Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › SC › CLINTON › PRISMA HEALTH-UPSTATE

PRISMA HEALTH-UPSTATE

NPI: 1245786367 · CLINTON, SC 29325 · 282N00000X

$13.11M
Total Medicaid Paid
575,112
Total Claims
488,375
Beneficiaries
196
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 64,279 $1.53M
2019 82,452 $1.68M
2020 72,143 $1.51M
2021 94,752 $1.93M
2022 98,984 $2.30M
2023 94,962 $2.49M
2024 67,540 $1.69M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
36415 19,028 13,744 $1.53M
80053 24,304 21,418 $1.36M
99283 27,962 26,060 $1.13M
99282 6,504 6,303 $869K
0241U 5,983 5,712 $555K
80048 14,087 10,980 $537K
87804 13,093 8,192 $487K
81025 10,406 9,721 $382K
96372 10,644 6,861 $354K
C9803 Hopd covid-19 spec collect 3,241 2,950 $337K
11042 778 364 $328K
96361 8,715 6,745 $326K
96374 9,711 8,341 $281K
97110 7,914 2,037 $280K
81001 18,837 16,969 $255K
U0003 Cov-19 amp prb hgh thruput 4,515 4,199 $196K
76830 638 615 $188K
87070 1,183 1,091 $169K
87081 2,643 2,594 $166K
87086 10,712 9,919 $165K
87811 3,031 2,947 $162K
93306 738 701 $138K
80307 4,676 4,192 $131K
87880 12,881 12,321 $130K
99284 15,816 14,368 $127K
70450 3,695 3,409 $115K
96360 2,253 2,106 $107K
96365 3,727 3,224 $97K
87077 3,917 3,660 $91K
73630 1,674 1,542 $86K
85018 14,016 13,841 $82K
97597 2,027 839 $81K
73610 1,376 1,295 $78K
87491 3,521 3,375 $74K
71046 4,095 3,924 $73K
71045 8,503 7,530 $68K
74177 3,203 3,018 $65K
81003 16,304 15,393 $58K
87635 2,764 2,471 $58K
73130 623 601 $57K
73564 1,465 1,369 $54K
71250 139 137 $52K
99281 402 385 $52K
93005 13,561 11,385 $49K
85025 34,836 27,994 $46K
80047 728 683 $44K
74176 1,134 1,063 $44K
76705 838 793 $44K
99285 14,360 12,785 $44K
73030 1,014 965 $41K
87210 1,899 1,769 $40K
87651 1,077 1,048 $40K
86900 1,090 1,007 $39K
86850 550 508 $34K
96366 1,592 987 $32K
84702 1,667 1,464 $31K
73110 439 416 $30K
80061 7,002 6,784 $29K
83036 7,093 6,859 $28K
74018 805 728 $27K
87807 1,570 1,531 $26K
77063 234 233 $25K
87637 510 485 $23K
77067 925 912 $20K
71260 103 99 $20K
72100 826 788 $19K
71275 573 528 $18K
93971 65 63 $16K
84443 8,122 7,789 $15K
88305 185 179 $14K
97162 1,018 959 $14K
99213 425 333 $14K
U0005 Infec agen detec ampli probe 948 834 $13K
87502 89 88 $13K
97530 2,021 1,031 $13K
99214 814 598 $13K
96375 7,747 6,107 $13K
82306 1,718 1,653 $12K
G0378 Hospital observation per hr 2,902 2,403 $12K
84439 1,687 1,616 $11K
97032 98 53 $11K
J7120 Ringers lactate infusion 3,778 3,285 $10K
85027 4,075 3,671 $10K
86308 390 385 $10K
93017 63 60 $8K
82043 1,081 1,054 $8K
86780 187 175 $7K
82607 925 892 $7K
87389 590 570 $7K
J7030 Normal saline solution infus 8,815 6,984 $6K
87428 87 85 $6K
80076 1,841 1,703 $6K
82565 59 54 $6K
J3490 Drugs unclassified injection 3,513 2,227 $5K
83690 6,802 5,927 $5K
J1815 Insulin injection 2,133 862 $5K
84484 7,168 5,538 $5K
J1644 Inj heparin sodium per 1000u 1,382 464 $4K
90471 307 280 $4K
85610 3,453 2,948 $4K
76805 27 25 $4K
73502 147 142 $3K
74022 305 285 $3K
86803 831 804 $3K
12001 41 41 $3K
72125 991 926 $3K
83540 979 937 $3K
82728 486 431 $3K
J2765 Metoclopramide hcl injection 993 852 $3K
94640 2,790 2,238 $3K
85007 1,140 966 $3K
82947 357 348 $3K
J2270 Morphine sulfate injection 3,293 2,578 $3K
J2405 Ondansetron hcl injection 6,679 5,598 $3K
85379 1,685 1,543 $3K
86580 205 180 $2K
73080 50 48 $2K
87591 3,362 3,206 $2K
86140 1,830 1,663 $2K
83880 2,560 2,116 $2K
73140 16 12 $2K
87400 25 21 $2K
J0696 Ceftriaxone sodium injection 2,756 2,199 $2K
82570 1,032 980 $2K
97140 778 292 $2K
83735 7,474 5,288 $2K
J1885 Ketorolac tromethamine inj 7,062 6,281 $1K
J1650 Inj enoxaparin sodium 1,422 589 $1K
96376 3,426 2,108 $1K
J3475 Inj magnesium sulfate 607 487 $1K
Q9967 Locm 300-399mg/ml iodine,1ml 5,147 4,640 $1K
84145 1,045 883 $926.49
76816 13 13 $917.77
T1015 Clinic service 50 37 $897.69
85730 1,056 931 $809.47
93976 766 737 $762.84
80143 228 202 $703.32
G8978 Mobility current status 48 38 $661.69
82077 1,315 1,151 $654.33
82550 413 370 $625.79
73562 13 13 $511.80
82746 196 190 $498.47
82803 308 265 $480.96
84100 2,091 1,358 $465.35
76642 13 13 $437.73
82962 23 19 $423.28
76815 14 13 $420.18
59025 86 64 $407.94
86038 27 27 $398.89
J2550 Promethazine hcl injection 1,307 1,003 $393.28
81002 435 427 $341.89
87624 25 25 $258.11
73590 28 26 $253.02
87661 1,190 1,130 $177.27
76856 13 13 $163.20
97161 25 25 $152.54
97166 61 58 $147.68
G1004 Cdsm ndsc 3,710 2,672 $144.05
99291 181 172 $111.75
83605 3,503 2,918 $92.39
87040 1,507 1,276 $87.50
86480 17 16 $82.29
84156 34 29 $49.34
87186 3,096 2,877 $47.17
90715 238 230 $40.37
70496 12 12 $31.95
80179 113 102 $13.42
84550 53 49 $6.88
J1170 Hydromorphone injection 1,495 1,165 $6.53
85652 821 767 $6.38
87205 492 447 $4.46
J0690 Cefazolin sodium injection 141 128 $4.09
J1100 Dexamethasone sodium phos 2,155 2,009 $2.08
85651 490 448 $0.90
J1200 Diphenhydramine hcl injectio 937 819 $0.00
J2272 Inj, morphine (fresenius) 963 834 $0.00
J0780 Prochlorperazine injection 274 261 $0.00
84466 631 599 $0.00
J7040 Normal saline solution infus 80 76 $0.00
96367 130 92 $0.00
G8979 Mobility goal status 49 38 $0.00
J2930 Methylprednisolone injection 229 169 $0.00
43239 12 12 $0.00
J2300 Inj nalbuphine hydrochloride 134 122 $0.00
G0279 Tomosynthesis, mammo 15 12 $0.00
86901 1,089 1,007 $0.00
J2060 Lorazepam injection 386 288 $0.00
J2250 Inj midazolam hydrochloride 471 422 $0.00
J7512 Prednisone ir or dr oral 1mg 1,086 733 $0.00
J3010 Fentanyl citrate injection 391 367 $0.00
A9585 Gadobutrol injection 28 28 $0.00
J0330 Succinycholine chloride inj 28 25 $0.00
J0131 Inj, acetaminophen (nos) 106 100 $0.00
J0500 Dicyclomine injection 12 12 $0.00
J3480 Inj potassium chloride 48 28 $0.00
70498 12 12 $0.00