Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PRISMA HEALTH MEDICAL GROUP-MIDLANDS

NPI: 1003307166 · COLUMBIA, SC 29203 · Cardiovascular Disease Physician · NPI assigned 05/24/2018

$2.49M
Total Medicaid Paid
133,532
Total Claims
124,717
Beneficiaries
35
Codes Billed
2019-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialELLIS, JAMES (CHIEF INTEGRATIONL OFFICER)
NPI Enumeration Date05/24/2018

Related Entities

Other providers sharing the same authorized official: ELLIS, JAMES

ProviderCityStateTotal Paid
PRISMA HEALTH MEDICAL GROUP-MIDLANDS COLUMBIA SC $5.90M
SOUTHWEST MISSISSIPPI MENTAL HEALTH MENTAL RETARDATION COMMISSION MCCOMB MS $5.03M
PRISMA HEALTH MEDICAL GROUP-MIDLANDS COLUMBIA SC $17K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 119 $8K
2020 4,507 $143K
2021 33,300 $813K
2022 33,020 $560K
2023 30,351 $490K
2024 32,235 $476K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 25,454 24,054 $1.05M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 9,838 9,679 $424K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 49,347 43,618 $233K
0001A 4,109 4,072 $166K
0002A 3,842 3,794 $158K
93000 22,177 21,496 $142K
99215 Prolong outpt/office vis 669 642 $41K
93297 2,951 2,808 $35K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,243 1,180 $34K
93971 2,073 2,002 $28K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results 3,776 3,628 $26K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 253 251 $24K
93970 1,017 911 $19K
93298 1,107 1,064 $19K
0071A 419 418 $18K
93296 2,021 1,954 $16K
0072A 304 303 $13K
93295 717 689 $13K
0004A 260 258 $11K
99244 Office or other outpatient consultation, moderate to high complexity 57 57 $8K
99205 Prolong outpt/office vis 87 85 $8K
99233 Prolong inpt eval add15 m 17 12 $1K
0031A 38 36 $760.74
0003A 16 16 $707.60
0064A 15 15 $613.20
36415 Collection of venous blood by venipuncture 161 149 $457.61
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 14 14 $456.51
93294 48 41 $281.45
93018 29 28 $153.58
3074F 592 580 $1.19
3078F 484 473 $0.79
3079F 188 184 $0.48
3077F 81 79 $0.14
3075F 26 26 $0.05
91300 102 101 $0.00