Clinic
Prisma Health Midlands
Prisma Health Midlands was paid $257K by Medicaid between Mar 2022 and Jun 2024, across 8 billing codes. Its largest line is 96365, Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour — 50% of everything it billed.
33Billing provider infoPRISMA HEALTH MIDLANDS
COLUMBIA, SC 29203
COLUMBIA, SC 29203
33aNPI1386308476assigned 10/26/2021
33bProvider typeInfusion Therapy Clinic/Center
28Total paid$257K
24GClaims7,542
24DCodes billed8
24AFirst – last monthMar 2022 – Jun 2024
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 | |
|---|---|---|---|
| 2022 | 3,229 | $113K | |
| 2023 | 3,583 | $117K | |
| 2024incomplete | 730 | $28K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 50% | 2,335 | 1,124 | $130K |
| 96361 | Intravenous infusion, hydration; each additional hour | 20% | 1,835 | 897 | $51K |
| J1756 | Injection, iron sucrose, 1 mg | 9.0% | 377 | 199 | $23K |
| 96376 | 8.3% | 853 | 381 | $21K | |
| 96366 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour | 6.1% | 688 | 434 | $16K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 3.3% | 265 | 111 | $8K |
| J1170 | Injection, hydromorphone, up to 4 mg | 2.1% | 1,081 | 451 | $5K |
| 96375 | Therapeutic injection; each additional sequential IV push | 1.0% | 108 | 62 | $3K |
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 officialBURKE, MICHAEL (CHIEF FINANCIAL OFFICER)
Parent organizationPRISMA HEALTH MIDLANDS
| Provider | Location | Paid |
|---|---|---|
| Schenectady Radiologists, P.C. | Schenectady, NY | $123K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.