PRISMA HEALTH-UPSTATE
NPI: 1134512395
· CLINTON, SC 29325
· Rural Health Clinic/Center
· NPI assigned 03/12/2015
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official MILLER, POLLY controls 20+ related entities in our dataset. Read more
$1.06M
Total Medicaid Paid
Provider Details
| Authorized Official | MILLER, POLLY (VP PAYOR STRATEGIES & ALIGNMENT) |
| NPI Enumeration Date | 03/12/2015 |
Related Entities
Other providers sharing the same authorized official: MILLER, POLLY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,627 |
$135K |
| 2019 |
1,851 |
$152K |
| 2020 |
1,624 |
$134K |
| 2021 |
2,176 |
$159K |
| 2022 |
2,732 |
$203K |
| 2023 |
2,622 |
$197K |
| 2024 |
1,099 |
$81K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
11,089 |
9,647 |
$924K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,307 |
1,263 |
$85K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,323 |
1,252 |
$52K |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$19.00 |