Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › SC › SENECA › PRISMA HEALTH-UPSTATE

PRISMA HEALTH-UPSTATE

NPI: 1063968196 · SENECA, SC 29672 · 282N00000X

$15.64M
Total Medicaid Paid
680,726
Total Claims
573,395
Beneficiaries
253
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 89,417 $2.06M
2019 101,832 $2.00M
2020 95,960 $2.06M
2021 101,041 $2.33M
2022 104,428 $2.66M
2023 98,771 $2.52M
2024 89,277 $2.02M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
36415 47,939 35,599 $4.13M
99283 32,067 29,635 $1.15M
99282 7,667 7,404 $1.01M
96372 11,316 7,126 $732K
0241U 7,038 6,726 $575K
96361 12,754 9,690 $451K
97110 6,412 2,212 $446K
C9803 Hopd covid-19 spec collect 4,913 4,593 $371K
96374 11,517 10,246 $340K
96365 5,267 4,435 $308K
81025 11,087 10,228 $308K
81001 18,163 16,361 $307K
80053 24,213 21,074 $306K
92507 4,674 1,926 $292K
96360 3,456 3,211 $248K
82565 735 671 $180K
71260 869 844 $175K
80307 6,374 5,679 $162K
70553 202 199 $161K
87086 9,696 8,921 $158K
86850 2,602 2,389 $139K
71046 6,850 6,506 $137K
99284 18,446 17,059 $133K
80048 16,561 12,537 $129K
97530 4,900 1,728 $129K
99281 931 883 $127K
93306 1,246 1,192 $125K
70450 4,632 4,319 $125K
87081 3,446 3,368 $120K
88305 1,784 1,728 $118K
73130 1,235 1,191 $116K
87804 2,302 2,204 $99K
76830 678 660 $95K
81003 4,963 4,661 $94K
74177 4,940 4,690 $91K
99285 18,389 16,407 $89K
73110 989 957 $87K
73610 1,694 1,638 $84K
87077 4,182 3,985 $83K
73630 1,732 1,657 $80K
99213 2,442 1,603 $78K
93005 14,945 12,662 $76K
76705 1,928 1,843 $71K
74176 2,212 2,127 $65K
71045 8,719 7,810 $65K
76801 602 528 $65K
87210 1,642 1,547 $62K
87070 1,654 1,587 $54K
99212 1,109 1,088 $53K
71250 268 263 $52K
73030 1,172 1,109 $49K
93971 375 365 $45K
80047 2,022 1,944 $37K
85025 39,178 30,437 $34K
87651 1,484 1,455 $33K
87491 1,941 1,870 $33K
12001 297 293 $31K
87637 590 564 $27K
96376 4,460 2,800 $27K
71275 1,360 1,256 $27K
G0378 Hospital observation per hr 5,389 4,304 $26K
78452 153 145 $26K
96375 9,371 7,615 $25K
72100 800 787 $24K
73564 654 623 $23K
U0003 Cov-19 amp prb hgh thruput 1,851 1,684 $21K
73090 244 235 $21K
93017 436 420 $21K
59025 427 268 $19K
96366 2,979 1,694 $18K
74018 537 499 $16K
77067 555 553 $15K
73721 29 29 $15K
84112 56 52 $15K
76856 891 865 $13K
88304 294 292 $12K
73080 167 165 $12K
J7120 Ringers lactate infusion 7,648 6,860 $12K
U0005 Infec agen detec ampli probe 944 871 $12K
99214 669 500 $11K
80061 3,535 3,413 $11K
73502 542 499 $11K
Q9967 Locm 300-399mg/ml iodine,1ml 8,254 7,582 $9K
87880 2,158 2,108 $9K
82950 920 884 $9K
80076 3,211 2,931 $8K
84443 5,893 5,669 $8K
0202U 43 42 $8K
94640 3,699 2,968 $8K
87389 3,223 3,034 $7K
90471 848 799 $7K
81511 13 12 $6K
J2550 Promethazine hcl injection 2,069 1,694 $6K
76770 114 112 $6K
J7030 Normal saline solution infus 14,011 11,042 $6K
J1650 Inj enoxaparin sodium 3,251 1,308 $6K
73560 135 130 $5K
77063 56 56 $5K
87635 3,063 2,884 $5K
87807 393 387 $5K
84702 2,928 2,469 $4K
93225 13 13 $4K
72125 1,238 1,180 $4K
93970 24 24 $4K
J3490 Drugs unclassified injection 5,693 3,753 $4K
43239 540 533 $4K
J2405 Ondansetron hcl injection 11,154 9,452 $3K
97161 1,036 951 $3K
82247 420 243 $3K
84484 8,468 6,661 $3K
85027 4,643 4,129 $3K
76817 399 346 $3K
73140 41 40 $3K
93976 1,385 1,288 $3K
82962 29 22 $3K
76642 77 66 $3K
86900 3,036 2,780 $3K
70496 30 29 $3K
83735 7,790 5,576 $2K
J0696 Ceftriaxone sodium injection 3,096 2,337 $2K
85007 803 687 $2K
J1815 Insulin injection 2,202 757 $2K
81220 92 80 $2K
72040 37 36 $2K
12002 26 26 $2K
82570 986 835 $2K
99291 161 160 $2K
97165 170 158 $2K
84439 1,274 1,226 $2K
83880 2,631 2,322 $2K
86803 1,555 1,499 $2K
76805 16 15 $2K
86780 910 851 $2K
86762 1,009 919 $2K
92523 12 12 $2K
82105 29 29 $2K
J2270 Morphine sulfate injection 3,342 2,721 $2K
J1644 Inj heparin sodium per 1000u 1,069 409 $2K
J7040 Normal saline solution infus 921 860 $1K
86140 2,543 2,268 $1K
82306 1,254 1,228 $1K
73660 12 12 $1K
85610 3,638 3,183 $1K
83036 2,763 2,604 $1K
82803 1,019 890 $1K
12011 15 15 $1K
69436 12 12 $1K
97116 414 207 $1K
J1100 Dexamethasone sodium phos 5,510 5,183 $1K
99211 40 38 $1K
82140 31 28 $1K
J2175 Meperidine hydrochl /100 mg 1,115 944 $1K
J1170 Hydromorphone injection 4,220 3,359 $997.58
70498 41 40 $951.78
J2272 Inj, morphine (fresenius) 1,199 1,016 $887.25
93922 13 12 $884.51
87040 2,513 2,224 $833.22
76775 24 24 $783.47
86901 3,037 2,781 $773.41
J1885 Ketorolac tromethamine inj 8,805 7,829 $766.80
J1790 Droperidol injection 106 97 $764.44
97535 453 252 $743.96
J2930 Methylprednisolone injection 869 617 $738.47
J2250 Inj midazolam hydrochloride 3,253 3,072 $725.02
80143 914 853 $685.83
87045 29 27 $653.39
A4300 Cath impl vasc access portal 12 12 $536.44
76815 27 25 $495.56
82607 309 303 $458.00
86592 365 327 $455.55
90715 687 678 $442.11
83540 142 140 $435.85
87661 483 461 $419.67
A9502 Tc99m tetrofosmin 59 53 $396.86
J3370 Vancomycin hcl injection 179 86 $363.82
J3480 Inj potassium chloride 195 132 $363.45
J1940 Furosemide injection 49 25 $356.46
90686 30 26 $356.46
97162 26 26 $353.55
73590 27 26 $289.18
82150 161 158 $253.17
87591 1,835 1,761 $230.08
82728 176 162 $228.60
G1004 Cdsm ndsc 4,796 3,745 $215.30
85379 2,373 2,215 $183.38
82947 119 118 $166.21
87340 1,174 1,079 $159.27
86787 987 911 $158.66
83690 9,590 8,515 $157.62
83605 3,499 3,054 $148.76
82550 1,500 1,326 $128.14
84156 544 451 $106.80
82077 1,746 1,584 $103.81
62323 41 38 $99.40
A9585 Gadobutrol injection 789 547 $94.29
G0480 Drug test def 1-7 classes 13 12 $91.45
87186 3,063 2,924 $64.19
G0463 Hospital outpt clinic visit 24 18 $50.21
84550 422 348 $49.48
85730 2,387 2,081 $40.13
J0690 Cefazolin sodium injection 2,657 2,218 $38.38
85014 2,081 1,952 $30.97
84145 750 665 $28.76
80179 742 698 $23.49
J0780 Prochlorperazine injection 354 329 $23.33
J3010 Fentanyl citrate injection 3,175 2,999 $20.41
83655 14 13 $15.61
J0131 Inj, acetaminophen (nos) 503 458 $14.39
J0330 Succinycholine chloride inj 601 578 $10.10
J1200 Diphenhydramine hcl injectio 1,302 1,189 $6.32
85652 925 862 $4.90
85651 993 886 $3.65
85018 292 222 $2.49
J7512 Prednisone ir or dr oral 1mg 2,108 1,513 $1.51
J2765 Metoclopramide hcl injection 432 386 $1.20
J2060 Lorazepam injection 560 469 $0.35
J3475 Inj magnesium sulfate 1,009 814 $0.00
82248 471 281 $0.00
84100 428 352 $0.00
J0665 Inj, bupivacaine, nos, 0.5mg 95 67 $0.00
96367 408 317 $0.00
C1713 Anchor/screw bn/bn,tis/bn 78 77 $0.00
J1596 Inj, glycopyrrolate, 0.1 mg 61 60 $0.00
J2710 Neostigmine methylslfte inj 197 185 $0.00
97168 154 148 $0.00
76942 84 82 $0.00
J2919 Inj, methylpred sod succ 5mg 44 31 $0.00
J1171 Inj, hydromorphone, 0.1 mg 84 60 $0.00
87502 29 29 $0.00
87075 41 38 $0.00
84466 38 38 $0.00
86336 16 16 $0.00
J7510 Prednisolone oral per 5 mg 42 41 $0.00
76000 26 26 $0.00
93308 29 26 $0.00
51701 59 55 $0.00
82010 42 38 $0.00
86308 103 101 $0.00
J2795 Ropivacaine hcl injection 780 650 $0.00
J2785 Regadenoson injection 85 81 $0.00
83615 294 240 $0.00
A9500 Tc99m sestamibi 82 68 $0.00
J2003 Inj, lidocaine hcl, 1 mg 65 64 $0.00
86580 33 26 $0.00
87205 291 269 $0.00
J8540 Oral dexamethasone 28 24 $0.00
J1040 Methylprednisolone 80 mg inj 30 27 $0.00
45380 12 12 $0.00
82677 16 16 $0.00
P9612 Catheterize for urine spec 152 129 $0.00
82746 52 52 $0.00
88300 12 12 $0.00
J2371 Inj phenylephrine hcl 20 mcg 25 25 $0.00