Medicaid Provider Spending

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

PRISMA HEALTH-UPSTATE

NPI: 1396207221 · GREENVILLE, SC 29607 · Anesthesiology Physician · NPI assigned 04/01/2019

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

Authorized official MILLER, POLLY controls 20+ related entities in our dataset. Read more

$201K
Total Medicaid Paid
6,318
Total Claims
5,885
Beneficiaries
10
Codes Billed
2019-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMILLER, POLLY (VP PAYOR STRATEGIES & ALIGNMENT)
NPI Enumeration Date04/01/2019

Related Entities

Other providers sharing the same authorized official: MILLER, POLLY

ProviderCityStateTotal Paid
PRISMA HEALTH-MIDLANDS COLUMBIA SC $74.58M
PRISMA HEALTH-MIDLANDS COLUMBIA SC $68.26M
PRISMA HEALTH-UPSTATE GREENVILLE SC $25.04M
PRISMA HEALTH-UPSTATE GREENVILLE SC $21.98M
PRISMA HEALTH-UPSTATE GREENVILLE SC $19.69M
PRISMA HEALTH-UPSTATE SENECA SC $15.64M
PRISMA HEALTH-MIDLANDS COLUMBIA SC $11.77M
PRISMA HEALTH-UPSTATE GREENVILLE SC $10.74M
GREENVILLE HEALTH CORPORATION GREENVILLE SC $8.90M
PRISMA HEALTH-UPSTATE GREENVILLE SC $8.32M
PRISMA HEALTH-UPSTATE GREENVILLE SC $7.45M
PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC $7.44M
PRISMA HEALTH-MIDLANDS COULMBIA SC $7.43M
PRISMA HEALTH-MIDLANDS COLUMBIA SC $6.88M
PRISMA HEALTH TUOMEY SUMTER SC $6.84M
PRISMA HEALTH-MIDLANDS COLUMBIA SC $6.77M
PRISMA HEALTH-UPSTATE GREENVILLE SC $6.37M
PRISMA HEALTH-UPSTATE GREENVILLE SC $5.00M
PRISMA HEALTH-UPSTATE GREENVILLE SC $4.65M
PRISMA HEALTH-MIDLANDS COLUMBIA SC $4.63M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 404 $5K
2020 824 $31K
2021 1,111 $38K
2022 861 $34K
2023 1,388 $43K
2024 1,730 $50K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
36415 Collection of venous blood by venipuncture 1,608 1,491 $110K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,166 1,097 $81K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 810 756 $8K
86850 577 534 $2K
80053 Comprehensive metabolic panel 135 134 $81.55
85025 Blood count; complete (CBC), automated, and automated differential WBC count 603 567 $50.13
86900 576 534 $0.00
80048 Basic metabolic panel (calcium, ionized) 200 184 $0.00
86901 576 534 $0.00
85027 67 54 $0.00