LLC 1669841623, organization, Aiken	SC	60	$0	Part of provider network D1-00086, ranked 86 nationally.
1998	3	FAMILY HOSPICE OF GREENVILLE, LLC 1801572235, organization, Greenville	SC	60	$0	Part of provider network D1-00086, ranked 86 nationally.
2043	3	CHERAW HEALTHCARE INC 1801895685, organization, Cheraw	SC	60	$0	Part of provider network D1-00043, ranked 43 nationally.
2161	3	PROVIDENCE HOME HEALTH 1003374034, organization, Rock Hill	SC	60	$0	Part of provider network D1-00088, ranked 88 nationally.
2258	3	SERENITY HOSPICE CARE OF UPSTATE LLC 1134953789, organization, Gaffney	SC	60	$0	Part of provider network D1-00088, ranked 88 nationally.
2362	3	LUTHERAN HOMES OF SC, INC. 1770581209, organization, White Rock	SC	60	$0	Part of provider network D1-00104, ranked 104 nationally.
2639	3	PH HEALTH CARE SERVICES INC 1134491616, organization, Easley	SC	60	$0	Part of provider network D1-00040, ranked 40 nationally.
2654	3	STATE OF SOUTH CAROLINA COMPTROLLER GENERAL 1336994250, organization, Florence	SC	60	$0	Part of provider network D1-00040, ranked 40 nationally.
2663	3	BEREA COMMUNITY HEALTHCARE, LLC 1548044696, organization, Greenville	SC	60	$0	Part of provider network D1-00040, ranked 40 nationally.
2953	3	STATE OF SOUTH CAROLINA COMPTROLLER GENERAL 1528812583, organization, Gaffney	SC	60	$0	Part of provider network D1-00040, ranked 40 nationally.
2973	3	REEDY RIVER COMMUNITY HEALTHCARE, LLC 1861276917, organization, Greenville	SC	60	$0	Part of provider network D1-00040, ranked 40 nationally.
3033	3	ROLLING GREEN VILLAGE 1851375893, organization, Greenville	SC	60	$0	Part of provider network D1-00040, ranked 40 nationally.
3217	3	FOREST ACRES COMMUNITY HEALTHCARE, LLC 1285418335, organization, Columbia	SC	60	$0	Part of provider network D1-00040, ranked 40 nationally.
3678	3	WILSON SENIOR CARE HONORAGE LLC 1194596882, organization, Florence	SC	60	$0	Part of provider network D1-00043, ranked 43 nationally.
3694	3	STATE OF SOUTH CAROLINA COMPTROLLER GENERAL 1588418339, organization, Walterboro	SC	60	$0	Part of provider network D1-00040, ranked 40 nationally.
4250	3	LUTHERAN HOMES OF SC, INC. 1235137779, organization, MT Pleasant	SC	60	$0	Part of provider network D1-00104, ranked 104 nationally.
4386	3	OAKHAVEN NURSING CENTER LLC 1437144771, organization, Darlington	SC	60	$0	Part of provider network D1-00043, ranked 43 nationally.
4432	3	SPRENGER HEALTHCARE OF PORT ROYAL, INC 1649782921, organization, Port Royal	SC	60	$0	Part of provider network D1-00130, ranked 130 nationally.
4450	3	LHCG CLXVI, LLC 1013528918, organization, North Augusta	SC	60	$0	Part of provider network D1-00086, ranked 86 nationally.
4946	3	PROVIDENCE CARE LLC 1891005104, organization, Rock Hill	SC	60	$0	Part of provider network D1-00088, ranked 88 nationally.
5211	3	UNION COMMUNITY HEALTHCARE, LLC 1871377929, organization, Union	SC	60	$0	Part of provider network D1-00040, ranked 40 nationally.
5236	3	AUGUSTA HOME CARE SERVICES, LLC 1316315278, organization, Aiken	SC	60	$0	Part of provider network D1-00086, ranked 86 nationally.
5693	3	515 WARLEY OPCO LLC 1609698042, organization, Florence	SC	60	$0	Part of provider network D1-00043, ranked 43 nationally.
5775	3	ROPER HOSPITAL INC 1902195563, organization, Ladson	SC	60	$0	Part of provider network D1-00115, ranked 115 nationally.
5812	3	LUTHERAN HOMES OF SC, INC 1487652947, organization, Columbia	SC	60	$0	Part of provider network D1-00104, ranked 104 nationally.
6209	3	ORANGEBURG POST ACUTE, LLC 1710458211, organization, Orangeburg	SC	60	$0	Part of provider network D1-00130, ranked 130 nationally.
6817	3	SPRENGER HEALTHCARE OF BLUFFTON, INC 1649764119, organization, Okatie	SC	60	$0	Part of provider network D1-00130, ranked 130 nationally.
6848	3	MEDICAL CARE CONSULTING LLC 1881165595, organization, Columbia	SC	60	$0	Part of provider network D1-00137, ranked 137 nationally.
6881	3	MORRELL NURSING CENTER LLC 1467447797, organization, Hartsville	SC	60	$0	Part of provider network D1-00043, ranked 43 nationally.
6936	3	MEDFORD NURSING CENTER LLC 1972598225, organization, Darlington	SC	60	$0	Part of provider network D1-00043, ranked 43 nationally.
6977	3	BISHOP GADSDEN EPISCOPAL RETIREMENT COMMUNITY 1326408535, organization, Charleston	SC	60	$0	Part of provider network D1-00115, ranked 115 nationally.
7112	3	CARING SEASONS HEALTH, LLC 1366150682, organization, Fort Mill	SC	60	$0	Part of provider network D1-00086, ranked 86 nationally.
7181	3	LUTHERAN HOMES OF SC, INC 1831197375, organization, Inman	SC	60	$0	Part of provider network D1-00104, ranked 104 nationally.
7349	4	DARREN PERRY 1114378908, individual, North Charleston	SC	56	$208K	Hours beyond a day in 1 month under one organization, which can be supervisory billing. Records needed. Medicaid dollars per patient on code 90837 ($543 per patient-month) sit in the top 5% of every provider billing that code. 66% of Medicaid dollars are on codes with a history of abuse.
7728	4	AMANDA ACREE 1871959619, individual, Mount Pleasant	SC	55	$1.7M	Hours beyond a day in 8 months under one organization, which can be supervisory billing. Records needed. Medicaid dollars per patient on code 90847 ($512 per patient-month) sit in the top 5% of every provider billing that code.
7889	4	VERNON WHITLEY 1295818987, individual, Barnwell	SC	55	$733K	Hours beyond a day in 3 months, but with up to 1064 patients a month, which points to a supervising clinician on the claims rather than one person's hours. Records needed. Medicaid dollars per patient on code 99213 ($160 per patient-month) sit in the top 5% of every provider billing that code.
8188	4	SHUKAIRO BAKER 1659666444, individual, Rock Hill	SC	53	$983K	Hours beyond a day in 2 months under one organization, which can be supervisory billing. Records needed. 73% of Medicaid dollars are on codes with a history of abuse.
8238	4	TERESA THOMPSON 1295191765, individual, Taylors	SC	53	$414K	Hours beyond a day in 3 months under one organization, which can be supervisory billing. Records needed. 71% of Medicaid dollars are on codes with a history of abuse.
8745	4	SHIRLEY FORD 1821299066, individual, N Charleston	SC	51	$1.9M	Hours beyond a day in 12 months, but with up to 517 patients a month across 3 billing organizations, which points to a supervising clinician on the claims rather than one person's hours. Records needed.
9652	4	KERRY WHEELER 1164545224, individual, Chapin	SC	50	$44K	Hours beyond a day in 1 month, but with up to 398 patients a month, which points to a supervising clinician on the claims rather than one person's hours. Records needed.
9890	5	EBENEZER MANTE 1396780953, individual, Lancaster	SC	36	$5.5M	Medicaid dollars per patient on code 87426 ($57 per patient-month) sit in the top 5% of every provider billing that code.
9896	5	ZENAIDA CANDELA 1316051139, individual, Bennettsville	SC	36	$4.9M	Medicaid dollars per patient on code 99393 ($242 per patient-month) sit in the top 5% of every provider billing that code.
9997	5	STEVEN LOPEZ 1356459218, individual, N Charleston	SC	35	$1.8M	Medicaid dollars per patient on code 90833 ($211 per patient-month) sit in the top 5% of every provider billing that code.
10056	5	JUAN BONETTI 1487657870, individual, Greenwood	SC	35	$1.3M	Medicaid dollars per patient on code 99391 ($179 per patient-month) sit in the top 5% of every provider billing that code.
10106	5	RUPA SHETTY 1962428235, individual, Myrtle Beach	SC	35	$1.0M	Medicaid dollars per patient on code 99232 ($188 per patient-month) sit in the top 5% of every provider billing that code.
10294	5	CRYSTAL MAXWELL 1215061437, individual, Fort Mill	SC	35	$431K	Medicaid dollars per patient on code 99213 ($209 per patient-month) sit in the top 5% of every provider billing that code.
10389	5	MARIA HYMON 1790927630, individual, Columbia	SC	34	$200K	Medicaid dollars per patient on code 99309 ($118 per patient-month) sit in the top 5% of every provider billing that code.
10519	5	SEAN LOUDIN 1770797839, individual, Charleston	SC	33	$29K	Medicaid dollars per patient on code 99232 ($261 per patient-month) sit in the top 5% of every provider billing that code.
10556	5	MELISSA SWARTZ 1720271083, individual, Murrells Inlet	SC	33	$1.4M	69% of Medicaid dollars are on codes with a history of abuse.
10569	5	CRYSTAL PFEILER 1043859010, individual, Greenville	SC	33	$1.1M	98% of Medicaid dollars are on codes with a history of abuse.
10578	5	JAMES MOODY 1588965511, individual, Summerville	SC	33	$954K	72% of Medicaid dollars are on codes with a history of abuse.
10688	5	ELIZABETH MORPHIS 1730245069, individual, Hartsville	SC	32	$5.4M
10723	5	JOHN KEITH 1073559829, individual, Florence	SC	32	$3.4M
10746	5	GAURANG SHAH 1932169968, individual, Rock Hill	SC	31	$2.8M
10843	5	CARMINA CRUZ 1497859755, individual, Lancaster	SC	31	$1.8M
10974	5	ADEDAPO ODUWOLE 1720139645, individual, Myrtle Beach	SC	31	$1.2M
11025	5	RICHARD GUYTON 1457483893, individual, Lexington	SC	31	$987K
11117	5	JEFFREY SELMAN 1003151978, individual, Sumter	SC	31	$751K
11306	5	VLASTIMIL SMETKA 1497974273, individual, Walterboro	SC	31	$364K
11428	5	SUSAN HAMMOND 1346461308, individual, Conway	SC	30	$234K
11643	5	LAURA CARPENTER 1467705418, individual, Charleston	SC	30	$93K
11708	5	JENNIFER SPENCER 1770509572, individual, Columbia	SC	30	$66K
11790	5	WILLIAM GAMBLE 1164508479, individual, Columbia	SC	30	$41K
11808	5	MACDONALD DUBOSE 1265418164, individual, Sumter	SC	30	$37K
11817	5	CAROLINA MUSCULOSKELETAL INSTITUTE PA 1518943364, organization, Aiken	SC	30	$35K
11840	5	MEDSOURCE MEDICAL DME LLC 1508030743, organization, Summerville	SC	29	$28K
11976	5	SUPPORTIVE CARE OF SOUTH CAROLINA LLC 1417681412, organization, MT Pleasant	SC	28	$1K

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