Medicaid Provider Spending

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

NPI: 1154432458 · COULMBIA, SC 29203 · General Acute Care Hospital · NPI assigned 08/31/2006

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

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

$7.43M
Total Medicaid Paid
337,775
Total Claims
304,168
Beneficiaries
157
Codes Billed
2018-01
First Month
2022-05
Last Month

Provider Details

Authorized OfficialMILLER, POLLY (VP PAYOR STRATEGIES ALIGNMENT)
Parent OrganizationPRISMA HEALTH-MIDLANDS
NPI Enumeration Date08/31/2006

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 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 99,546 $2.06M
2019 107,502 $2.37M
2020 96,914 $2.18M
2021 29,519 $695K
2022 4,294 $135K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
36415 Collection of venous blood by venipuncture 28,305 24,973 $2.13M
80053 Comprehensive metabolic panel 23,887 21,744 $1.55M
80081 2,967 2,576 $494K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 11,107 9,964 $395K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 4,174 3,318 $326K
86850 1,268 1,106 $263K
80048 Basic metabolic panel (calcium, ionized) 5,840 5,395 $243K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 11,223 10,232 $228K
87480 2,981 2,752 $222K
86780 4,953 4,530 $186K
87086 Culture, bacterial; quantitative colony count, urine 12,662 11,276 $132K
87077 5,649 5,104 $115K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 803 546 $111K
87070 3,801 3,503 $108K
80061 Lipid panel 14,041 12,690 $79K
82785 1,276 1,118 $64K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 1,647 1,479 $47K
87081 4,202 4,030 $38K
84439 7,347 6,701 $32K
82105 1,814 1,683 $32K
86361 2,045 1,958 $31K
80074 321 307 $30K
83655 1,838 1,775 $30K
84443 Thyroid stimulating hormone (TSH) 16,917 15,396 $29K
88142 3,664 3,375 $24K
82950 3,729 3,504 $23K
83036 Hemoglobin; glycosylated (A1C) 10,315 9,163 $23K
87015 295 237 $22K
88305 Level IV - Surgical pathology, gross and microscopic examination 359 337 $19K
86003 1,441 1,132 $19K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 24,196 21,696 $18K
87536 2,283 2,176 $16K
83020 3,902 3,277 $16K
80076 2,601 2,426 $16K
82607 2,740 2,587 $15K
86592 1,226 1,073 $14K
86695 191 184 $14K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 4,795 4,364 $14K
84702 1,310 911 $14K
86706 1,191 1,070 $13K
83001 803 760 $13K
82728 2,961 2,781 $12K
82040 378 345 $10K
80069 1,493 1,194 $10K
86038 1,508 1,397 $9K
82570 2,461 2,237 $9K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 55 49 $8K
82043 1,427 1,344 $7K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 319 282 $7K
86803 4,333 3,854 $7K
82784 2,014 1,894 $6K
86704 569 519 $6K
86481 713 658 $6K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 11,114 9,964 $6K
84146 617 554 $6K
87522 Neg quan hep c or qual rna 636 599 $6K
87631 46 37 $6K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 317 125 $5K
82565 579 523 $5K
85027 5,609 5,148 $5K
86900 935 800 $4K
87186 4,319 3,888 $4K
86480 548 478 $4K
83540 3,201 2,992 $4K
83516 2,455 2,123 $3K
82550 710 636 $3K
81511 13 13 $3K
80323 367 333 $3K
82247 427 229 $3K
82310 474 408 $3K
86762 944 791 $3K
86225 249 240 $2K
84436 871 793 $2K
86140 3,161 2,915 $2K
87653 47 46 $2K
84425 1,226 1,173 $2K
80164 601 479 $2K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 1,958 1,772 $2K
81001 2,913 2,644 $2K
82951 315 287 $2K
84550 1,035 948 $2K
83014 27 27 $2K
82670 57 55 $1K
82272 13 12 $1K
82746 1,930 1,820 $1K
86708 278 242 $1K
82627 71 69 $1K
84153 446 426 $1K
83993 50 47 $1K
82947 293 246 $1K
87045 92 85 $1K
86696 257 245 $1K
84403 547 508 $1K
87660 2,937 2,709 $905.29
83013 82 77 $793.02
87510 2,980 2,749 $745.04
83735 2,844 2,518 $719.04
84450 675 613 $717.98
84156 1,614 1,430 $698.20
83880 294 271 $651.08
82977 408 388 $628.43
85652 3,607 3,296 $619.75
82465 85 81 $536.03
85610 1,328 1,125 $534.65
86665 62 58 $527.00
83970 601 524 $480.22
86160 570 515 $437.02
83002 511 487 $421.66
84305 161 150 $380.13
84466 1,457 1,337 $378.80
84481 829 777 $346.47
87205 1,572 1,454 $321.94
86901 930 802 $319.01
84134 1,430 1,336 $310.69
86235 180 163 $264.65
83615 221 199 $233.92
82157 45 42 $220.18
83525 366 343 $169.16
83690 519 487 $164.33
87340 2,629 2,378 $139.61
81025 131 109 $137.46
82397 13 13 $132.57
86431 592 551 $132.55
87338 17 14 $131.13
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 28 28 $126.12
86200 130 124 $110.94
87046 93 85 $101.56
84480 376 333 $87.11
86376 262 256 $80.26
80156 13 12 $74.56
82248 175 149 $71.77
87147 147 133 $68.06
87899 311 170 $63.34
87088 158 141 $57.51
85660 92 82 $54.75
82150 16 16 $42.35
80197 62 38 $38.92
86255 45 40 $34.72
82330 13 12 $20.78
86593 27 24 $20.13
86787 82 54 $18.27
82952 314 287 $12.72
84100 492 419 $11.66
84630 108 102 $9.42
81050 26 26 $9.23
84460 670 610 $8.13
81015 46 40 $7.79
85045 41 40 $0.00
86336 13 12 $0.00
86765 23 12 $0.00
83721 14 14 $0.00
84520 26 26 $0.00
83498 46 42 $0.00
86800 109 106 $0.00
87181 14 13 $0.00
85730 12 12 $0.00
82677 13 12 $0.00