Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

Prisma Health-Midlands

Prisma Health-Midlands was paid $7.43M by Medicaid between Jan 2018 and May 2022, across 157 billing codes. Its largest line is 36415, Collection of venous blood by venipuncture — 29% of everything it billed.

33Billing provider infoPRISMA HEALTH-MIDLANDS
COULMBIA, SC 29203
33aNPI1154432458assigned 08/31/2006
33bProvider typeGeneral Acute Care Hospital
28Total paid$7.43M
24GClaims337,775
24DCodes billed157
24AFirst – last monthJan 2018 – May 2022
Compared with peers

Next to other General Acute Care Hospital providers in South Carolina

Rank by total paid#43 of 115
Median peer was paid$2.47M
This provider vs. median3.0×

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$100K$200K$300K2018201920202021202220232024
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
201899,546$2.06M
2019107,502$2.37M
202096,914$2.18M
202129,519$695K
20224,294$135K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
36415 Collection of venous blood by venipuncture 29% 28,305 24,973 $2.13M
80053 Comprehensive metabolic panel 21% 23,887 21,744 $1.55M
80081 6.7% 2,967 2,576 $494K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 5.3% 11,107 9,964 $395K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 4.4% 4,174 3,318 $326K
86850 3.5% 1,268 1,106 $263K
80048 Basic metabolic panel (calcium, ionized) 3.3% 5,840 5,395 $243K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 3.1% 11,223 10,232 $228K
87480 3.0% 2,981 2,752 $222K
86780 2.5% 4,953 4,530 $186K
87086 Culture, bacterial; quantitative colony count, urine 1.8% 12,662 11,276 $132K
87077 1.5% 5,649 5,104 $115K
145 more codes
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 1.5% 803 $111K
87070 1.5% 3,801 $108K
80061 Lipid panel 1.1% 14,041 $79K
82785 <1% 1,276 $64K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 1,647 $47K
87081 <1% 4,202 $38K
84439 <1% 7,347 $32K
82105 <1% 1,814 $32K
86361 <1% 2,045 $31K
80074 <1% 321 $30K
83655 <1% 1,838 $30K
84443 Thyroid stimulating hormone (TSH) <1% 16,917 $29K
88142 <1% 3,664 $24K
82950 <1% 3,729 $23K
83036 Hemoglobin; glycosylated (A1C) <1% 10,315 $23K
87015 <1% 295 $22K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 359 $19K
86003 <1% 1,441 $19K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 24,196 $18K
87536 <1% 2,283 $16K
83020 <1% 3,902 $16K
80076 <1% 2,601 $16K
82607 <1% 2,740 $15K
86592 <1% 1,226 $14K
86695 <1% 191 $14K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 4,795 $14K
84702 <1% 1,310 $14K
86706 <1% 1,191 $13K
83001 <1% 803 $13K
82728 <1% 2,961 $12K
82040 <1% 378 $10K
80069 <1% 1,493 $10K
86038 <1% 1,508 $9K
82570 <1% 2,461 $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 <1% 55 $8K
82043 <1% 1,427 $7K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants <1% 319 $7K
86803 <1% 4,333 $7K
82784 <1% 2,014 $6K
86704 <1% 569 $6K
86481 <1% 713 $6K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 11,114 $6K
84146 <1% 617 $6K
87522 Neg quan hep c or qual rna <1% 636 $6K
87631 <1% 46 $6K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 317 $5K
82565 <1% 579 $5K
85027 <1% 5,609 $5K
86900 <1% 935 $4K
87186 <1% 4,319 $4K
86480 <1% 548 $4K
83540 <1% 3,201 $4K
83516 <1% 2,455 $3K
82550 <1% 710 $3K
81511 <1% 13 $3K
80323 <1% 367 $3K
82247 <1% 427 $3K
82310 <1% 474 $3K
86762 <1% 944 $3K
86225 <1% 249 $2K
84436 <1% 871 $2K
86140 <1% 3,161 $2K
87653 <1% 47 $2K
84425 <1% 1,226 $2K
80164 <1% 601 $2K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 1,958 $2K
81001 <1% 2,913 $2K
82951 <1% 315 $2K
84550 <1% 1,035 $2K
83014 <1% 27 $2K
82670 <1% 57 $1K
82272 <1% 13 $1K
82746 <1% 1,930 $1K
86708 <1% 278 $1K
82627 <1% 71 $1K
84153 <1% 446 $1K
83993 <1% 50 $1K
82947 <1% 293 $1K
87045 <1% 92 $1K
86696 <1% 257 $1K
84403 <1% 547 $1K
87660 <1% 2,937 $905.29
83013 <1% 82 $793.02
87510 <1% 2,980 $745.04
83735 <1% 2,844 $719.04
84450 <1% 675 $717.98
84156 <1% 1,614 $698.20
83880 <1% 294 $651.08
82977 <1% 408 $628.43
85652 <1% 3,607 $619.75
82465 <1% 85 $536.03
85610 <1% 1,328 $534.65
86665 <1% 62 $527.00
83970 <1% 601 $480.22
86160 <1% 570 $437.02
83002 <1% 511 $421.66
84305 <1% 161 $380.13
84466 <1% 1,457 $378.80
84481 <1% 829 $346.47
87205 <1% 1,572 $321.94
86901 <1% 930 $319.01
84134 <1% 1,430 $310.69
86235 <1% 180 $264.65
83615 <1% 221 $233.92
82157 <1% 45 $220.18
83525 <1% 366 $169.16
83690 <1% 519 $164.33
87340 <1% 2,629 $139.61
81025 <1% 131 $137.46
82397 <1% 13 $132.57
86431 <1% 592 $132.55
87338 <1% 17 $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 <1% 28 $126.12
86200 <1% 130 $110.94
87046 <1% 93 $101.56
84480 <1% 376 $87.11
86376 <1% 262 $80.26
80156 <1% 13 $74.56
82248 <1% 175 $71.77
87147 <1% 147 $68.06
87899 <1% 311 $63.34
87088 <1% 158 $57.51
85660 <1% 92 $54.75
82150 <1% 16 $42.35
80197 <1% 62 $38.92
86255 <1% 45 $34.72
82330 <1% 13 $20.78
86593 <1% 27 $20.13
86787 <1% 82 $18.27
82952 <1% 314 $12.72
84100 <1% 492 $11.66
84630 <1% 108 $9.42
81050 <1% 26 $9.23
84460 <1% 670 $8.13
81015 <1% 46 $7.79
85045 0% 41 $0.00
86336 0% 13 $0.00
86765 0% 23 $0.00
83721 0% 14 $0.00
84520 0% 26 $0.00
83498 0% 46 $0.00
86800 0% 109 $0.00
87181 0% 14 $0.00
85730 0% 12 $0.00
82677 0% 13 $0.00

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)
Parent organizationPRISMA HEALTH-MIDLANDS
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-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
Prisma Health-UpstateSeneca, SC$4.48M

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