Medicaid Provider Spending

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

PRISMA HEALTH MEDICAL GROUP-MIDLANDS

NPI: 1275988321 · COLUMBIA, SC 29203 · Dentist · NPI assigned 04/26/2016

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

Authorized official LAWRENCE, KRISTI controls 20+ related entities in our dataset. Read more

$77.82M
Total Medicaid Paid
1,120,638
Total Claims
991,402
Beneficiaries
224
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLAWRENCE, KRISTI (DIRECTOR-PROVIDER ENROLLMENT)
NPI Enumeration Date04/26/2016

Related Entities

Other providers sharing the same authorized official: LAWRENCE, KRISTI

ProviderCityStateTotal Paid
PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC $172.15M
PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC $15.98M
PRISMA HEALTH - BLOUNT MEMORIAL HOSPITAL INC. MARYVILLE TN $14.75M
PRISMA HEALTH MEDICAL GROUP-MIDLANDS COLUMBIA SC $8.70M
PRISMA HEALTH UNIVERSITY MEDICAL GROUP EASLEY SC $4.70M
BLOUNT MEMORIAL PHYSICIAN GROUP, INC. ALCOA TN $4.21M
PRISMA HEALTH MEDICAL GROUP-MIDLANDS SUMTER SC $3.66M
PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC $2.07M
PRISMA HEALTH UNIVERSITY MEDICAL GROUP COLUMBIA SC $581K
PRISMA HEALTH UNIVERSITY MEDICAL GROUP TAYLORS SC $412K
PRISMA HEALTH MEDICAL GROUP-MIDLANDS COLUMBIA SC $263K
PRISMA HEALTH - BLOUNT MEMORIAL HOSPITAL INC. MARYVILLE TN $233K
PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC $59K
PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC $21K
PRISMA HEALTH URGENT CARE OF SOUTH CAROLINA, PC GREENVILLE SC $19K
PRISMA HEALTH UNIVERSITY MEDICAL GROUP COLUMBIA SC $19K
PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC $17K
PRISMA HEALTH - BLOUNT MEMORIAL HOSPITAL INC. MARYVILLE TN $10K
PRISMA HEALTH UNIVERSITY MEDICAL GROUP EASLEY SC $4K
PRISMA HEALTH MEDICAL GROUP-MIDLANDS SUMTER SC $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 119,242 $8.58M
2019 134,962 $9.26M
2020 123,340 $9.52M
2021 149,966 $10.94M
2022 196,422 $13.71M
2023 200,916 $13.38M
2024 195,790 $12.43M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 203,119 191,681 $14.32M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 199,155 182,315 $9.65M
90378 2,243 1,443 $6.65M
99284 Emergency department visit for the evaluation and management, high severity 64,710 62,953 $5.59M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 26,803 25,852 $3.23M
99283 Emergency department visit for the evaluation and management, moderate severity 58,453 57,009 $2.87M
99244 Office or other outpatient consultation, moderate to high complexity 18,071 17,478 $2.71M
99232 Subsequent hospital care, per day, moderate complexity 54,130 21,163 $2.67M
99215 Prolong outpt/office vis 19,394 17,971 $2.07M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 15,778 15,155 $1.91M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 19,886 15,166 $1.68M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 10,393 10,152 $1.27M
14040 3,336 3,228 $1.16M
95816 4,551 4,369 $1.14M
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 7,377 6,935 $1.11M
54360 1,683 1,639 $1.03M
93304 8,303 7,634 $997K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 794 712 $883K
99243 7,868 7,550 $861K
99222 Initial hospital care, per day, moderate complexity 5,005 4,823 $541K
99231 Subsequent hospital care, per day, straightforward or low complexity 18,873 5,460 $533K
93308 8,287 7,524 $526K
76818 5,707 4,291 $511K
95720 3,637 1,989 $509K
99238 Hospital discharge day management, 30 minutes or less 7,925 7,642 $479K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 5,954 5,772 $459K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 2,123 1,234 $451K
95951 2,055 1,040 $439K
99223 Prolong inpt eval add15 m 3,151 2,950 $422K
76819 Fetal biophysical profile; without non-stress testing 6,298 4,073 $408K
99233 Prolong inpt eval add15 m 5,564 2,495 $401K
93325 18,611 16,976 $373K
J0585 Injection, onabotulinumtoxina, 1 unit 492 237 $358K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 11,822 10,719 $348K
99219 3,123 3,038 $342K
93321 16,613 15,145 $331K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2,029 922 $323K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 3,174 3,083 $312K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 3,110 2,976 $306K
95810 Polysomnography; sleep staging with 4 or more additional parameters 2,793 2,745 $300K
94010 13,534 13,134 $300K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,644 3,572 $286K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 2,593 2,540 $272K
95819 931 900 $272K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,843 3,812 $263K
92015 Determination of refractive state 16,472 15,879 $261K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,032 3,953 $249K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,670 3,643 $249K
99245 1,366 1,322 $247K
92060 5,828 5,639 $244K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 2,822 2,711 $227K
95782 1,704 1,657 $195K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,480 2,472 $191K
76820 4,807 3,423 $186K
G9008 Coordinated care fee, physician coordinated care oversight services 2,459 2,423 $174K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 3,202 2,968 $165K
93000 12,565 11,759 $154K
76830 Ultrasound, transvaginal 1,951 1,911 $138K
54161 1,553 1,468 $135K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,888 1,689 $133K
G9153 Mapcp demonstration - physician incentive pool 2,005 1,990 $111K
97803 3,094 2,877 $102K
99254 599 577 $91K
83036 Hemoglobin; glycosylated (A1C) 10,069 9,702 $86K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,610 1,291 $83K
99239 Hospital discharge day management, more than 30 minutes 1,014 985 $82K
99205 Prolong outpt/office vis 516 480 $80K
90847 Family psychotherapy with the patient present, 50 minutes 527 315 $80K
01922 334 299 $75K
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 177 61 $72K
95117 9,174 4,956 $72K
92083 1,725 1,628 $70K
81003 30,660 27,298 $70K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 9,328 8,202 $68K
99417 Prolong home eval add 15m 1,853 1,682 $66K
90836 998 796 $62K
94375 2,426 2,326 $61K
76770 889 875 $61K
99241 1,364 1,247 $60K
95813 1,135 1,069 $56K
76801 558 512 $53K
90792 Psychiatric diagnostic evaluation with medical services 496 478 $52K
99242 760 744 $52K
36415 Collection of venous blood by venipuncture 20,830 19,385 $50K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 131 130 $47K
99217 730 708 $44K
59514 45 37 $44K
97802 1,059 989 $43K
J1050 Injection, medroxyprogesterone acetate, 1 mg 624 612 $42K
64642 486 369 $41K
90791 Psychiatric diagnostic evaluation 314 241 $39K
99234 337 307 $38K
99235 251 250 $38K
92133 1,570 1,489 $35K
54163 352 344 $34K
93888 1,294 1,274 $33K
59430 315 313 $29K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 545 516 $28K
99460 333 311 $28K
43775 38 36 $28K
99336 330 217 $27K
99255 132 130 $24K
99282 Emergency department visit for the evaluation and management, low to moderate severity 771 738 $24K
99220 149 147 $22K
99188 1,252 1,246 $22K
53460 71 70 $18K
76775 250 239 $18K
92340 Fitting of spectacles, except for aphakia; monofocal 698 698 $18K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,150 1,071 $17K
J0248 Injection, remdesivir, 1 mg 30 12 $17K
90837 Psychotherapy, 53 minutes with patient 140 66 $16K
95115 2,500 1,271 $16K
64643 348 256 $16K
94060 467 455 $16K
90686 1,295 1,195 $15K
95251 771 757 $15K
M0247 Intravenous infusion, sotrovimab, includes infusion and post administration monitoring 34 34 $15K
81002 5,817 5,346 $15K
59025 Fetal non-stress test 516 451 $14K
99253 176 119 $14K
82570 2,390 2,218 $14K
99442 616 598 $14K
99441 939 914 $13K
95806 223 222 $13K
99078 473 280 $13K
91320 113 109 $12K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,843 2,383 $12K
82044 1,859 1,785 $11K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 165 145 $10K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,798 1,665 $10K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,107 1,047 $10K
94664 899 815 $9K
99335 276 253 $9K
99224 291 253 $8K
76857 264 261 $8K
85018 2,765 2,673 $7K
99308 Subsequent nursing facility care, per day, straightforward 615 438 $7K
17110 79 75 $6K
96160 689 611 $6K
95812 26 26 $6K
90460 Immunization administration through 18 years of age via any route, first or only component 285 278 $5K
94729 421 411 $5K
96127 688 683 $5K
99462 150 136 $5K
99236 Prolong inpt eval add15 m 24 24 $5K
99443 152 144 $5K
94726 366 355 $5K
82043 763 713 $5K
80305 542 486 $4K
95957 57 46 $4K
93750 172 110 $4K
76825 16 13 $4K
90834 Psychotherapy, 45 minutes with patient 49 38 $4K
90480 112 110 $4K
82947 1,217 1,165 $3K
96161 398 375 $3K
95718 30 29 $3K
99326 28 28 $3K
71046 Radiologic examination, chest; 2 views 281 279 $3K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 23 22 $3K
0002A 58 58 $3K
81025 425 398 $3K
99354 29 27 $2K
54150 27 26 $2K
0001A 57 54 $2K
H0002 Behavioral health screening to determine eligibility for admission to treatment program 99 92 $2K
00731 14 14 $2K
93971 208 194 $2K
45380 Colonoscopy, flexible; with biopsy, single or multiple 12 12 $2K
99221 41 37 $2K
99497 82 51 $2K
51798 491 469 $2K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 48 45 $2K
99307 246 169 $2K
93970 103 95 $2K
0004A 43 43 $2K
54162 17 17 $2K
99381 27 25 $2K
90715 41 41 $2K
99325 22 14 $1K
99401 47 44 $1K
99385 13 13 $1K
95811 12 12 $1K
92136 57 55 $1K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 83 58 $1K
90656 81 79 $1K
92002 23 20 $1K
97804 38 31 $1K
99309 Subsequent nursing facility care, per day, low to moderate complexity 34 27 $903.91
93922 181 179 $764.59
54450 12 12 $715.32
J7050 Infusion, normal saline solution, 250 cc 1,044 921 $706.07
97597 72 54 $625.95
99334 18 18 $581.83
T1023 Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter 77 77 $535.07
0054A 12 12 $504.80
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 15 12 $372.92
94618 25 24 $361.05
G9009 Coordinated care fee, risk adjusted maintenance, level 3 13 13 $326.30
96040 12 12 $322.26
69210 17 13 $313.57
85027 82 76 $298.26
99281 Emergency department visit for the evaluation and management, self-limited or minor 13 13 $258.62
93926 26 26 $215.34
93925 14 14 $199.04
93018 26 24 $179.54
99406 28 27 $99.14
85025 Blood count; complete (CBC), automated, and automated differential WBC count 14 14 $85.66
82962 38 36 $46.65
98968 27 16 $34.97
3074F 5,470 5,352 $24.94
93297 13 12 $19.21
3078F 4,416 4,329 $18.62
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 12 12 $14.86
3079F 473 461 $1.90
3044F 120 119 $0.84
3080F 12 12 $0.10
3075F 24 24 $0.07
3077F 26 25 $0.05
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 12 12 $0.00
36416 253 253 $0.00
99339 93 65 $0.00
T1024 Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter 55 52 $0.00
G0008 Administration of influenza virus vaccine 12 12 $0.00