Providers
ACHIEVE BEHAVIORAL HEALTH PA
NPI 1376294041, organization, Greenville, SC, Family Medicine, Addiction Medicine
1
Evidence tier
documented action, then payment
- 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.
score 94 of 100, rank 224, $27K at stake
Public list actions
Medicare revocation effective May 24, 2023, barred from re-enrolling until May 24, 2033
424.535(a)(9) failure to report and 424.535(a)(12) other program termination (medicaid) and 424.535(a)(3) felonies, Part B Supplier - Clinic/Group Practice, SC
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 |
|---|---|---|---|---|---|---|---|---|
| Medicare revocation list 424.535(a)(9) failure to report and 424.535(a)(12) other program termination (medicaid) and 424.535(a)(3) felonies | Exact NPI, name verified | May 24, 2023 | May 24, 2033 | 17 | Jun 2023 | Nov 2024 | $27K | $919 |
| SC Medicaid exclusion list state list extracted from https://www.scdhhs.gov/sites/dhhs/files/08%2027%202026%20sc%20medicaid%20sanctioned%20individuals patricia%20k%20godley.xlsx (pandas claude colmap) | Exact NPI, name verified | Oct 8, 2024 | still open | 1 | Nov 2024 | Nov 2024 | $1K | $20K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ACHIEVE BEHAVIORAL HEALTH PA |
| Type | Organization |
| Status | Active |
| NPI issued | January 14, 2022, last updated February 21, 2025 |
| Practice location | 142 MILESTONE WAY, Greenville, SC 29615-5065, 864-991-8884 |
| Authorized official | STEVEN POWELL (President, Treasurer, Secretary) |
| Specialties | Family Medicine (207Q00000X) Family Medicine, Addiction Medicine (207QA0401X, primary) |
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 | |
|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $28K | 100% | $102 | $60 (top 5% from $133) | too few months to rank |
In this area
8 providers in Greenville County, SC carry an indicator in the public record, with $2.5M at stake between them. The most common is part of a provider network, on 6 of them, followed by more hours than a day holds on 2.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | INSPIRIUM IHC UPSTATE, LLC Greenville, SC, ranked 1077 | $794K |
|
| 3 | INSPIRIUM IHC UPSTATE, LLC Greenville, SC, ranked 1313 | $145K |
|
| 3 | FAMILY HOSPICE OF GREENVILLE, LLC Greenville, SC, ranked 1998 | $0 |
|
| 3 | BEREA COMMUNITY HEALTHCARE, LLC Greenville, SC, ranked 2663 | $0 |
|
| 3 | REEDY RIVER COMMUNITY HEALTHCARE, LLC Greenville, SC, ranked 2973 | $0 |
|
| 3 | ROLLING GREEN VILLAGE Greenville, SC, ranked 3033 | $0 |
|
| 4 | TERESA THOMPSON Taylors, SC, ranked 8238 | $414K |
|
| 5 | CRYSTAL PFEILER Greenville, SC, ranked 10569 | $1.1M |
|
Recent enforcement in SC
All releasesDepartment 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.