Providers
MARIA GEORGE HYMON, ACNP
NPI 1790927630, individual, Columbia, SC, Nurse Practitioner, Acute Care
5
Evidence tier
informational
- Medicaid dollars per patient on code 99309 ($118 per patient-month) sit in the top 5% of every provider billing that code.
score 34 of 100, rank 10389, $200K at stake
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | MARIA GEORGE HYMON, ACNP (also MARIA GEORGE) |
| Type | Individual |
| Status | Active |
| NPI issued | March 24, 2009, last updated December 13, 2012 |
| Practice location | 1655 BERNARDIN AVENUE, SUITE - 350, Columbia, SC 29204, 803-253-7575 |
| Mailing address | 114 GATEWAY CORPORATE BLVD., SUITE - 425, Columbia, SC 29203 |
| Specialties | Nurse Practitioner, Acute Care (363LA2100X, primary, license 3856 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 | |
|---|---|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $394K | 74% | $118 | $21 (top 5% from $84) | 98th percentile | |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | $129K | 24% | $113 | $30 (top 5% from $134) | 93rd percentile | |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | $12K | 2% | $48 | $14 (top 5% from $58) | 93rd percentile | |
| 3079F | Medicaid service code | $0 | 0% | $0.00 | $0.00 (top 5% from $1.06) | too few months to rank | |
| 3075F | Medicaid service code | $0 | 0% | $0.00 | $0.00 (top 5% from $1.29) | too few months to rank | |
| 1160F | Medicaid service code | $0 | 0% | $0.00 | $0.00 (top 5% from $0.09) | too few months to rank | |
| 3077F | Medicaid service code | $0 | 0% | $0.00 | $0.00 (top 5% from $1.28) | too few months to rank | |
| 1159F | Medicaid service code | $0 | 0% | $0.00 | $0.00 (top 5% from $0.12) | 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 |
|---|---|---|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 1,440 | 114 | $96K | $164 | $86 | 1.9x | 2.0x (90th percentile 3.3x) |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 257 | 93 | $25K | $189 | $122 | 1.5x | 2.0x (90th percentile 3.4x) |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 143 | 49 | $7K | $119 | $59 | 2.0x | 2.0x (90th percentile 3.4x) |
| 99316 | Nursing facility discharge management, more than 30 minutes | 16 | 16 | $1K | $177 | $104 | 1.7x | 1.9x (90th percentile 3.5x) |
| 99497 | Advance care planning, first 30 minutes | 19 | 17 | $906 | $129 | $60 | 2.2x | 2.3x (90th percentile 4.9x) |
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 $107K 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 | JENNIFER SPENCER Columbia, SC, ranked 11708 | $66K | |
| 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.