Medicaid Provider Spending

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

PRISMA HEALTH MEDICAL GROUP-MIDLANDS

NPI: 1346761897 · COLUMBIA, SC 29203 · Orthopaedic Hand Surgery Physician · NPI assigned 07/05/2017

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

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

$8.70M
Total Medicaid Paid
161,300
Total Claims
146,973
Beneficiaries
58
Codes Billed
2018-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLAWRENCE, KRISTI (DIRECTOR, PROVIDER ENROLLMENT)
NPI Enumeration Date07/05/2017

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 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 15,090 $696K
2019 19,136 $932K
2020 18,459 $996K
2021 23,675 $1.40M
2022 28,440 $1.56M
2023 31,067 $1.69M
2024 25,433 $1.43M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 61,866 58,351 $3.29M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 19,388 18,535 $1.46M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 11,765 11,523 $867K
99243 4,925 4,771 $610K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,105 3,026 $430K
99244 Office or other outpatient consultation, moderate to high complexity 1,836 1,808 $353K
A4590 Special casting material (e.g., fiberglass) 9,601 8,418 $256K
72082 3,276 3,157 $193K
20610 8,003 5,158 $149K
95886 2,051 1,842 $123K
73630 5,935 4,460 $117K
72081 2,343 2,284 $86K
73562 2,179 1,726 $66K
L4386 Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 458 420 $61K
73610 2,952 2,645 $55K
95911 433 418 $54K
73100 2,499 2,082 $52K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,504 2,239 $48K
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose 1,336 717 $45K
73564 1,567 1,394 $36K
L1810 Knee orthosis, elastic with joints, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 347 300 $35K
95909 392 386 $30K
62323 335 318 $28K
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 629 575 $26K
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg 655 427 $24K
20611 633 492 $24K
72170 883 843 $23K
L1902 Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf 352 323 $20K
77077 465 449 $19K
72110 727 715 $17K
J1040 Injection, methylprednisolone acetate, 80 mg 1,626 1,554 $14K
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose 138 85 $14K
L1833 Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf 27 24 $14K
25600 39 37 $12K
J1030 Injection, methylprednisolone acetate, 40 mg 1,466 1,249 $10K
73560 142 108 $3K
29450 42 12 $3K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 1,007 992 $3K
29425 43 40 $3K
L4360 Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 12 12 $3K
A4550 Surgical trays 855 766 $3K
27096 32 25 $2K
L3809 Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type 20 20 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 35 31 $2K
72100 133 126 $2K
J1010 Injection, methylprednisolone acetate, 1 mg 414 399 $2K
73110 80 77 $2K
73140 72 67 $2K
95910 34 32 $2K
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose 100 51 $2K
73130 71 68 $1K
99215 Prolong outpt/office vis 24 24 $1K
A4565 Slings 118 110 $1K
29125 27 27 $1K
73030 57 54 $921.06
73070 46 40 $814.11
J1100 Injection, dexamethasone sodium phosphate, 1 mg 832 789 $532.09
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 368 352 $99.24