Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Nursing facility

Prisma Health-Upstate

Prisma Health-Upstate was paid $262K by Medicaid between Aug 2022 and Dec 2022, across 1 billing code. Its largest line is T2046, Hospice long term care, room and board only; per diem — 100% of everything it billed.

33Billing provider infoPRISMA HEALTH-UPSTATE
SENECA, SC 29672
33aNPI1134675242assigned 08/29/2016
33bProvider typeInpatient Hospice
28Total paid$262K
24GClaims72
24DCodes billed1
24AFirst – last monthAug 2022 – Dec 2022
Compared with peers

Next to other Inpatient Hospice providers in South Carolina

Rank by total paid#5 of 5
Median peer was paid$1.86M
This provider vs. median0.1×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official MILLER, POLLY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K$60K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
202272$262K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T2046 Hospice long term care, room and board only; per diem 100% 72 62 $262K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialMILLER, POLLY (VP PAYOR STRATEGIES & ALIGNMENT)
Same official

Other billing entities under MILLER, POLLY

Full network →
ProviderLocationPaid
Prisma Health-MidlandsColumbia, SC$74.58M
Prisma Health-MidlandsColumbia, SC$68.26M
Prisma Health-UpstateGreenville, SC$25.04M
Prisma Health-UpstateGreenville, SC$21.98M
Prisma Health-UpstateGreenville, SC$19.69M
Prisma Health-UpstateSeneca, SC$15.64M
Prisma Health-MidlandsColumbia, SC$11.77M
Prisma Health-UpstateGreenville, SC$10.74M
Greenville Health CorporationGreenville, SC$8.90M
Prisma Health-UpstateGreenville, SC$8.32M
Prisma Health-UpstateGreenville, SC$7.45M
Prisma Health University Medical GroupGreenville, SC$7.44M
Prisma Health-MidlandsCoulmbia, SC$7.43M
Prisma Health-MidlandsColumbia, SC$6.88M
Prisma Health TuomeySumter, SC$6.84M
Prisma Health-MidlandsColumbia, SC$6.77M
Prisma Health-UpstateGreenville, SC$6.37M
Prisma Health-UpstateGreenville, SC$5.00M
Prisma Health-UpstateGreenville, SC$4.65M
Prisma Health-MidlandsColumbia, SC$4.63M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.