MELISSA SWARTZ, M.S., LPCI

NPI 1720271083, individual, Murrells Inlet, SC, Counselor

Evidence tier

informational

69% of Medicaid dollars are on codes with a history of abuse.

score 33 of 100, rank 10556, $1.4M at stake

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	MELISSA SWARTZ, M.S., LPCI (also MELISSA ROBINSON)
Type	Individual, sole proprietor
Status	Active
NPI issued	August 21, 2007, last updated November 29, 2010
Practice location	671 JAMESTOWN DR, SUITE 202E, Murrells Inlet, SC 29576-7507, 843-267-6035
Specialties	Counselor (101Y00000X, 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
90837	Psychotherapy, 1 hourhistory of abuse	$1.9M	69%	$232	$191 (top 5% from $442)	66th percentile
90847	Family psychotherapy with patient, 50 minutes	$441K	16%	$152	$130 (top 5% from $458)	61st percentile
90791	Psychiatric diagnostic evaluation	$291K	11%	$154	$105 (top 5% from $228)	84th percentile
90846	Family psychotherapy without patient, 50 minutes	$123K	5%	$139	$113 (top 5% from $277)	65th percentile
99366	Medicaid service code	$762	0%	$42	$32 (top 5% from $426)	too few months to rank

In this area

4 providers in Horry County, SC carry an indicator in the public record, with $2.4M at stake between them. The most common is more hours than a day holds, on 3 of them, followed by part of a provider network on 1.

tier	provider	at stake	why
3	LORIS REHAB AND NURSING CENTER, LLC Loris, SC, ranked 1763	$0	Part of provider network D1-00043, ranked 43 nationally.
5	RUPA SHETTY Myrtle Beach, SC, ranked 10106	$1.0M	Medicaid dollars per patient on code 99232 ($188 per patient-month) sit in the top 5% of every provider billing that code.
5	ADEDAPO ODUWOLE Myrtle Beach, SC, ranked 10974	$1.2M
5	SUSAN HAMMOND Conway, SC, ranked 11428	$234K

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.

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