Medicaid Provider Spending

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

PRISMA HEALTH-UPSTATE

NPI: 1174079271 · GREENVILLE, SC 29605 · 282N00000X

$4.65M
Total Medicaid Paid
95,331
Total Claims
88,594
Beneficiaries
93
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 10,309 $591K
2019 13,515 $693K
2020 9,281 $556K
2021 14,594 $710K
2022 14,986 $692K
2023 16,413 $724K
2024 16,233 $686K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99212 17,522 16,052 $1.20M
99213 18,436 16,499 $1.18M
36415 7,120 6,626 $1.10M
81025 1,688 1,629 $203K
83036 3,933 3,773 $180K
87491 1,861 1,801 $120K
99214 2,049 1,855 $114K
81003 2,799 2,300 $102K
99391 907 859 $99K
96372 651 593 $48K
87210 487 413 $48K
82043 681 653 $47K
99392 429 424 $41K
C9803 Hopd covid-19 spec collect 161 158 $25K
87086 503 471 $23K
99393 128 124 $14K
80307 124 112 $12K
87804 104 95 $11K
99394 96 96 $10K
G0463 Hospital outpt clinic visit 172 167 $9K
0002A 242 238 $7K
99211 146 136 $6K
36416 236 185 $6K
90686 2,097 2,045 $5K
81001 705 621 $5K
0001A 287 281 $5K
G0145 Scr c/v cyto,thinlayer,rescr 177 173 $4K
83655 142 135 $4K
87661 1,008 971 $3K
90656 321 318 $3K
90670 1,007 974 $3K
82570 714 685 $2K
80053 1,768 1,689 $2K
87636 12 12 $1K
99202 30 29 $1K
85610 24 15 $1K
0004A 120 116 $1K
90715 930 887 $1K
99203 35 29 $1K
G0438 Ppps, initial visit 43 39 $1K
80048 1,558 1,452 $1K
U0005 Infec agen detec ampli probe 42 42 $840.45
90633 422 406 $753.71
80061 2,049 1,927 $717.38
84443 1,368 1,310 $629.24
96110 157 148 $625.26
92250 52 49 $591.51
U0003 Cov-19 amp prb hgh thruput 138 135 $580.27
90651 528 522 $577.29
90471 2,673 2,596 $412.18
90716 98 96 $300.14
91320 186 184 $293.06
Q3014 Telehealth facility fee 45 34 $287.44
0054A 121 119 $277.13
90682 599 580 $267.03
85027 1,245 1,170 $255.45
90480 254 251 $232.36
90713 58 58 $176.49
90460 3,908 3,807 $165.98
90739 389 378 $136.61
87207 85 82 $126.73
87389 1,056 974 $123.41
92228 13 13 $119.82
85025 874 816 $117.65
87591 1,777 1,715 $95.91
90677 492 479 $93.01
90698 416 397 $80.00
0124A 167 162 $69.03
90619 82 80 $68.44
90647 33 30 $34.27
90734 50 46 $20.17
90744 301 285 $20.17
87899 72 69 $0.00
90461 865 842 $0.00
90685 29 28 $0.00
86480 258 230 $0.00
90472 480 460 $0.00
90681 83 80 $0.00
J1050 Medroxyprogesterone acetate 193 190 $0.00
90662 12 12 $0.00
90710 16 15 $0.00
93005 15 13 $0.00
86780 582 548 $0.00
G0008 Admin influenza virus vac 171 161 $0.00
87340 403 361 $0.00
90697 156 155 $0.00
86803 529 495 $0.00
G0472 Hep c screen high risk/other 121 117 $0.00
90732 78 73 $0.00
G0480 Drug test def 1-7 classes 29 24 $0.00
90680 45 41 $0.00
82306 12 12 $0.00
90723 51 47 $0.00