Medicaid Provider Spending

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

PRISMA HEALTH UNIVERSITY MEDICAL GROUP

NPI: 1295218642 · EASLEY, SC 29640 · Internal Medicine Physician · NPI assigned 09/12/2018

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

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

$4.70M
Total Medicaid Paid
117,415
Total Claims
108,215
Beneficiaries
56
Codes Billed
2018-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLAWRENCE, KRISTI (DIRECTOR OF PROVIDER ENROLLMENT)
NPI Enumeration Date09/12/2018

Related Entities

Other providers sharing the same authorized official: LAWRENCE, KRISTI

ProviderCityStateTotal Paid
PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC $172.15M
PRISMA HEALTH MEDICAL GROUP-MIDLANDS COLUMBIA SC $77.82M
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
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 2,870 $110K
2019 18,528 $670K
2020 14,825 $557K
2021 20,158 $793K
2022 25,580 $1.08M
2023 16,902 $789K
2024 18,552 $702K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 42,511 39,829 $2.10M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 33,565 32,094 $2.03M
99223 Prolong inpt eval add15 m 566 553 $69K
90834 Psychotherapy, 45 minutes with patient 926 553 $64K
87428 1,166 1,155 $58K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 4,236 2,098 $50K
J1050 Injection, medroxyprogesterone acetate, 1 mg 534 531 $45K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,928 3,896 $44K
99215 Prolong outpt/office vis 524 506 $40K
81002 8,397 7,033 $26K
36415 Collection of venous blood by venipuncture 10,034 9,384 $24K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 238 237 $16K
90460 Immunization administration through 18 years of age via any route, first or only component 623 615 $13K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 450 443 $12K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,016 999 $12K
81025 1,996 1,953 $12K
99232 Subsequent hospital care, per day, moderate complexity 300 136 $11K
99205 Prolong outpt/office vis 69 66 $8K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 68 68 $6K
90686 487 486 $6K
99238 Hospital discharge day management, 30 minutes or less 115 115 $5K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 104 100 $4K
59430 24 24 $4K
99460 108 108 $4K
H0002 Behavioral health screening to determine eligibility for admission to treatment program 163 161 $4K
99441 354 346 $4K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 45 42 $4K
99442 147 139 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 476 470 $3K
92567 144 143 $2K
99239 Hospital discharge day management, more than 30 minutes 41 41 $2K
99443 102 98 $2K
99078 74 55 $2K
99222 Initial hospital care, per day, moderate complexity 28 27 $2K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 13 12 $2K
99220 13 13 $2K
95886 17 17 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 56 55 $1K
99233 Prolong inpt eval add15 m 36 25 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 14 14 $1K
81003 508 500 $861.25
90832 Psychotherapy, 30 minutes with patient 17 14 $682.61
59025 Fetal non-stress test 14 12 $590.22
90715 13 13 $518.12
90461 27 27 $498.29
99406 39 38 $429.83
85018 191 189 $393.56
87210 90 64 $324.93
73120 24 13 $269.25
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 13 12 $87.43
90656 28 28 $41.84
3074F 1,387 1,349 $8.06
3078F 1,139 1,109 $6.66
3079F 120 113 $0.37
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) 25 25 $0.00
99459 72 69 $0.00