Medicaid Provider Spending

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

PRISMA HEALTH UNIVERSITY MEDICAL GROUP

NPI: 1083787006 · GREENVILLE, SC 29607 · Cardiovascular Disease Physician · NPI assigned 11/16/2006

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

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

$327K
Total Medicaid Paid
8,536
Total Claims
8,009
Beneficiaries
14
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMILLER, POLLY (VP OF PAYOR STRATEGIES & ALIGNMENT)
NPI Enumeration Date11/16/2006

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 1,149 $39K
2019 959 $31K
2020 764 $29K
2021 1,404 $57K
2022 1,676 $69K
2023 1,212 $53K
2024 1,372 $48K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,076 5,698 $267K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 847 793 $27K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 354 339 $19K
99215 Prolong outpt/office vis 124 114 $5K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 49 46 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 28 28 $2K
36415 Collection of venous blood by venipuncture 645 599 $1K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 142 137 $1K
95251 52 43 $361.33
86140 41 41 $237.65
85651 24 24 $95.52
82565 18 13 $82.63
3074F 75 74 $0.24
3078F 61 60 $0.17