Medicaid Provider Spending

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

PRISMA HEALTH-UPSTATE

NPI: 1205414828 · FOUNTAIN INN, SC 29644 · Rural Health Clinic/Center · NPI assigned 04/02/2021

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

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

$352K
Total Medicaid Paid
4,579
Total Claims
4,125
Beneficiaries
9
Codes Billed
2021-11
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMILLER, POLLY (VP, PAYOR STRATEGIES & ALIGNMENT)
NPI Enumeration Date04/02/2021

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 $6.37M
PRISMA HEALTH-UPSTATE GREENVILLE SC $5.00M
PRISMA HEALTH-UPSTATE GREENVILLE SC $4.65M
PRISMA HEALTH-MIDLANDS COLUMBIA SC $4.63M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 30 $3K
2022 880 $60K
2023 1,657 $131K
2024 2,012 $158K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 3,068 2,695 $269K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 500 462 $47K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 332 310 $18K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 74 65 $7K
90460 Immunization administration through 18 years of age via any route, first or only component 500 488 $6K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 37 37 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $2K
90656 42 42 $20.20
90686 14 14 $0.00