Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › SC › GREENVILLE › PRISMA HEALTH UNIVERSITY MEDICAL GROUP

PRISMA HEALTH UNIVERSITY MEDICAL GROUP

NPI: 1295763217 · GREENVILLE, SC 29607 · 207R00000X

$172.15M
Total Medicaid Paid
3,035,472
Total Claims
2,842,295
Beneficiaries
297
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 433,032 $22.87M
2019 411,524 $22.76M
2020 366,215 $21.28M
2021 444,347 $25.42M
2022 468,899 $27.72M
2023 464,681 $27.60M
2024 446,774 $24.51M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 521,591 494,897 $37.19M
99213 672,376 630,263 $33.86M
99284 181,478 178,547 $14.83M
99215 Prolong outpt/office vis 68,610 63,796 $7.06M
59409 6,405 5,888 $6.92M
99285 59,213 57,814 $6.64M
99283 129,841 127,906 $5.89M
99391 74,791 70,077 $5.36M
99392 65,459 64,906 $5.11M
90460 140,066 138,088 $3.97M
99244 23,042 22,817 $3.63M
76816 30,638 27,754 $2.71M
99393 32,407 32,134 $2.50M
G9153 Mapcp demo physician 40,768 40,270 $2.19M
76811 12,748 12,523 $1.91M
76819 27,009 21,782 $1.84M
93306 17,540 17,252 $1.60M
99203 20,711 20,328 $1.58M
99243 14,293 14,180 $1.52M
99232 33,129 12,970 $1.50M
93303 8,733 8,451 $1.35M
95812 5,913 5,776 $1.30M
59514 1,155 990 $1.11M
99204 8,892 8,800 $1.03M
90461 42,092 41,303 $863K
87428 13,118 12,966 $812K
99238 13,068 12,522 $771K
99394 9,097 9,030 $760K
76817 7,310 7,066 $582K
76820 14,262 10,891 $536K
87804 39,121 19,143 $528K
99080 2,560 2,555 $511K
96110 61,162 60,391 $436K
92004 4,203 3,983 $431K
76801 4,163 4,058 $424K
92014 5,050 4,866 $420K
76805 3,791 3,713 $420K
95004 4,525 4,447 $419K
90834 5,177 3,454 $393K
99460 5,059 4,831 $389K
59025 14,780 12,016 $365K
99212 14,091 13,125 $352K
93320 8,683 8,405 $351K
95810 3,573 3,439 $341K
99233 Prolong inpt eval add15 m 4,341 2,100 $322K
93304 3,370 3,050 $304K
99291 1,549 884 $284K
93325 16,079 14,923 $283K
99188 19,046 18,865 $280K
93010 59,469 52,662 $270K
99223 Prolong inpt eval add15 m 2,198 2,138 $269K
94010 10,708 10,412 $255K
90837 1,780 1,148 $235K
93000 16,267 16,010 $232K
87880 16,885 16,579 $230K
99231 7,542 3,402 $218K
95782 2,033 1,875 $206K
99222 2,032 1,891 $200K
01922 935 887 $171K
J0585 Injection,onabotulinumtoxina 287 152 $164K
99245 779 777 $164K
69436 1,991 1,076 $156K
90792 1,498 1,445 $143K
J1050 Medroxyprogesterone acetate 2,066 2,040 $142K
59430 1,493 1,487 $141K
0001A 3,587 3,504 $138K
0002A 3,404 3,375 $135K
42820 585 578 $123K
31575 1,913 1,851 $121K
92015 6,961 6,556 $120K
83036 14,928 14,730 $120K
92012 1,967 1,848 $116K
99242 1,424 1,407 $112K
99051 9,704 9,456 $112K
99239 1,406 1,363 $111K
81002 34,338 30,189 $110K
54150 1,421 1,385 $109K
99309 4,787 3,767 $109K
99221 1,332 1,274 $108K
96127 16,276 14,771 $107K
99282 3,106 3,000 $103K
87811 2,461 2,425 $101K
36415 37,168 34,720 $92K
97803 3,750 3,552 $85K
93321 4,940 4,462 $82K
73100 3,244 2,705 $82K
92567 4,865 4,778 $75K
99205 Prolong outpt/office vis 550 538 $73K
99220 455 439 $68K
99202 1,339 1,323 $67K
20610 2,731 2,115 $67K
81003 24,939 23,570 $64K
43239 895 887 $64K
92588 1,194 1,154 $62K
A4590 Special casting material 2,385 2,203 $60K
99462 1,776 1,529 $58K
90791 324 319 $57K
97802 1,210 1,133 $50K
90832 1,352 1,052 $50K
99078 1,622 1,519 $49K
99472 117 52 $47K
85018 18,232 17,947 $44K
76818 523 440 $44K
82947 12,912 12,308 $43K
99219 433 409 $42K
11750 397 342 $42K
96160 3,266 3,186 $39K
95811 428 391 $38K
99235 282 268 $38K
72082 593 581 $36K
92557 1,106 1,094 $36K
99395 600 590 $35K
76821 512 391 $34K
99417 Prolong home eval add 15m 1,111 1,073 $34K
H0004 Alcohol and/or drug services 690 664 $32K
99441 2,191 2,079 $32K
90677 1,931 1,918 $31K
92579 743 723 $31K
73070 1,337 1,169 $29K
99442 1,247 1,179 $28K
95117 3,747 2,187 $27K
92340 1,239 1,141 $26K
73630 1,227 1,052 $24K
31622 483 431 $24K
0071A 573 572 $23K
96372 2,643 2,557 $23K
92587 486 476 $23K
81025 3,470 3,390 $23K
17110 341 329 $21K
0072A 516 516 $21K
87807 1,796 1,762 $20K
90686 22,456 22,277 $20K
99308 1,231 858 $19K
93296 1,891 1,867 $17K
95819 224 220 $17K
G9008 Mccd,phys coor-care ovrsght 229 228 $16K
G9011 Mccd, risk adj, level 5 186 75 $16K
99174 3,028 3,012 $16K
31231 114 112 $15K
90847 111 107 $15K
85025 2,112 1,793 $14K
72081 357 336 $13K
72170 604 547 $13K
51784 226 220 $12K
90697 1,404 1,394 $11K
73560 424 350 $11K
95951 73 38 $10K
42975 122 122 $10K
93297 739 736 $10K
0004A 242 234 $10K
93971 802 778 $10K
99211 703 674 $9K
11721 308 307 $9K
99234 79 72 $9K
92201 426 291 $9K
29075 138 131 $9K
64615 101 101 $8K
92002 184 182 $8K
99255 38 38 $8K
54161 68 67 $8K
51798 1,107 1,087 $8K
95806 239 238 $8K
J0475 Baclofen 10 mg injection 18 13 $8K
90471 1,017 1,007 $8K
73090 326 270 $7K
95251 446 441 $7K
99381 79 77 $7K
99217 121 121 $7K
80048 995 818 $7K
96161 992 903 $6K
J3301 Triamcinolone acet inj nos 1,465 1,403 $6K
93295 316 311 $6K
11042 261 156 $5K
76981 111 111 $5K
H0002 Alcohol and/or drug screenin 223 220 $5K
A4627 Spacer bag/reservoir 171 165 $5K
99292 34 25 $5K
92504 334 320 $5K
87081 828 806 $5K
G2066 Inter devc remote 30d 548 545 $5K
99443 156 151 $5K
76825 28 27 $5K
73610 246 223 $5K
31526 67 55 $5K
99253 39 39 $5K
95886 97 92 $4K
74018 315 297 $4K
92551 891 887 $4K
99241 105 104 $4K
11981 82 82 $4K
95816 78 75 $4K
95720 19 15 $4K
98966 318 315 $4K
99170 38 38 $4K
92552 268 260 $3K
77073 123 123 $3K
73564 176 158 $3K
29065 52 50 $3K
69210 118 110 $3K
U0003 Cov-19 amp prb hgh thruput 29 29 $3K
99310 Prolong nursin fac eval 15m 91 84 $3K
99236 Prolong inpt eval add15 m 15 13 $3K
73590 133 108 $3K
93298 229 225 $3K
80076 392 327 $2K
87210 505 289 $2K
95885 74 63 $2K
93308 48 39 $2K
93922 440 432 $2K
76830 26 24 $2K
94375 68 67 $2K
93227 102 100 $2K
77067 25 25 $2K
93016 158 156 $2K
T1023 Program intake assessment 169 168 $2K
0031A 61 59 $2K
95012 134 133 $2K
90715 545 531 $1K
90656 2,803 2,788 $1K
51741 126 125 $1K
73030 139 126 $1K
97597 158 107 $1K
90682 28 27 $1K
62370 40 37 $1K
93925 88 88 $1K
42830 13 13 $1K
94729 70 69 $1K
93018 158 156 $1K
99383 12 12 $1K
78452 37 36 $1K
93294 107 105 $953.75
90651 712 707 $920.88
92555 104 94 $920.53
93970 76 74 $877.66
99306 Prolong nursin fac eval 15m 15 13 $833.84
99318 19 18 $781.52
V2784 Lens polycarb or equal 26 25 $777.42
92582 20 14 $777.27
91200 64 62 $746.86
20611 33 25 $728.18
93272 46 44 $698.35
73000 28 25 $668.64
73502 42 37 $656.68
11102 12 12 $635.40
93886 14 14 $607.48
V2020 Vision svcs frames purchases 14 13 $590.10
58300 12 12 $579.21
17250 13 12 $552.85
96380 29 29 $537.82
87651 17 17 $526.98
J0702 Betamethasone acet&sod phosp 65 64 $512.33
96365 15 12 $505.11
93280 27 27 $462.18
99307 41 33 $457.96
94060 29 29 $406.48
93228 43 43 $380.15
71046 28 25 $335.97
85027 65 65 $324.78
73140 19 15 $303.69
94727 29 29 $298.61
93880 26 26 $283.76
99406 27 24 $263.13
92133 13 13 $260.39
83986 91 85 $251.37
J1040 Methylprednisolone 80 mg inj 36 36 $234.80
73562 14 13 $180.24
3074F 22,159 21,377 $148.17
3078F 20,126 19,432 $136.22
94640 13 13 $127.94
80047 12 12 $110.39
Q9967 Locm 300-399mg/ml iodine,1ml 12 12 $103.45
90680 2,986 2,945 $100.90
93979 14 12 $87.50
J1100 Dexamethasone sodium phos 152 137 $66.76
Q0111 Wet mounts/ w preparations 12 12 $61.30
99152 12 12 $61.14
81001 40 40 $40.08
A9585 Gadobutrol injection 12 12 $20.85
J1885 Ketorolac tromethamine inj 13 12 $6.10
36416 394 379 $2.69
90685 659 648 $1.33
90619 86 85 $0.41
3079F 102 100 $0.33
3044F 49 46 $0.24
90381 27 26 $0.11
90670 7,411 7,270 $0.09
3075F 27 27 $0.05
90698 4,925 4,853 $0.04
90633 1,020 1,004 $0.03
90744 742 736 $0.00
90696 26 25 $0.00
G0296 Visit to determ ldct elig 17 17 $0.00
G2211 Complex e/m visit add on 279 263 $0.00
90734 168 160 $0.00
G1004 Cdsm ndsc 45 40 $0.00
90672 14 14 $0.00
3077F 12 12 $0.00