Providers
JENNIFER K SPENCER, APRN
NPI 1770509572, individual, Columbia, SC, Nurse Practitioner, Family
5
Evidence tier
informational
score 30 of 100, rank 11708, $66K at stake
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | JENNIFER K SPENCER, APRN |
| Type | Individual |
| Status | Active |
| NPI issued | July 14, 2006, last updated January 2, 2025 |
| Practice location | SC HOUSE CALLS INC, 111 DOCTORS CIRCLE, Columbia, SC 29203, 800-491-0909 |
| Specialties | Nurse Practitioner, Family (363LF0000X, primary, license 2680 SC) Nurse Practitioner (363L00000X, license 2680 SC) Nurse Practitioner (363L00000X, license 5011611 NC) Nurse Practitioner, Family (363LF0000X, license 5011611 NC) |
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 | |
|---|---|---|---|---|---|---|---|
| 99336 | Domiciliary/rest home visit established level 3 (retired 2023) | $146K | 47% | $47 | $28 (top 5% from $90) | 79th percentile | |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $97K | 31% | $25 | $21 (top 5% from $84) | 58th percentile | |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | $19K | 6% | $84 | $30 (top 5% from $115) | 91st percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $13K | 4% | $28 | $60 (top 5% from $133) | 14th percentile | |
| 99337 | Domiciliary/rest home visit established level 4 (retired 2023) | $9K | 3% | $79 | $45 (top 5% from $136) | 82nd percentile | |
| 90792 | Psychiatric diagnostic evaluation with medical services | $7K | 2% | $24 | $112 (top 5% from $313) | 12th percentile | |
| 99283 | Emergency department visit with low level of medical decision making | $7K | 2% | $40 | $60 (top 5% from $193) | too few months to rank | |
| 99284 | Emergency department visit with moderate level of medical decision making | $7K | 2% | $76 | $86 (top 5% from $224) | too few months to rank |
Medicare Part B 2024, largest codes
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 905 | 205 | $71K | $145 | $101 | 1.4x | 2.3x (90th percentile 3.8x) |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 765 | 187 | $8K | $19 | $13 | 1.4x | 2.7x (90th percentile 4.5x) |
| 99497 | Advance care planning, first 30 minutes | 52 | 47 | $3K | $94 | $65 | 1.5x | 2.3x (90th percentile 4.9x) |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 63 | 55 | $3K | $144 | $101 | 1.4x | 2.0x (90th percentile 3.4x) |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 15 | 15 | $1K | $190 | $131 | 1.5x | 2.4x (90th percentile 3.9x) |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 21 | 21 | $1K | $118 | $72 | 1.6x | 2.2x (90th percentile 3.8x) |
| 99344 | Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes | 12 | 12 | $997 | $162 | $114 | 1.4x | 2.1x (90th percentile 3.5x) |
A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.
In this area
6 providers in Richland County, SC carry an indicator in the public record, with $241K 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 1.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | LUTHERAN HOMES OF SC, INC. White Rock, SC, ranked 2362 | $0 |
|
| 3 | FOREST ACRES COMMUNITY HEALTHCARE, LLC Columbia, SC, ranked 3217 | $0 |
|
| 3 | LUTHERAN HOMES OF SC, INC Columbia, SC, ranked 5812 | $0 |
|
| 3 | MEDICAL CARE CONSULTING LLC Columbia, SC, ranked 6848 | $0 |
|
| 5 | MARIA HYMON Columbia, SC, ranked 10389 | $200K |
|
| 5 | WILLIAM GAMBLE Columbia, SC, ranked 11790 | $41K |
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.