Medicaid Provider Spending

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

NPI: 1144775032 · GREENVILLE, SC 29615 · General Acute Care Hospital · NPI assigned 08/20/2016

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

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

$6.37M
Total Medicaid Paid
215,476
Total Claims
205,886
Beneficiaries
151
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMILLER, POLLY (SVP FINANCE, ENTERPRISE CONTRACTING)
NPI Enumeration Date08/20/2016

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 $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 $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 33,719 $694K
2019 39,025 $774K
2020 35,893 $759K
2021 42,009 $1.03M
2022 27,909 $947K
2023 19,030 $1.10M
2024 17,891 $1.08M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
36415 Collection of venous blood by venipuncture 27,868 26,208 $2.24M
88305 Level IV - Surgical pathology, gross and microscopic examination 4,410 4,290 $495K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 332 330 $480K
77066 Tomosynthesis, mammo 2,663 2,609 $343K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 3,047 2,951 $309K
88300 2,248 2,226 $266K
76770 1,841 1,833 $259K
76642 7,115 5,949 $239K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 297 293 $212K
81025 1,277 1,259 $198K
74018 5,953 5,732 $172K
42830 928 915 $154K
42820 Tonsillectomy and adenoidectomy; younger than age 12 1,838 1,827 $148K
77065 Tomosynthesis, mammo 2,636 2,429 $143K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 151 150 $76K
87070 1,246 1,211 $73K
77072 2,302 2,274 $54K
82565 186 183 $40K
82657 310 306 $39K
70551 Magnetic resonance imaging, brain; without contrast material 57 57 $39K
88304 392 387 $39K
77067 Screening mammography, bilateral, including computer-aided detection 1,222 1,207 $37K
71046 Radiologic examination, chest; 2 views 2,369 2,294 $36K
87081 211 209 $32K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2,459 2,431 $26K
J7120 Ringers lactate infusion, up to 1000 cc 12,067 11,803 $25K
77063 Screening digital breast tomosynthesis, bilateral 248 244 $25K
74177 Computed tomography, abdomen and pelvis; with contrast material 182 181 $21K
76775 218 215 $20K
76705 Ultrasound, abdominal, real time with image documentation; limited 164 162 $14K
72141 13 13 $13K
76700 Ultrasound, abdominal, real time with image documentation; complete 70 70 $11K
87086 Culture, bacterial; quantitative colony count, urine 439 410 $10K
71250 24 24 $9K
80053 Comprehensive metabolic panel 9,995 9,623 $9K
19083 337 306 $9K
71260 Computed tomography, thorax, diagnostic; with contrast material 25 25 $7K
76830 Ultrasound, transvaginal 12 12 $5K
D2930 Prefabricated stainless steel crown - primary tooth 28 27 $5K
A4648 Tissue marker, implantable, any type, each 484 459 $4K
73630 51 50 $4K
00170 Anesthesia for intraoral procedures, including biopsy 42 42 $3K
54161 114 112 $3K
J0690 Injection, cefazolin sodium, 500 mg 3,494 3,407 $3K
87077 274 265 $3K
78264 12 12 $3K
81001 797 760 $2K
82784 2,777 2,709 $1K
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 1,489 1,402 $1K
82570 1,444 1,417 $1K
A9585 Injection, gadobutrol, 0.1 ml 1,439 1,384 $1K
72100 38 38 $1K
80069 1,134 1,065 $957.82
84443 Thyroid stimulating hormone (TSH) 7,923 7,740 $944.31
93976 24 24 $734.51
00126 12 12 $588.49
80061 Lipid panel 3,045 2,998 $587.07
86140 3,418 3,301 $562.34
82785 1,085 1,069 $489.23
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 4,143 4,046 $418.95
82043 636 635 $397.97
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 12 12 $387.73
80048 Basic metabolic panel (calcium, ionized) 1,365 1,254 $343.28
83036 Hemoglobin; glycosylated (A1C) 2,083 2,039 $311.98
83516 2,037 2,001 $268.52
73130 16 16 $249.55
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,116 1,072 $216.00
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 1,918 1,878 $208.88
82670 135 134 $182.15
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 13 12 $172.77
85025 Blood count; complete (CBC), automated, and automated differential WBC count 8,367 8,014 $149.82
76942 83 76 $138.47
J1100 Injection, dexamethasone sodium phosphate, 1 mg 6,365 6,215 $129.21
82310 15 14 $127.36
80197 110 86 $117.03
84403 435 427 $115.88
86003 689 680 $99.18
84439 4,366 4,260 $93.83
80076 772 736 $93.15
82728 1,281 1,244 $69.49
J2405 Injection, ondansetron hydrochloride, per 1 mg 7,859 7,613 $59.79
86255 964 933 $48.72
81003 99 97 $35.48
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 900 629 $29.45
J1885 Injection, ketorolac tromethamine, per 15 mg 90 86 $28.41
85027 3,495 3,333 $12.49
J3010 Injection, fentanyl citrate, 0.1 mg 5,259 5,176 $11.84
J2270 Injection, morphine sulfate, up to 10 mg 1,006 968 $7.68
86317 176 172 $0.00
83735 2,170 2,016 $0.00
86800 429 426 $0.00
J1170 Injection, hydromorphone, up to 4 mg 2,506 2,138 $0.00
83519 657 644 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 751 733 $0.00
J3490 Unclassified drugs 5,027 4,108 $0.00
83001 209 204 $0.00
82550 98 94 $0.00
87205 1,174 1,140 $0.00
86160 121 117 $0.00
86376 674 665 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 198 196 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 1,914 1,839 $0.00
83520 80 80 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 90 88 $0.00
85651 2,937 2,867 $0.00
85652 1,121 1,100 $0.00
82607 240 238 $0.00
83002 258 253 $0.00
80177 13 12 $0.00
42821 25 25 $0.00
84480 42 41 $0.00
83498 26 25 $0.00
83880 28 28 $0.00
86364 79 78 $0.00
82533 13 12 $0.00
87340 12 12 $0.00
45380 Colonoscopy, flexible; with biopsy, single or multiple 39 37 $0.00
84134 27 27 $0.00
86341 15 13 $0.00
D1206 Topical application of fluoride varnish 25 24 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 12 12 $0.00
84402 13 13 $0.00
84446 25 25 $0.00
83540 1,071 1,037 $0.00
84305 1,113 1,086 $0.00
84156 241 225 $0.00
82610 1,252 1,197 $0.00
85007 1,445 1,329 $0.00
83970 1,351 1,304 $0.00
84100 2,181 2,041 $0.00
85610 593 551 $0.00
82977 609 579 $0.00
86038 369 349 $0.00
84466 1,049 1,015 $0.00
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 279 276 $0.00
87186 436 420 $0.00
80164 54 52 $0.00
J1171 Injection, hydromorphone, 0.1 mg 43 40 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 13 13 $0.00
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 46 44 $0.00
86235 12 12 $0.00
86337 15 14 $0.00
82627 29 29 $0.00
86480 12 12 $0.00
86774 12 12 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 28 26 $0.00
84146 12 12 $0.00
88312 27 27 $0.00
D1120 Prophylaxis - child 16 16 $0.00
84590 12 12 $0.00
J7030 Infusion, normal saline solution , 1000 cc 27 27 $0.00