PRISMA HEALTH-UPSTATE

NPI: 1043857998 · WALHALLA, SC 29691 · Rural Health Clinic/Center · NPI assigned 12/10/2019

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

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

$197K

Total Medicaid Paid

2,201

Total Claims

1,817

Beneficiaries

Codes Billed

2020-12

First Month

2024-11

Last Month

Provider Details

Authorized Official	MILLER, POLLY (VP PAYOR STRATEGIES & ALIGNMENT)
NPI Enumeration Date	12/10/2019

Other providers sharing the same authorized official: MILLER, POLLY

Provider	City	State	Total 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

Code	Description	Claims	Beneficiaries	Total Paid
T1015	Clinic visit/encounter, all-inclusive	2,043	1,675	$183K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	145	130	$13K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	13	12	$655.52