Medicaid Provider Spending

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

PRISMA HEALTH MEDICAL GROUP-MIDLANDS

NPI: 1275988321 · COLUMBIA, SC 29203 · 122300000X

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

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 203,119 191,681 $14.32M
99213 199,155 182,315 $9.65M
90378 2,243 1,443 $6.65M
99284 64,710 62,953 $5.59M
99285 26,803 25,852 $3.23M
99283 58,453 57,009 $2.87M
99244 18,071 17,478 $2.71M
99232 54,130 21,163 $2.67M
99215 Prolong outpt/office vis 19,394 17,971 $2.07M
93306 15,778 15,155 $1.91M
76816 19,886 15,166 $1.68M
99204 10,393 10,152 $1.27M
14040 3,336 3,228 $1.16M
95816 4,551 4,369 $1.14M
76811 7,377 6,935 $1.11M
54360 1,683 1,639 $1.03M
93304 8,303 7,634 $997K
59409 794 712 $883K
99243 7,868 7,550 $861K
99222 5,005 4,823 $541K
99231 18,873 5,460 $533K
93308 8,287 7,524 $526K
76818 5,707 4,291 $511K
95720 3,637 1,989 $509K
99238 7,925 7,642 $479K
92014 5,954 5,772 $459K
95165 2,123 1,234 $451K
95951 2,055 1,040 $439K
99223 Prolong inpt eval add15 m 3,151 2,950 $422K
76819 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 492 237 $358K
99212 11,822 10,719 $348K
99219 3,123 3,038 $342K
93321 16,613 15,145 $331K
99291 2,029 922 $323K
43239 3,174 3,083 $312K
92004 3,110 2,976 $306K
95810 2,793 2,745 $300K
94010 13,534 13,134 $300K
99203 3,644 3,572 $286K
76805 2,593 2,540 $272K
95819 931 900 $272K
99392 3,843 3,812 $263K
92015 16,472 15,879 $261K
99391 4,032 3,953 $249K
99393 3,670 3,643 $249K
99245 1,366 1,322 $247K
92060 5,828 5,639 $244K
95004 2,822 2,711 $227K
95782 1,704 1,657 $195K
99394 2,480 2,472 $191K
76820 4,807 3,423 $186K
G9008 Mccd,phys coor-care ovrsght 2,459 2,423 $174K
92012 3,202 2,968 $165K
93000 12,565 11,759 $154K
76830 1,951 1,911 $138K
54161 1,553 1,468 $135K
76817 1,888 1,689 $133K
G9153 Mapcp demo physician 2,005 1,990 $111K
97803 3,094 2,877 $102K
99254 599 577 $91K
83036 10,069 9,702 $86K
96365 1,610 1,291 $83K
99239 1,014 985 $82K
99205 Prolong outpt/office vis 516 480 $80K
90847 527 315 $80K
01922 334 299 $75K
99472 177 61 $72K
95117 9,174 4,956 $72K
92083 1,725 1,628 $70K
81003 30,660 27,298 $70K
93010 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 496 478 $52K
99242 760 744 $52K
36415 20,830 19,385 $50K
M0243 Casirivi and imdevi inj 131 130 $47K
99217 730 708 $44K
59514 45 37 $44K
97802 1,059 989 $43K
J1050 Medroxyprogesterone acetate 624 612 $42K
64642 486 369 $41K
90791 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 545 516 $28K
99460 333 311 $28K
43775 38 36 $28K
99336 330 217 $27K
99255 132 130 $24K
99282 771 738 $24K
99220 149 147 $22K
99188 1,252 1,246 $22K
53460 71 70 $18K
76775 250 239 $18K
92340 698 698 $18K
99211 1,150 1,071 $17K
J0248 Inj, remdesivir, 1 mg 30 12 $17K
90837 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 Sotrovimab infusion 34 34 $15K
81002 5,817 5,346 $15K
59025 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 2,843 2,383 $12K
82044 1,859 1,785 $11K
99395 165 145 $10K
90471 1,798 1,665 $10K
96110 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 615 438 $7K
17110 79 75 $6K
96160 689 611 $6K
95812 26 26 $6K
90460 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 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 281 279 $3K
96413 23 22 $3K
0002A 58 58 $3K
81025 425 398 $3K
99354 29 27 $2K
54150 27 26 $2K
0001A 57 54 $2K
H0002 Alcohol and/or drug screenin 99 92 $2K
00731 14 14 $2K
93971 208 194 $2K
45380 12 12 $2K
99221 41 37 $2K
99497 82 51 $2K
51798 491 469 $2K
76815 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 83 58 $1K
90656 81 79 $1K
92002 23 20 $1K
97804 38 31 $1K
99309 34 27 $903.91
93922 181 179 $764.59
54450 12 12 $715.32
J7050 Normal saline solution infus 1,044 921 $706.07
97597 72 54 $625.95
99334 18 18 $581.83
T1023 Program intake assessment 77 77 $535.07
0054A 12 12 $504.80
90833 15 12 $372.92
94618 25 24 $361.05
G9009 Mccd, risk adj, level 3 13 13 $326.30
96040 12 12 $322.26
69210 17 13 $313.57
85027 82 76 $298.26
99281 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 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 Normal saline solution infus 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 Complex e/m visit add on 12 12 $0.00
36416 253 253 $0.00
99339 93 65 $0.00
T1024 Team evaluation & management 55 52 $0.00
G0008 Admin influenza virus vac 12 12 $0.00