Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › SC › SUMTER › PRISMA HEALTH-MIDLANDS

PRISMA HEALTH-MIDLANDS

NPI: 1326043548 · SUMTER, SC 29150 · 282N00000X

$28.15M
Total Medicaid Paid
1,030,157
Total Claims
811,630
Beneficiaries
352
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 142,835 $3.69M
2019 155,179 $3.56M
2020 138,753 $3.41M
2021 166,526 $4.43M
2022 157,265 $5.08M
2023 141,197 $4.49M
2024 128,402 $3.50M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
11042 8,708 4,230 $3.16M
99283 54,155 45,849 $1.99M
81001 32,828 29,108 $1.70M
80053 39,528 33,304 $1.40M
96372 21,767 10,896 $1.09M
99282 11,451 10,177 $1.01M
97110 30,648 9,056 $963K
36415 13,834 11,738 $945K
92507 17,876 5,634 $898K
81025 16,904 15,408 $833K
0241U 9,847 9,310 $731K
96365 8,235 5,881 $715K
80048 22,388 17,569 $651K
C9803 Hopd covid-19 spec collect 5,328 4,939 $615K
88305 3,668 3,461 $546K
96361 12,907 9,639 $506K
96374 20,236 17,312 $456K
99281 5,046 4,160 $453K
97530 12,089 4,592 $415K
99284 35,504 29,571 $406K
87081 4,338 4,075 $391K
93970 1,882 1,786 $305K
77063 3,459 3,388 $281K
U0003 Cov-19 amp prb hgh thruput 9,210 8,390 $270K
87070 1,042 947 $249K
70450 10,226 9,417 $241K
76819 1,668 918 $233K
96360 3,864 3,530 $230K
76700 1,831 1,767 $193K
70553 219 213 $188K
71046 9,877 9,275 $186K
76811 1,330 1,231 $163K
86850 3,152 2,890 $163K
87804 4,665 4,381 $154K
D1120 1,688 1,329 $143K
74018 1,983 1,872 $139K
73130 2,039 1,898 $137K
71250 1,071 1,046 $135K
93005 22,929 19,459 $135K
93880 715 680 $130K
77336 619 217 $129K
97161 2,760 2,667 $122K
73630 2,681 2,474 $120K
87651 4,476 4,396 $119K
83735 11,726 9,355 $116K
71260 923 885 $115K
72148 437 414 $113K
86900 4,650 4,230 $109K
73610 2,034 1,912 $109K
93922 592 586 $104K
87491 5,193 4,874 $103K
94060 314 312 $99K
74177 4,912 4,695 $97K
U0005 Infec agen detec ampli probe 2,461 2,234 $93K
93306 1,272 1,208 $89K
71045 17,525 15,419 $87K
G0463 Hospital outpt clinic visit 2,190 1,920 $87K
76642 2,134 1,906 $84K
73564 2,352 2,118 $82K
73030 2,166 1,989 $77K
99285 24,941 21,867 $73K
G0378 Hospital observation per hr 9,755 6,590 $69K
87591 5,169 4,846 $66K
94664 729 518 $63K
80069 2,031 1,281 $61K
82962 2,192 953 $59K
97162 1,429 1,369 $59K
96375 13,784 11,053 $59K
73110 1,131 1,048 $58K
74176 3,583 3,339 $56K
80307 9,774 8,497 $54K
76705 1,162 1,110 $53K
77065 Tomosynthesis, mammo 1,422 1,315 $52K
87086 4,056 3,824 $51K
10060 132 125 $50K
72100 1,793 1,711 $50K
84443 7,625 6,937 $49K
99212 1,817 1,728 $48K
88304 936 911 $47K
93925 827 792 $46K
71275 2,276 2,162 $42K
87637 1,017 961 $42K
92523 358 349 $38K
76770 502 485 $38K
85025 56,142 45,013 $36K
85027 6,544 4,830 $35K
12001 244 232 $35K
87210 2,144 2,007 $32K
20610 308 261 $32K
87635 671 572 $28K
73502 1,331 1,248 $27K
87880 4,907 4,607 $27K
97116 1,324 560 $27K
99214 1,696 1,436 $26K
D2930 3,668 1,160 $25K
84702 4,890 3,623 $24K
99213 889 797 $24K
87077 1,995 1,878 $24K
70551 89 80 $23K
84112 107 96 $23K
73140 197 183 $22K
76536 308 292 $21K
97165 647 608 $21K
76801 399 373 $21K
96366 2,307 1,445 $20K
70486 504 481 $20K
93798 660 135 $20K
81003 1,596 1,537 $18K
59025 2,990 2,235 $17K
76817 1,115 986 $17K
J0690 Cefazolin sodium injection 2,657 2,326 $17K
78452 82 81 $17K
87807 1,126 1,060 $16K
J3490 Drugs unclassified injection 7,129 4,838 $16K
94640 6,153 4,286 $16K
77066 Tomosynthesis, mammo 189 182 $15K
96376 5,942 3,570 $15K
72125 2,673 2,538 $15K
87624 543 523 $15K
12011 109 103 $15K
D0120 614 409 $14K
77067 3,804 3,721 $14K
76856 377 350 $14K
J7120 Ringers lactate infusion 8,727 7,698 $13K
77386 302 12 $13K
73080 187 177 $13K
D0220 900 497 $12K
11045 1,198 710 $12K
D0272 1,321 823 $12K
62323 241 225 $11K
73090 244 237 $11K
86922 264 231 $11K
73562 367 323 $10K
D0240 437 294 $9K
85610 13,152 11,582 $9K
87631 233 193 $9K
D3220 4,164 1,110 $9K
88307 232 209 $8K
74178 42 41 $8K
D2392 33 27 $7K
11043 17 15 $7K
97140 1,862 830 $7K
72050 111 104 $7K
72040 90 89 $7K
86140 1,442 1,216 $6K
76830 84 79 $6K
12002 27 25 $6K
73590 233 208 $6K
97750 736 635 $6K
88342 112 106 $5K
D2330 2,060 805 $5K
70496 42 40 $5K
73721 15 14 $5K
72131 446 432 $5K
85379 1,967 1,846 $5K
D2391 13 13 $5K
M0243 Casirivi and imdevi inj 77 65 $5K
73560 156 132 $4K
43239 338 305 $4K
85730 11,088 10,021 $4K
97112 1,144 324 $4K
82570 1,664 1,446 $4K
99211 117 105 $4K
A4648 Implantable tissue marker 30 27 $4K
97597 104 61 $4K
94726 421 418 $4K
G0239 Oth resp proc, group 137 27 $4K
76000 89 83 $3K
82731 14 13 $3K
87088 4,083 3,733 $3K
J1815 Insulin injection 1,663 756 $3K
J1650 Inj enoxaparin sodium 1,986 825 $3K
J7030 Normal saline solution infus 6,119 5,096 $3K
94644 1,603 1,408 $3K
80177 408 338 $3K
76816 31 25 $3K
G0379 Direct refer hospital observ 832 714 $3K
82550 7,860 6,646 $3K
88142 207 205 $3K
84145 1,068 917 $3K
93971 29 28 $2K
41899 142 132 $2K
93976 1,484 1,385 $2K
78451 14 13 $2K
J1644 Inj heparin sodium per 1000u 1,728 620 $2K
84484 14,836 11,852 $2K
72141 14 12 $2K
82803 270 240 $2K
83036 2,264 2,084 $2K
82272 238 224 $2K
82805 389 329 $2K
J0696 Ceftriaxone sodium injection 2,655 2,103 $2K
J2405 Ondansetron hcl injection 10,138 8,868 $2K
83880 6,126 5,338 $2K
80176 32 28 $2K
97166 28 25 $2K
77334 19 13 $2K
D7140 1,333 493 $2K
77001 90 74 $2K
92522 30 28 $2K
U0002 Covid-19 lab test non-cdc 25 20 $1K
70491 13 12 $1K
Q9967 Locm 300-399mg/ml iodine,1ml 6,931 6,516 $1K
82077 3,636 3,162 $1K
36600 56 44 $1K
J3475 Inj magnesium sulfate 544 445 $1K
80076 2,721 2,481 $1K
76805 16 14 $1K
J2270 Morphine sulfate injection 3,789 3,064 $1K
76815 15 13 $1K
36430 182 153 $984.55
72114 14 14 $916.52
82728 204 173 $855.78
97535 335 203 $826.74
76775 15 14 $797.10
75984 282 251 $735.53
82951 26 26 $714.43
92610 12 12 $696.89
71101 12 12 $645.46
80061 1,835 1,708 $638.83
J2272 Inj, morphine (fresenius) 217 183 $629.40
A9270 Non-covered item or service 8,903 4,653 $602.84
93978 52 52 $586.93
86901 4,649 4,231 $583.37
80164 201 168 $578.97
83690 12,455 11,107 $564.91
J1885 Ketorolac tromethamine inj 6,531 5,937 $531.78
87186 3,317 3,054 $475.84
99202 15 14 $445.16
83540 438 409 $434.66
82150 955 876 $400.23
51702 43 39 $395.55
J2550 Promethazine hcl injection 3,639 1,403 $373.55
84100 1,526 1,097 $366.90
C2627 Cath, suprapubic/cystoscopic 15 14 $353.60
A9585 Gadobutrol injection 831 803 $280.14
99215 Prolong outpt/office vis 34 32 $270.14
82042 139 124 $261.57
97168 65 53 $247.79
93000 114 107 $246.44
J7512 Prednisone ir or dr oral 1mg 1,087 865 $234.02
C1769 Guide wire 342 320 $221.42
M0247 Sotrovimab infusion 15 15 $211.51
90715 942 912 $199.63
86318 865 810 $193.39
82306 211 202 $192.71
97164 164 137 $188.81
85018 97 81 $186.52
77300 17 14 $167.18
87040 2,494 2,221 $152.36
J1030 Methylprednisolone 40 mg inj 349 337 $143.31
82746 43 39 $140.09
70498 55 52 $139.91
82607 165 136 $115.64
90471 1,414 1,309 $111.52
84439 882 852 $89.61
51705 303 264 $81.13
82247 21 12 $77.55
82330 39 30 $70.49
J1040 Methylprednisolone 80 mg inj 157 156 $66.42
83605 2,780 2,417 $64.15
J1100 Dexamethasone sodium phos 5,583 5,122 $63.29
87205 963 879 $60.99
83655 12 12 $48.04
85652 367 319 $34.86
93017 108 106 $32.31
84436 1,523 1,398 $32.18
J7040 Normal saline solution infus 513 483 $29.60
84156 1,986 1,626 $27.06
84550 926 796 $25.48
J3301 Triamcinolone acet inj nos 409 401 $23.54
G0279 Tomosynthesis, mammo 512 504 $19.03
82553 1,635 1,431 $15.45
J2765 Metoclopramide hcl injection 701 599 $14.18
J1170 Hydromorphone injection 6,114 2,438 $11.30
J2930 Methylprednisolone injection 1,140 934 $10.74
J0665 Inj, bupivacaine, nos, 0.5mg 365 286 $8.93
80179 238 225 $7.49
80143 329 309 $7.49
J1200 Diphenhydramine hcl injectio 4,759 1,613 $5.96
J2060 Lorazepam injection 1,175 888 $5.22
J3010 Fentanyl citrate injection 2,709 2,545 $2.63
J2470 Inj pantoprazole sodium 40mg 57 48 $0.00
82575 116 102 $0.00
J2250 Inj midazolam hydrochloride 2,830 2,696 $0.00
D1206 1,434 1,098 $0.00
D2931 1,868 565 $0.00
J0360 Hydralazine hcl injection 104 88 $0.00
G0123 Screen cerv/vag thin layer 912 874 $0.00
J0330 Succinycholine chloride inj 197 193 $0.00
87661 240 232 $0.00
J1920 Inj, labetalol hcl, 5mg 37 24 $0.00
J1940 Furosemide injection 387 255 $0.00
D2331 1,378 489 $0.00
J2003 Inj, lidocaine hcl, 1 mg 107 106 $0.00
J8597 Antiemetic drug oral nos 608 307 $0.00
94618 37 37 $0.00
D0230 3,666 482 $0.00
J1010 Inj, methylpred acetate 1 mg 199 185 $0.00
D1351 67 25 $0.00
87389 27 25 $0.00
86780 14 14 $0.00
99291 28 25 $0.00
J1817 Insulin for insulin pump use 16 14 $0.00
J1630 Haloperidol injection 204 111 $0.00
88341 15 14 $0.00
J2371 Inj phenylephrine hcl 20 mcg 221 210 $0.00
86920 70 61 $0.00
J2785 Regadenoson injection 66 64 $0.00
45380 13 12 $0.00
J3480 Inj potassium chloride 19 12 $0.00
Q0162 Ondansetron oral 14 13 $0.00
J3360 Diazepam injection 14 13 $0.00
82952 25 25 $0.00
A9500 Tc99m sestamibi 13 13 $0.00
G0008 Admin influenza virus vac 12 12 $0.00
D0273 25 13 $0.00
85045 1,880 1,300 $0.00
D2932 887 329 $0.00
G1004 Cdsm ndsc 4,742 3,668 $0.00
J2710 Neostigmine methylslfte inj 535 508 $0.00
51701 153 141 $0.00
D0274 263 149 $0.00
82010 777 700 $0.00
84466 332 303 $0.00
J1953 Levetiracetam injection 77 63 $0.00
J1596 Inj, glycopyrrolate, 0.1 mg 174 171 $0.00
82009 315 280 $0.00
94729 348 347 $0.00
J2919 Inj, methylpred sod succ 5mg 220 181 $0.00
76937 85 77 $0.00
G8978 Mobility current status 146 122 $0.00
J0780 Prochlorperazine injection 71 67 $0.00
P9021 Red blood cells unit 132 103 $0.00
J1598 Inj glycopyrrolate fres kabi 141 137 $0.00
96367 65 53 $0.00
80074 12 12 $0.00
J1171 Inj, hydromorphone, 0.1 mg 88 63 $0.00
D2332 321 133 $0.00
85014 33 24 $0.00
83970 26 25 $0.00
94645 12 12 $0.00
G8979 Mobility goal status 187 151 $0.00
45385 80 76 $0.00
C9113 Inj pantoprazole sodium, via 48 28 $0.00
J7510 Prednisolone oral per 5 mg 13 12 $0.00
D2150 24 12 $0.00
P9016 Rbc leukocytes reduced 60 50 $0.00
A4311 Catheter w/o bag 2-way latex 54 52 $0.00
78815 12 12 $0.00
A9502 Tc99m tetrofosmin 13 12 $0.00
J2004 Inj, lidocaine w epinephrine 18 17 $0.00