Physician
Prisma Health Medical Group-Midlands
Prisma Health Medical Group-Midlands was paid $2.49M by Medicaid between Oct 2019 and Dec 2024, across 35 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 42% of everything it billed.
33Billing provider infoPRISMA HEALTH MEDICAL GROUP-MIDLANDS
COLUMBIA, SC 29203
COLUMBIA, SC 29203
33aNPI1003307166assigned 05/24/2018
33bProvider typeCardiovascular Disease Physician
28Total paid$2.49M
24GClaims133,532
24DCodes billed35
24AFirst – last monthOct 2019 – Dec 2024
Compared with peers
Next to other Cardiovascular Disease Physician providers in South Carolina
Rank by total paid#4 of 64
Median peer was paid$3K
This provider vs. median826×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 119 | $8K | |
| 2020 | 4,507 | $143K | |
| 2021 | 33,300 | $813K | |
| 2022 | 33,020 | $560K | |
| 2023 | 30,351 | $490K | |
| 2024incomplete | 32,235 | $476K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 42% | 25,454 | 24,054 | $1.05M |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 17% | 9,838 | 9,679 | $424K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 9.4% | 49,347 | 43,618 | $233K |
| 0001A | 6.6% | 4,109 | 4,072 | $166K | |
| 0002A | 6.4% | 3,842 | 3,794 | $158K | |
| 93000 | 5.7% | 22,177 | 21,496 | $142K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.6% | 669 | 642 | $41K |
| 93297 | 1.4% | 2,951 | 2,808 | $35K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.4% | 1,243 | 1,180 | $34K |
| 93971 | 1.1% | 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 | 1.0% | 3,776 | 3,628 | $26K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 253 | 251 | $24K |
23 more codes
| 93970 | <1% | 1,017 | $19K | |
| 93298 | <1% | 1,107 | $19K | |
| 0071A | <1% | 419 | $18K | |
| 93296 | <1% | 2,021 | $16K | |
| 0072A | <1% | 304 | $13K | |
| 93295 | <1% | 717 | $13K | |
| 0004A | <1% | 260 | $11K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 57 | $8K |
| 99205 | Prolong outpt/office vis | <1% | 87 | $8K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 17 | $1K |
| 0031A | <1% | 38 | $760.74 | |
| 0003A | <1% | 16 | $707.60 | |
| 0064A | <1% | 15 | $613.20 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 161 | $457.61 |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 14 | $456.51 |
| 93294 | <1% | 48 | $281.45 | |
| 93018 | <1% | 29 | $153.58 | |
| 3074F | <1% | 592 | $1.19 | |
| 3078F | <1% | 484 | $0.79 | |
| 3079F | <1% | 188 | $0.48 | |
| 3077F | <1% | 81 | $0.14 | |
| 3075F | <1% | 26 | $0.05 | |
| 91300 | 0% | 102 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialELLIS, JAMES (CHIEF INTEGRATIONL OFFICER)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.