Physician
Prisma Health Medical Group-Midlands
Prisma Health Medical Group-Midlands was paid $8.70M by Medicaid between Feb 2018 and Dec 2024, across 58 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoPRISMA HEALTH MEDICAL GROUP-MIDLANDS
COLUMBIA, SC 29203
COLUMBIA, SC 29203
33aNPI1346761897assigned 07/05/2017
33bProvider typeOrthopaedic Hand Surgery Physician
28Total paid$8.70M
24GClaims161,300
24DCodes billed58
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Orthopaedic Hand Surgery Physician providers in South Carolina
Rank by total paid#1 of 7
Median peer was paid$114K
This provider vs. median76×
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 | 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 | |
| 2024incomplete | 25,433 | $1.43M |
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 | 38% | 61,866 | 58,351 | $3.29M |
| 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 | 17% | 19,388 | 18,535 | $1.46M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 10.0% | 11,765 | 11,523 | $867K |
| 99243 | 7.0% | 4,925 | 4,771 | $610K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 4.9% | 3,105 | 3,026 | $430K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 4.1% | 1,836 | 1,808 | $353K |
| A4590 | Special casting material (e.g., fiberglass) | 2.9% | 9,601 | 8,418 | $256K |
| 72082 | 2.2% | 3,276 | 3,157 | $193K | |
| 20610 | 1.7% | 8,003 | 5,158 | $149K | |
| 95886 | 1.4% | 2,051 | 1,842 | $123K | |
| 73630 | 1.3% | 5,935 | 4,460 | $117K | |
| 72081 | <1% | 2,343 | 2,284 | $86K |
46 more codes
| 73562 | <1% | 2,179 | $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 | <1% | 458 | $61K |
| 73610 | <1% | 2,952 | $55K | |
| 95911 | <1% | 433 | $54K | |
| 73100 | <1% | 2,499 | $52K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,504 | $48K |
| J7324 | Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose | <1% | 1,336 | $45K |
| 73564 | <1% | 1,567 | $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 | <1% | 347 | $35K |
| 95909 | <1% | 392 | $30K | |
| 62323 | <1% | 335 | $28K | |
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | <1% | 629 | $26K |
| J7328 | Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg | <1% | 655 | $24K |
| 20611 | <1% | 633 | $24K | |
| 72170 | <1% | 883 | $23K | |
| L1902 | Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf | <1% | 352 | $20K |
| 77077 | <1% | 465 | $19K | |
| 72110 | <1% | 727 | $17K | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 1,626 | $14K |
| J7323 | Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose | <1% | 138 | $14K |
| L1833 | Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf | <1% | 27 | $14K |
| 25600 | <1% | 39 | $12K | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 1,466 | $10K |
| 73560 | <1% | 142 | $3K | |
| 29450 | <1% | 42 | $3K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 1,007 | $3K |
| 29425 | <1% | 43 | $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 | <1% | 12 | $3K |
| A4550 | Surgical trays | <1% | 855 | $3K |
| 27096 | <1% | 32 | $2K | |
| L3809 | Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type | <1% | 20 | $2K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 35 | $2K |
| 72100 | <1% | 133 | $2K | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 414 | $2K |
| 73110 | <1% | 80 | $2K | |
| 73140 | <1% | 72 | $2K | |
| 95910 | <1% | 34 | $2K | |
| J7321 | Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose | <1% | 100 | $2K |
| 73130 | <1% | 71 | $1K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 24 | $1K |
| A4565 | Slings | <1% | 118 | $1K |
| 29125 | <1% | 27 | $1K | |
| 73030 | <1% | 57 | $921.06 | |
| 73070 | <1% | 46 | $814.11 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 832 | $532.09 |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | <1% | 368 | $99.24 |
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, PROVIDER ENROLLMENT)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.