Medicaid Provider Spending

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

PRISMA HEALTH-UPSTATE

NPI: 1033664909 · GREENVILLE, SC 29615 · General Acute Care Hospital · NPI assigned 08/22/2016

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MILLER, POLLY controls 20+ related entities in our dataset. Read more

$2.41M
Total Medicaid Paid
17,335
Total Claims
15,975
Beneficiaries
19
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMILLER, POLLY (VP PAYOR STRATEGIES & ALIGNMENT)
NPI Enumeration Date08/22/2016

Related Entities

Other providers sharing the same authorized official: MILLER, POLLY

ProviderCityStateTotal Paid
PRISMA HEALTH-MIDLANDS COLUMBIA SC $74.58M
PRISMA HEALTH-MIDLANDS COLUMBIA SC $68.26M
PRISMA HEALTH-UPSTATE GREENVILLE SC $25.04M
PRISMA HEALTH-UPSTATE GREENVILLE SC $21.98M
PRISMA HEALTH-UPSTATE GREENVILLE SC $19.69M
PRISMA HEALTH-UPSTATE SENECA SC $15.64M
PRISMA HEALTH-MIDLANDS COLUMBIA SC $11.77M
PRISMA HEALTH-UPSTATE GREENVILLE SC $10.74M
GREENVILLE HEALTH CORPORATION GREENVILLE SC $8.90M
PRISMA HEALTH-UPSTATE GREENVILLE SC $8.32M
PRISMA HEALTH-UPSTATE GREENVILLE SC $7.45M
PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC $7.44M
PRISMA HEALTH-MIDLANDS COULMBIA SC $7.43M
PRISMA HEALTH-MIDLANDS COLUMBIA SC $6.88M
PRISMA HEALTH TUOMEY SUMTER SC $6.84M
PRISMA HEALTH-MIDLANDS COLUMBIA SC $6.77M
PRISMA HEALTH-UPSTATE GREENVILLE SC $6.37M
PRISMA HEALTH-UPSTATE GREENVILLE SC $5.00M
PRISMA HEALTH-UPSTATE GREENVILLE SC $4.65M
PRISMA HEALTH-MIDLANDS COLUMBIA SC $4.63M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,380 $270K
2019 2,327 $283K
2020 2,017 $275K
2021 2,636 $480K
2022 2,660 $443K
2023 2,890 $383K
2024 2,425 $279K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
93922 2,112 2,085 $698K
93971 1,562 1,531 $589K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,784 5,833 $358K
93970 736 725 $258K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 275 212 $170K
93880 584 580 $163K
36415 Collection of venous blood by venipuncture 141 137 $46K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 709 629 $37K
82565 117 117 $34K
93925 1,534 1,519 $19K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 327 310 $17K
97597 523 405 $14K
87070 14 12 $4K
17250 17 12 $3K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 35 34 $2K
93979 556 546 $730.38
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,096 1,081 $228.92
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 199 195 $20.75
87205 14 12 $0.00