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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. States
  3. South Carolina
  4. Fraud Risk

Medicare Fraud Risk in South Carolina

23 flagged providers identified through statistical analysis of billing anomalies.

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Flagged Providers

23

Average Risk Score

68/100

State Markup Ratio

3.7x

National avg: 3.8x

Total Medicare Payments

$15.8B

🔥 Fraud Hotspots in South Carolina

Cities with the most flagged providers based on billing anomaly analysis.

West Columbia7 flagged providers
Myrtle Beach4 flagged providers
Charleston2 flagged providers
Rock Hill2 flagged providers
Hilton Head1 flagged provider
Murrells Inlet1 flagged provider
Columbia1 flagged provider
Hartsville1 flagged provider
Anderson1 flagged provider
Okatie1 flagged provider

Flagged Providers in South Carolina

ProviderSpecialtyCityRisk ScoreTotal PaymentsMarkup
Jennifer DouglasPhysician AssistantCharleston73$2.9M17.5x
Dejuania Brown-RawlsHematology-OncologyMyrtle Beach70$2.8M15.2x
Joel JohnsonGeneral PracticeHilton Head70$390.2K39.8x
Jordan HendersonHematology-OncologyMyrtle Beach69$3.1M14.9x
James MontgomeryObstetrics & GynecologyMurrells Inlet69$1.9M6.9x
Steven MaddenHematology-OncologyWest Columbia68$4.0M14.3x
Charles ButlerMedical OncologyColumbia68$3.8M11.2x
Vijaya KorrapatiHematology-OncologyWest Columbia68$3.4M15.4x
Perrie RyanHematology-OncologyWest Columbia68$3.3M15.8x
Asheesh LalHematology-OncologyWest Columbia68$3.2M16.8x
James WellsHematology-OncologyWest Columbia68$3.2M16.3x
Renwick GoldbergHematology-OncologyMyrtle Beach68$2.2M15.1x
Alaa MuslimaniMedical OncologyRock Hill68$1.7M21.6x
Anna MillerNurse PractitionerCharleston68$1.1M16.7x
Andrea PezzellaObstetrics & GynecologyWest Columbia68$372.1K8.0x
Tracie WoodwardNurse PractitionerHartsville68$162.5K38.5x
Medshore Ambulance Service, LlcAmbulance Service ProviderAnderson67$6.4M7.3x
Lindsay GambleNurse PractitionerOkatie67$3.7M7.6x
Scott GraupnerHematology-OncologyWest Columbia67$2.7M17.1x
Pamela SinclairMedical OncologyRock Hill67$1.6M21.3x
Whitley WeatherfordNurse PractitionerScranton66$2.7M8.7x
Nikhil PatelHematology-OncologyConway66$1.9M15.5x
Emily TouloukianHematology-OncologyMyrtle Beach66$1.5M14.8x

Compared to Neighboring States

StateFlagged ProvidersMarkup Ratio
South Carolina (this state)233.7x
Georgia54.1x
North Carolina63.8x

⚠️ Disclaimer: Being flagged does not imply fraud. These providers were identified through statistical analysis of billing patterns that deviate significantly from peers. Unusual billing may have legitimate explanations. This data is provided for transparency and public accountability purposes only.

Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • OpenMedicare Statistical Anomaly Detection

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.