Medicaid Provider Spending

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

PRISMA HEALTH-UPSTATE

NPI: 1407301211 · GREENVILLE, SC 29605 · 282N00000X

$21.98M
Total Medicaid Paid
567,615
Total Claims
487,966
Beneficiaries
102
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 91,710 $3.57M
2019 95,734 $3.61M
2020 89,041 $3.47M
2021 91,391 $3.48M
2022 73,997 $3.06M
2023 70,216 $2.82M
2024 55,526 $1.98M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
36415 43,809 36,776 $8.24M
81025 7,764 7,425 $2.58M
81003 64,024 40,151 $2.36M
99213 59,804 46,679 $2.01M
87491 18,761 18,134 $1.53M
96372 9,506 8,791 $1.02M
87210 5,940 5,010 $611K
87086 17,996 16,412 $552K
87624 5,052 4,898 $479K
99214 43,533 30,936 $478K
82962 7,033 4,400 $326K
88305 1,608 1,573 $309K
87077 4,560 4,310 $204K
99211 6,152 5,806 $162K
80307 1,890 1,787 $155K
82570 5,274 4,655 $145K
G0145 Scr c/v cyto,thinlayer,rescr 9,537 9,182 $135K
59025 7,482 4,196 $134K
87081 6,193 6,077 $100K
58301 563 536 $99K
11982 273 248 $95K
99212 978 941 $60K
58300 562 545 $43K
87661 17,711 17,116 $37K
99395 2,500 2,446 $26K
86850 9,245 8,842 $12K
80053 7,324 6,393 $8K
C9803 Hopd covid-19 spec collect 57 57 $6K
87591 18,411 17,764 $5K
83036 4,556 4,398 $5K
90471 8,015 7,703 $5K
82950 9,151 8,934 $4K
90715 5,671 5,555 $4K
99396 116 113 $4K
83986 36 36 $3K
0012A 243 235 $3K
84156 5,460 4,745 $3K
Q3014 Telehealth facility fee 113 104 $2K
G0463 Hospital outpt clinic visit 45 37 $2K
J1050 Medroxyprogesterone acetate 7,253 7,136 $2K
J7307 Etonogestrel implant system 166 160 $2K
87801 137 137 $2K
85027 16,835 15,546 $2K
84702 1,495 993 $1K
87529 12 12 $1K
90686 3,536 3,455 $1K
86780 15,825 15,398 $1K
0011A 296 286 $1K
87389 16,359 15,794 $1K
90678 201 195 $1K
99203 214 207 $1K
84443 3,264 3,145 $959.15
90651 398 384 $855.56
99215 Prolong outpt/office vis 1,085 1,054 $739.29
H0004 Alcohol and/or drug services 3,284 2,952 $723.83
86900 8,136 7,828 $545.28
83020 4,603 4,435 $490.20
86803 9,281 8,995 $462.80
82947 831 791 $397.28
86901 8,122 7,817 $344.15
85018 131 130 $316.80
86592 2,880 2,753 $287.82
H0002 Alcohol and/or drug screenin 5,671 5,479 $175.09
82951 719 703 $93.21
0064A 51 51 $34.09
G0472 Hep c screen high risk/other 442 427 $0.00
83615 1,408 1,276 $0.00
57454 130 129 $0.00
86762 7,711 7,432 $0.00
87340 8,134 7,850 $0.00
82728 225 217 $0.00
85025 8,324 7,978 $0.00
86870 83 81 $0.00
G0480 Drug test def 1-7 classes 55 53 $0.00
J2791 Rhophylac injection 226 220 $0.00
86317 254 242 $0.00
90656 215 212 $0.00
86704 254 242 $0.00
J7298 Mirena, 52 mg 63 56 $0.00
88141 16 16 $0.00
82105 257 252 $0.00
82952 247 242 $0.00
87522 Neg quan hep c or qual rna 67 67 $0.00
J2790 Rho d immune globulin inj 13 13 $0.00
J0696 Ceftriaxone sodium injection 42 42 $0.00
U0005 Infec agen detec ampli probe 30 30 $0.00
87536 17 17 $0.00
G0123 Screen cerv/vag thin layer 16 13 $0.00
86787 6,409 6,193 $0.00
87798 42 42 $0.00
84550 1,593 1,438 $0.00
83540 188 178 $0.00
U0003 Cov-19 amp prb hgh thruput 58 58 $0.00
87186 2,250 2,098 $0.00
84466 201 190 $0.00
85007 197 193 $0.00
90460 143 133 $0.00
90472 340 330 $0.00
84146 118 116 $0.00
J7297 Liletta, 52 mg 84 82 $0.00
99204 18 14 $0.00
11981 12 12 $0.00