Medicaid Provider Spending

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

PRISMA HEALTH UNIVERSITY MEDICAL GROUP

NPI: 1295763217 · GREENVILLE, SC 29607 · Internal Medicine Physician · NPI assigned 06/29/2006

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

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

$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

Provider Details

Authorized OfficialLAWRENCE, KRISTI (DIRECTOR OF PROVIDER ENROLLMENT)
NPI Enumeration Date06/29/2006

Related Entities

Other providers sharing the same authorized official: LAWRENCE, KRISTI

ProviderCityStateTotal Paid
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
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 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 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 521,591 494,897 $37.19M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 672,376 630,263 $33.86M
99284 Emergency department visit for the evaluation and management, high severity 181,478 178,547 $14.83M
99215 Prolong outpt/office vis 68,610 63,796 $7.06M
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 6,405 5,888 $6.92M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 59,213 57,814 $6.64M
99283 Emergency department visit for the evaluation and management, moderate severity 129,841 127,906 $5.89M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 74,791 70,077 $5.36M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 65,459 64,906 $5.11M
90460 Immunization administration through 18 years of age via any route, first or only component 140,066 138,088 $3.97M
99244 Office or other outpatient consultation, moderate to high complexity 23,042 22,817 $3.63M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 30,638 27,754 $2.71M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 32,407 32,134 $2.50M
G9153 Mapcp demonstration - physician incentive pool 40,768 40,270 $2.19M
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 12,748 12,523 $1.91M
76819 Fetal biophysical profile; without non-stress testing 27,009 21,782 $1.84M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 17,540 17,252 $1.60M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 20,711 20,328 $1.58M
99243 14,293 14,180 $1.52M
99232 Subsequent hospital care, per day, moderate complexity 33,129 12,970 $1.50M
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 8,733 8,451 $1.35M
95812 5,913 5,776 $1.30M
59514 1,155 990 $1.11M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 8,892 8,800 $1.03M
90461 42,092 41,303 $863K
87428 13,118 12,966 $812K
99238 Hospital discharge day management, 30 minutes or less 13,068 12,522 $771K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 9,097 9,030 $760K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 7,310 7,066 $582K
76820 14,262 10,891 $536K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 39,121 19,143 $528K
99080 2,560 2,555 $511K
96110 Developmental screening, with scoring and documentation, per standardized instrument 61,162 60,391 $436K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 4,203 3,983 $431K
76801 4,163 4,058 $424K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 5,050 4,866 $420K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 3,791 3,713 $420K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 4,525 4,447 $419K
90834 Psychotherapy, 45 minutes with patient 5,177 3,454 $393K
99460 5,059 4,831 $389K
59025 Fetal non-stress test 14,780 12,016 $365K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 14,091 13,125 $352K
93320 8,683 8,405 $351K
95810 Polysomnography; sleep staging with 4 or more additional parameters 3,573 3,439 $341K
99233 Prolong inpt eval add15 m 4,341 2,100 $322K
93304 3,370 3,050 $304K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1,549 884 $284K
93325 16,079 14,923 $283K
99188 19,046 18,865 $280K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 59,469 52,662 $270K
99223 Prolong inpt eval add15 m 2,198 2,138 $269K
94010 10,708 10,412 $255K
90837 Psychotherapy, 53 minutes with patient 1,780 1,148 $235K
93000 16,267 16,010 $232K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 16,885 16,579 $230K
99231 Subsequent hospital care, per day, straightforward or low complexity 7,542 3,402 $218K
95782 2,033 1,875 $206K
99222 Initial hospital care, per day, moderate complexity 2,032 1,891 $200K
01922 935 887 $171K
J0585 Injection, onabotulinumtoxina, 1 unit 287 152 $164K
99245 779 777 $164K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 1,991 1,076 $156K
90792 Psychiatric diagnostic evaluation with medical services 1,498 1,445 $143K
J1050 Injection, medroxyprogesterone acetate, 1 mg 2,066 2,040 $142K
59430 1,493 1,487 $141K
0001A 3,587 3,504 $138K
0002A 3,404 3,375 $135K
42820 Tonsillectomy and adenoidectomy; younger than age 12 585 578 $123K
31575 1,913 1,851 $121K
92015 Determination of refractive state 6,961 6,556 $120K
83036 Hemoglobin; glycosylated (A1C) 14,928 14,730 $120K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 1,967 1,848 $116K
99242 1,424 1,407 $112K
99051 9,704 9,456 $112K
99239 Hospital discharge day management, more than 30 minutes 1,406 1,363 $111K
81002 34,338 30,189 $110K
54150 1,421 1,385 $109K
99309 Subsequent nursing facility care, per day, low to moderate complexity 4,787 3,767 $109K
99221 1,332 1,274 $108K
96127 16,276 14,771 $107K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3,106 3,000 $103K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 2,461 2,425 $101K
36415 Collection of venous blood by venipuncture 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 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,339 1,323 $67K
20610 2,731 2,115 $67K
81003 24,939 23,570 $64K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 895 887 $64K
92588 1,194 1,154 $62K
A4590 Special casting material (e.g., fiberglass) 2,385 2,203 $60K
99462 1,776 1,529 $58K
90791 Psychiatric diagnostic evaluation 324 319 $57K
97802 1,210 1,133 $50K
90832 Psychotherapy, 30 minutes with patient 1,352 1,052 $50K
99078 1,622 1,519 $49K
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 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 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 600 590 $35K
76821 512 391 $34K
99417 Prolong home eval add 15m 1,111 1,073 $34K
H0004 Behavioral health counseling and therapy, per 15 minutes 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 Fitting of spectacles, except for aphakia; monofocal 1,239 1,141 $26K
73630 1,227 1,052 $24K
31622 483 431 $24K
0071A 573 572 $23K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 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 Subsequent nursing facility care, per day, straightforward 1,231 858 $19K
93296 1,891 1,867 $17K
95819 224 220 $17K
G9008 Coordinated care fee, physician coordinated care oversight services 229 228 $16K
G9011 Coordinated care fee, risk adjusted maintenance, level 5 186 75 $16K
99174 3,028 3,012 $16K
31231 114 112 $15K
90847 Family psychotherapy with the patient present, 50 minutes 111 107 $15K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 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 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 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 Injection, baclofen, 10 mg 18 13 $8K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,017 1,007 $8K
73090 326 270 $7K
95251 446 441 $7K
99381 79 77 $7K
99217 121 121 $7K
80048 Basic metabolic panel (calcium, ionized) 995 818 $7K
96161 992 903 $6K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 1,465 1,403 $6K
93295 316 311 $6K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 261 156 $5K
76981 111 111 $5K
H0002 Behavioral health screening to determine eligibility for admission to treatment program 223 220 $5K
A4627 Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler 171 165 $5K
99292 34 25 $5K
92504 334 320 $5K
87081 828 806 $5K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results 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 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 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 Ultrasound, transvaginal 26 24 $2K
94375 68 67 $2K
93227 102 100 $2K
77067 Screening mammography, bilateral, including computer-aided detection 25 25 $2K
93016 158 156 $2K
T1023 Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter 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 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 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, polycarbonate or equal, any index, per lens 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 Frames, purchases 14 13 $590.10
58300 12 12 $579.21
17250 13 12 $552.85
96380 29 29 $537.82
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 17 17 $526.98
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 65 64 $512.33
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 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 Radiologic examination, chest; 2 views 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 Injection, methylprednisolone acetate, 80 mg 36 36 $234.80
73562 14 13 $180.24
3074F 22,159 21,377 $148.17
3078F 20,126 19,432 $136.22
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 13 13 $127.94
80047 12 12 $110.39
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 12 12 $103.45
90680 2,986 2,945 $100.90
93979 14 12 $87.50
J1100 Injection, dexamethasone sodium phosphate, 1 mg 152 137 $66.76
Q0111 Wet mounts, including preparations of vaginal, cervical or skin specimens 12 12 $61.30
99152 12 12 $61.14
81001 40 40 $40.08
A9585 Injection, gadobutrol, 0.1 ml 12 12 $20.85
J1885 Injection, ketorolac tromethamine, per 15 mg 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 Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) 17 17 $0.00
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) 279 263 $0.00
90734 168 160 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 45 40 $0.00
90672 14 14 $0.00
3077F 12 12 $0.00