INSPIRIUM IHC UPSTATE, LLC

NPI 1538638994, organization, Greenville, SC, Hospice Care, Community Based

Evidence tier

network structure with a list link

Part of provider network D1-00040, ranked 40 nationally.

score 65 of 100, rank 1313, $145K at stake

Provider networks

D1-00040 ranked 40

44 providers around Greenville, SC: 5 hospices, 17 home health agencies, 22 nursing facilities.

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	INSPIRIUM IHC UPSTATE, LLC (also INTERIM HEALTHCARE OF THE UPSTATE)
Type	Organization
Status	Active
NPI issued	November 15, 2018, last updated April 15, 2025
Practice location	100 VERDAE BLVD STE 300, Greenville, SC 29607-3841, 864-627-1200
Authorized official	David Maiorana (Cfo)
Specialties	Hospice Care, Community Based (251G00000X, 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
T2046	Medicaid service code	$3.1M	96%	$5K	$4K (top 5% from $6K)	78th percentile
S9126	Hospice care in the home per diem	$117K	4%	$4K		too few months to rank

In this area

8 providers in Greenville County, SC carry an indicator in the public record, with $2.3M at stake between them. The most common is part of a provider network, on 5 of them, followed by more hours than a day holds on 2. 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	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.
4	TERESA THOMPSON Taylors, SC, ranked 8238	$414K	Hours beyond a day in 3 months under one organization, which can be supervisory billing. Records needed. and 1 more
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

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Ask this case

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