Medicaid Provider Spending

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

NPI: 1205889458 · COLUMBIA, SC 29201 · General Acute Care Hospital · NPI assigned 05/18/2006

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

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

$11.77M
Total Medicaid Paid
219,359
Total Claims
195,342
Beneficiaries
143
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMILLER, POLLY (SVP FINANCE, ENTERPRISE CONTRACTING)
NPI Enumeration Date05/18/2006

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-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
PRISMA HEALTH-UPSTATE SENECA SC $4.48M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 26,041 $1.15M
2019 31,748 $1.44M
2020 28,686 $1.28M
2021 33,321 $2.01M
2022 37,909 $2.48M
2023 35,631 $2.22M
2024 26,023 $1.19M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 14,317 12,675 $1.45M
81025 8,212 7,851 $1.40M
80048 Basic metabolic panel (calcium, ionized) 6,448 5,770 $1.06M
80053 Comprehensive metabolic panel 7,747 6,779 $886K
36415 Collection of venous blood by venipuncture 4,653 3,282 $622K
94010 873 871 $568K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 4,861 3,482 $553K
88305 Level IV - Surgical pathology, gross and microscopic examination 2,919 2,891 $492K
81001 10,774 9,961 $419K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2,491 2,225 $397K
96361 Intravenous infusion, hydration; each additional hour 4,943 4,095 $397K
99284 Emergency department visit for the evaluation and management, high severity 11,161 10,277 $373K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 5,127 4,710 $274K
84702 2,269 2,109 $236K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1,607 1,559 $202K
85027 3,352 3,067 $186K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 4,964 4,620 $162K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 12,401 10,665 $144K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,355 1,319 $119K
86900 1,269 1,238 $108K
87086 Culture, bacterial; quantitative colony count, urine 2,305 2,217 $101K
87210 904 888 $92K
76830 Ultrasound, transvaginal 510 508 $83K
86850 749 730 $80K
77063 Screening digital breast tomosynthesis, bilateral 633 633 $73K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,543 1,507 $71K
84112 201 194 $61K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,583 1,502 $61K
77067 Screening mammography, bilateral, including computer-aided detection 1,986 1,986 $61K
76642 878 783 $58K
70450 Computed tomography, head or brain; without contrast material 862 841 $56K
J2250 Injection, midazolam hydrochloride, per 1 mg 3,138 3,098 $52K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,193 1,189 $49K
J7120 Ringers lactate infusion, up to 1000 cc 8,114 7,147 $46K
71045 Radiologic examination, chest; single view 1,951 1,848 $43K
71046 Radiologic examination, chest; 2 views 1,517 1,482 $42K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 993 932 $42K
G0378 Hospital observation service, per hour 2,204 1,494 $41K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 24 24 $41K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 438 426 $40K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 960 779 $40K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 5,110 4,588 $38K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 222 219 $34K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 5,715 5,243 $33K
J3490 Unclassified drugs 3,284 1,932 $31K
U0005 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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 182 179 $29K
96375 Therapeutic injection; each additional sequential IV push 3,678 3,152 $22K
99281 Emergency department visit for the evaluation and management, self-limited or minor 120 112 $21K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 944 931 $20K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 159 157 $20K
87077 324 315 $17K
J2405 Injection, ondansetron hydrochloride, per 1 mg 6,342 5,305 $15K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 168 120 $13K
94761 267 267 $13K
81003 296 294 $12K
J7030 Infusion, normal saline solution , 1000 cc 4,261 3,578 $11K
76801 379 352 $10K
96376 1,475 895 $10K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 142 142 $9K
J1885 Injection, ketorolac tromethamine, per 15 mg 4,252 3,917 $8K
86901 1,287 1,257 $8K
76819 Fetal biophysical profile; without non-stress testing 62 51 $8K
83735 3,711 3,108 $7K
95810 Polysomnography; sleep staging with 4 or more additional parameters 14 14 $7K
88307 147 146 $7K
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 510 499 $5K
82731 15 15 $5K
87081 52 52 $4K
J2270 Injection, morphine sulfate, up to 10 mg 2,214 1,802 $4K
84484 2,661 2,262 $4K
76705 Ultrasound, abdominal, real time with image documentation; limited 49 48 $4K
71275 Computed tomographic angiography, chest, with contrast material 104 102 $4K
J0696 Injection, ceftriaxone sodium, per 250 mg 542 469 $4K
88304 52 52 $4K
77066 Tomosynthesis, mammo 27 27 $4K
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 98 90 $4K
82570 531 447 $3K
J2704 Injection, propofol, 10 mg 607 585 $3K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 107 96 $3K
J0330 Injection, succinylcholine chloride, up to 20 mg 962 943 $3K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 475 474 $2K
74176 Computed tomography, abdomen and pelvis; without contrast material 49 48 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,368 2,287 $2K
88342 133 130 $2K
J0690 Injection, cefazolin sodium, 500 mg 1,582 1,496 $2K
84703 154 153 $2K
J3010 Injection, fentanyl citrate, 0.1 mg 2,914 2,833 $2K
73560 17 17 $2K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,737 1,662 $1K
J1170 Injection, hydromorphone, up to 4 mg 2,202 1,756 $1K
93976 760 721 $1K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 251 230 $1K
J2795 Injection, ropivacaine hydrochloride, 1 mg 217 215 $791.86
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 313 228 $791.32
82550 109 93 $770.52
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 50 50 $769.36
76937 16 13 $758.36
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 68 67 $752.71
83690 3,148 2,913 $710.42
85610 473 447 $527.42
80069 13 12 $486.12
84156 576 465 $459.11
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 305 268 $457.70
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 14 14 $368.16
85379 185 179 $256.96
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 904 891 $91.12
86803 26 26 $63.30
83880 87 81 $37.94
84100 101 74 $26.36
J1596 Injection, glycopyrrolate, 0.1 mg 303 293 $23.25
83605 143 136 $15.40
87186 89 88 $7.57
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 586 585 $6.72
85730 200 187 $6.16
A9585 Injection, gadobutrol, 0.1 ml 127 125 $0.90
84550 464 400 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 46 46 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 815 699 $0.00
J1171 Injection, hydromorphone, 0.1 mg 54 39 $0.00
J1644 Injection, heparin sodium, per 1000 units 235 100 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 210 181 $0.00
59025 Fetal non-stress test 64 58 $0.00
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 39 39 $0.00
80076 18 16 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 12 12 $0.00
99152 20 20 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 47 15 $0.00
A4311 Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) 13 13 $0.00
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 18 12 $0.00
J3105 Injection, terbutaline sulfate, up to 1 mg 27 26 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 16 15 $0.00
83615 361 311 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 150 133 $0.00
J2060 Injection, lorazepam, 2 mg 27 25 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 37 37 $0.00
S0020 Injection, bupivicaine hydrochloride, 30 ml 54 54 $0.00
84443 Thyroid stimulating hormone (TSH) 144 143 $0.00
J7050 Infusion, normal saline solution, 250 cc 50 41 $0.00
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 63 63 $0.00
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 69 69 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 14 14 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 59 59 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 37 28 $0.00