Medicaid Provider Spending

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

PRISMA HEALTH-UPSTATE

NPI: 1114473212 · GREENVILLE, SC 29605 · General Acute Care Hospital · NPI assigned 08/29/2016

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

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

$8.32M
Total Medicaid Paid
73,396
Total Claims
43,829
Beneficiaries
51
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMILLER, POLLY (VP PAYOR STRATEGIES & ALIGNMENT)
NPI Enumeration Date08/29/2016

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 $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
PRISMA HEALTH-UPSTATE SENECA SC $4.48M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 10,017 $574K
2019 11,856 $1.17M
2020 11,283 $1.93M
2021 11,493 $2.28M
2022 12,814 $1.50M
2023 7,697 $403K
2024 8,236 $459K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 3,745 1,974 $3.80M
36415 Collection of venous blood by venipuncture 11,917 6,714 $1.72M
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,819 1,969 $1.29M
77336 1,618 666 $487K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 8,631 5,819 $237K
77300 234 189 $171K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 683 387 $108K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 3,419 2,638 $106K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,745 2,426 $91K
96375 Therapeutic injection; each additional sequential IV push 2,396 1,265 $71K
96361 Intravenous infusion, hydration; each additional hour 360 217 $47K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 1,932 1,097 $39K
80048 Basic metabolic panel (calcium, ionized) 7,520 4,091 $36K
80053 Comprehensive metabolic panel 720 466 $21K
77386 618 49 $14K
96367 66 44 $14K
85007 603 291 $14K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 899 457 $13K
36430 107 69 $11K
77334 284 181 $10K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 205 187 $9K
80076 4,741 3,140 $3K
86850 401 270 $3K
77412 176 25 $3K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 9,370 5,159 $982.65
G0463 Hospital outpatient clinic visit for assessment and management of a patient 39 29 $865.42
83735 1,856 936 $779.05
P9016 Red blood cells, leukocytes reduced, each unit 19 12 $585.80
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 35 12 $394.16
86304 99 79 $241.12
83615 182 106 $155.08
T1015 Clinic visit/encounter, all-inclusive 22 17 $133.54
J1100 Injection, dexamethasone sodium phosphate, 1 mg 544 238 $27.23
86901 401 270 $0.00
96415 119 69 $0.00
85027 664 323 $0.00
82728 138 129 $0.00
J2469 Injection, palonosetron hcl, 25 mcg 136 74 $0.00
84443 Thyroid stimulating hormone (TSH) 130 101 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 313 148 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 1,469 759 $0.00
84466 147 139 $0.00
84439 55 38 $0.00
83540 147 139 $0.00
86900 402 270 $0.00
96417 42 28 $0.00
J1453 Injection, fosaprepitant, 1 mg 38 26 $0.00
J0897 Injection, denosumab, 1 mg 17 16 $0.00
86923 54 37 $0.00
J7030 Infusion, normal saline solution , 1000 cc 102 31 $0.00
84100 17 13 $0.00