TERESA THOMPSON, LPC

NPI 1295191765, individual, Taylors, SC, Counselor, Professional

Evidence tier

structure or single-organization volume

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.

score 53 of 100, rank 8238, $414K at stake

Hours billed per day

Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.

month	what was found	hours per day, lower bound	hours per day, at price	hours per day, conservative	per working day	patients	billing organizations	codes	paid
Apr 2022	More hours than a day holds, even counting one unit per claim line	25.0	13.0	8.7	12.4	184	1	90837 90846 90847 90853	$48K
Jun 2022	More hours than a day holds, even counting one unit per claim line	24.1	14.9	9.9	13.5	127	2	90791 90837 90846 90847 90853	$54K
Sep 2022	More hours than a day holds, even counting one unit per claim line	26.0	15.4	10.3	14.0	152	2	90837 90846 90847 90853	$54K

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	TERESA THOMPSON, LPC
Type	Individual
Status	Active
NPI issued	January 13, 2016, last updated June 30, 2021
Practice location	3575 RUTHERFORD ROAD EXT STE B, Taylors, SC 29687-2168, 864-243-8097
Specialties	Counselor, Mental Health (101YM0800X) Counselor, Professional (101YP2500X, primary, license 3471 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
90837	Psychotherapy, 1 hourhistory of abuse	$515K	69%	$382	$191 (top 5% from $442)	92nd percentile
90847	Family psychotherapy with patient, 50 minutes	$98K	13%	$316	$130 (top 5% from $458)	89th percentile
90846	Family psychotherapy without patient, 50 minutes	$83K	11%	$420	$113 (top 5% from $277)	99th percentile
90791	Psychiatric diagnostic evaluation	$29K	4%	$101	$105 (top 5% from $228)	46th percentile
90853	Group psychotherapyhistory of abuse	$14K	2%	$58	$60 (top 5% from $332)	48th percentile
H2000	Medicaid service code	$6K	1%	$111	$173 (top 5% from $548)	too few months to rank
99366	Medicaid service code	$593	0%	$40	$32 (top 5% from $426)	too few months to rank
99367	Medicaid service code	$474	0%	$40	$41 (top 5% from $92)	too few months to rank

In this area

8 providers in Greenville County, SC carry an indicator in the public record, with $2.1M at stake between them. The most common is part of a provider network, on 6 of them, followed by paid after a public list action on 1. 1 is tier 1: documented action, then payment.

tier	provider	at stake	why
1	ACHIEVE BEHAVIORAL HEALTH PA Greenville, SC, ranked 224	$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.
3	INSPIRIUM IHC UPSTATE, LLC Greenville, SC, ranked 1077	$794K	Part of provider network D1-00040, ranked 40 nationally.
3	INSPIRIUM IHC UPSTATE, LLC Greenville, SC, ranked 1313	$145K	Part of provider network D1-00040, ranked 40 nationally.
3	FAMILY HOSPICE OF GREENVILLE, LLC Greenville, SC, ranked 1998	$0	Part of provider network D1-00086, ranked 86 nationally.
3	BEREA COMMUNITY HEALTHCARE, LLC Greenville, SC, ranked 2663	$0	Part of provider network D1-00040, ranked 40 nationally.
3	REEDY RIVER COMMUNITY HEALTHCARE, LLC Greenville, SC, ranked 2973	$0	Part of provider network D1-00040, ranked 40 nationally.
3	ROLLING GREEN VILLAGE Greenville, SC, ranked 3033	$0	Part of provider network D1-00040, ranked 40 nationally.
5	CRYSTAL PFEILER Greenville, SC, ranked 10569	$1.1M	98% of Medicaid dollars are on codes with a history of abuse.

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

The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.

Ask this case

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