WILLIAM BRYAN GAMBLE, M.D.

NPI 1164508479, individual, Columbia, SC, Pediatrics, Pediatric Critical Care Medicine

Evidence tier

informational

score 30 of 100, rank 11790, $41K at stake

Paid after the action

Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.

list	identity check	action date	window closed	months paid after	first	last	paid after	12 months before
State file: provider deceased medicaid enrollment terminated: provider deceased (t-msis status 80)	Exact NPI, list gives no name	May 20, 2021	still open	7	Oct 2021	Feb 2024	$41K	$14K

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	WILLIAM BRYAN GAMBLE, M.D.
Type	Individual
Status	Active
NPI issued	October 29, 2006, last updated June 28, 2023
Practice location	9 RICHLAND MEDICAL PARK DR, SUITE 530, Columbia, SC 29203-6859, 803-434-4603
Mailing address	300 E MCBEE AVE FL 4, Greenville, SC 29601-2842
Specialties	Pediatrics (208000000X, license TRN10113 FL) Pediatrics (208000000X, license 34396 SC) Pediatrics, Pediatric Critical Care Medicine (2080P0203X, license 62846 GA) Pediatrics, Pediatric Critical Care Medicine (2080P0203X, primary, license MMD.34396 MD SC)

Procedures billed

The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.

Medicaid, largest codes

code	what it is	paid	share	per patient-month	typical	rank among providers
99291	Critical care, first 30-74 minutes	$20K	31%	$517	$175 (top 5% from $536)	too few months to rank
01922	Anesthesia for x-ray or radiation therapy	$14K	22%	$216	$203 (top 5% from $371)	too few months to rank
99472	Medicaid service code	$13K	21%	$1K	$1K (top 5% from $3K)	too few months to rank
99233	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	$11K	18%	$178	$96 (top 5% from $249)	too few months to rank
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	$5K	8%	$95	$67 (top 5% from $174)	too few months to rank

In this area

6 providers in Richland County, SC carry an indicator in the public record, with $266K at stake between them. The most common is part of a provider network, on 4 of them, followed by more hours than a day holds on 2.

tier	provider	at stake	why
3	LUTHERAN HOMES OF SC, INC. White Rock, SC, ranked 2362	$0	Part of provider network D1-00104, ranked 104 nationally.
3	FOREST ACRES COMMUNITY HEALTHCARE, LLC Columbia, SC, ranked 3217	$0	Part of provider network D1-00040, ranked 40 nationally.
3	LUTHERAN HOMES OF SC, INC Columbia, SC, ranked 5812	$0	Part of provider network D1-00104, ranked 104 nationally.
3	MEDICAL CARE CONSULTING LLC Columbia, SC, ranked 6848	$0	Part of provider network D1-00137, ranked 137 nationally.
5	MARIA HYMON Columbia, SC, ranked 10389	$200K	Medicaid dollars per patient on code 99309 ($118 per patient-month) sit in the top 5% of every provider billing that code.
5	JENNIFER SPENCER Columbia, SC, ranked 11708	$66K

Recent enforcement in SC

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJIndictedMar 11, 2026

Former Greenville CEO, Employees Indicted in Multi-Million Dollar Health Care Fraud Scheme

The defendants submitted false claims to health care benefit programs for individual COVID-19 tests that had actually been pooled for combined processing and manipulated test processing software, billing for tests that were virtually worthless and ineligible for reimbursement.

DOJSentencedFeb 25, 2026

Lancaster Trio Sentenced for Health Care Fraud Conspiracy

An excluded Medicaid provider and his wife established Transformation Services in her name to bill Medicaid for behavioral health services that were overlapping, not rendered individually, and provided by unlicensed therapists, defrauding Medicaid of nearly $250,000.

DOJIndictedNov 18, 2025

Florida Man Indicted for Health Care Fraud, Wire Fraud in Durable Medical Equipment Scheme

Weinberger, who was excluded from Medicare, allegedly concealed his ownership and control of a Medicare-enrolled durable medical equipment company through a false enrollment document and, with coconspirators, used call centers to generate doctors' orders for orthotic braces and submit approximately $6.7 million in false and fraudulent claims obtained through kickbacks and bribes, medically unnecessary, or otherwise ineligible for reimbursement.

DOJCivil judgmentJul 17, 2025

United States and the States of Georgia, Colorado, and South Carolina Obtain $114.5M in Judgments in a Sprawling Cancer Genetic Testing Lab Scheme

Premier Medical, its owner and compliance vice president paid kickbacks to Freedom Medical Labs and its marketers, who collected DNA samples from Medicaid beneficiaries in public spaces and purchased telemedicine physician orders, to bill Medicaid for medically unnecessary cancer genetic testing.

DOJIndictedJun 30, 2025

S.C. Cases Among Hundreds Announced in National Health Care Fraud Takedown

Two defendants were charged with submitting false claims to Medicare and Medicaid for durable medical equipment that was not delivered or authorized, and with billing the Veterans Administration for massage therapy services not rendered.

Referral packet

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Ask this case

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