Physician
Prisma Health University Medical Group
Prisma Health University Medical Group was paid $4.70M by Medicaid between Oct 2018 and Dec 2024, across 56 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.
33Billing provider infoPRISMA HEALTH UNIVERSITY MEDICAL GROUP
EASLEY, SC 29640
EASLEY, SC 29640
33aNPI1295218642assigned 09/12/2018
33bProvider typeInternal Medicine Physician
28Total paid$4.70M
24GClaims117,415
24DCodes billed56
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in South Carolina
Rank by total paid#6 of 273
Median peer was paid$19K
This provider vs. median247×
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.
Entity ProliferationAuthorized official LAWRENCE, KRISTI controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 18,552 | $702K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 45% | 42,511 | 39,829 | $2.10M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 43% | 33,565 | 32,094 | $2.03M |
| 99223 | Prolong inpt eval add15 m | 1.5% | 566 | 553 | $69K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.4% | 926 | 553 | $64K |
| 87428 | 1.2% | 1,166 | 1,155 | $58K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 4,236 | 2,098 | $50K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 534 | 531 | $45K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 3,928 | 3,896 | $44K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 524 | 506 | $40K |
| 81002 | <1% | 8,397 | 7,033 | $26K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 10,034 | 9,384 | $24K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 238 | 237 | $16K |
44 more codes
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 623 | $13K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 450 | $12K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,016 | $12K |
| 81025 | <1% | 1,996 | $12K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 300 | $11K |
| 99205 | Prolong outpt/office vis | <1% | 69 | $8K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 68 | $6K |
| 90686 | <1% | 487 | $6K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 115 | $5K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 104 | $4K |
| 59430 | <1% | 24 | $4K | |
| 99460 | <1% | 108 | $4K | |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 163 | $4K |
| 99441 | <1% | 354 | $4K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 45 | $4K |
| 99442 | <1% | 147 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 476 | $3K |
| 92567 | <1% | 144 | $2K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 41 | $2K |
| 99443 | <1% | 102 | $2K | |
| 99078 | <1% | 74 | $2K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 28 | $2K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 13 | $2K |
| 99220 | <1% | 13 | $2K | |
| 95886 | <1% | 17 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 56 | $1K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 36 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 14 | $1K |
| 81003 | <1% | 508 | $861.25 | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 17 | $682.61 |
| 59025 | Fetal non-stress test | <1% | 14 | $590.22 |
| 90715 | <1% | 13 | $518.12 | |
| 90461 | <1% | 27 | $498.29 | |
| 99406 | <1% | 39 | $429.83 | |
| 85018 | <1% | 191 | $393.56 | |
| 87210 | <1% | 90 | $324.93 | |
| 73120 | <1% | 24 | $269.25 | |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 13 | $87.43 |
| 90656 | <1% | 28 | $41.84 | |
| 3074F | <1% | 1,387 | $8.06 | |
| 3078F | <1% | 1,139 | $6.66 | |
| 3079F | <1% | 120 | $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) | 0% | 25 | $0.00 |
| 99459 | 0% | 72 | $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.
From NPPES
Who's on the registration
Authorized officialLAWRENCE, KRISTI (DIRECTOR OF PROVIDER ENROLLMENT)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.