PRISMA HEALTH-UPSTATE
NPI: 1154914158
· SENECA, SC 29678
· Rural Health Clinic/Center
· NPI assigned 02/19/2021
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official MILLER, POLLY controls 20+ related entities in our dataset. Read more
$1.01M
Total Medicaid Paid
Provider Details
| Authorized Official | MILLER, POLLY (VP, PAYOR STRATEGIES & ALIGNMENT) |
| NPI Enumeration Date | 02/19/2021 |
Related Entities
Other providers sharing the same authorized official: MILLER, POLLY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
1,516 |
$108K |
| 2022 |
4,674 |
$346K |
| 2023 |
3,934 |
$285K |
| 2024 |
3,216 |
$266K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
8,358 |
6,671 |
$724K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,742 |
4,057 |
$278K |
| 59430 |
|
14 |
14 |
$2K |
| 59025 |
Fetal non-stress test |
49 |
31 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
140 |
136 |
$416.17 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
25 |
25 |
$351.99 |
| 90686 |
|
12 |
12 |
$151.38 |