Greenville Health System
Greenville Health System was paid $68K by Medicaid between Jan 2018 and Mar 2018, across 16 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 28% of everything it billed.
GREENVILLE, SC 29605
Next to other General Acute Care Hospital providers in South Carolina
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,091 | $68K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 28% | 247 | 214 | $19K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 16% | 142 | 139 | $11K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 135 | 113 | $8K |
| 36415 | Collection of venous blood by venipuncture | 9.7% | 44 | 41 | $7K |
| 94760 | 8.6% | 78 | 76 | $6K | |
| 96161 | 5.9% | 38 | 37 | $4K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.8% | 55 | 55 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 5.4% | 28 | 28 | $4K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.4% | 69 | 69 | $3K |
| 99188 | 1.4% | 12 | 12 | $958.56 | |
| 83655 | 1.2% | 14 | 14 | $827.83 | |
| 85018 | 1.1% | 41 | 41 | $737.22 |
4 more codes
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 25 | $282.49 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 13 | $239.64 |
| 96160 | <1% | 14 | $119.82 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 136 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Greenville Health System | Greenville, SC | $4.22M |
| Greenville Health System | Greenville, SC | $1.50M |
| ST Matthews Fire Protection District | Louisville, KY | $937K |
| Greenville Health System | Greenville, SC | $185K |
| Greenville Health System | Clinton, SC | $57K |
| Greenville Health System | Seneca, SC | $48K |
| Greenville Health System | Laurens, SC | $45K |
| Greenville Health System | Greer, SC | $43K |
| Greenville Health System | Greenville, SC | $40K |
| Greenville Health System | Seneca, SC | $35K |
| Greenville Health System | Greenville, SC | $26K |
| Greenville Health System | Clemson, SC | $23K |
| Greenville Health System | Greenville, SC | $19K |
| Greenville Health System | Greenville, SC | $15K |
| Greenville Health System | Travelers Rest, SC | $12K |
| Greenville Health System | Greenville, SC | $10K |
| Greenville Health System | Gray Court, SC | $6K |
| Greenville Health System | Greenville, SC | $6K |
| Greenville Health System | Greenville, SC | $4K |
| Greenville Health System | Greenville, SC | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.