PRISMA HEALTH-UPSTATE
NPI: 1205459443
· TRAVELERS REST, SC 29690
· Rural Health Clinic/Center
· NPI assigned 05/22/2020
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official MILLER, POLLY controls 20+ related entities in our dataset. Read more
$140K
Total Medicaid Paid
Provider Details
| Authorized Official | MILLER, POLLY (SVP FINANCE, ENTERPRISE CONTRACTING) |
| NPI Enumeration Date | 05/22/2020 |
Related Entities
Other providers sharing the same authorized official: MILLER, POLLY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2022 |
886 |
$98K |
| 2023 |
203 |
$26K |
| 2024 |
174 |
$16K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
857 |
823 |
$113K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
245 |
240 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
49 |
49 |
$7K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
112 |
111 |
$189.90 |