Medicaid Provider Spending

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

PRISMA HEALTH-UPSTATE

NPI: 1407345846 · SENECA, SC 29672 · 261Q00000X

$1.07M
Total Medicaid Paid
17,987
Total Claims
16,280
Beneficiaries
37
Codes Billed
2018-09
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 100 $6K
2019 790 $58K
2020 1,586 $101K
2021 2,450 $143K
2022 3,741 $244K
2023 5,133 $281K
2024 4,187 $236K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99211 6,506 5,525 $469K
36415 2,347 2,162 $279K
99212 3,818 3,510 $247K
C9803 Hopd covid-19 spec collect 166 161 $27K
99213 430 398 $21K
87804 94 93 $5K
G0463 Hospital outpt clinic visit 79 75 $5K
81003 114 99 $3K
83036 241 225 $3K
83655 36 36 $2K
T1015 Clinic service 15 15 $1K
85018 53 53 $1K
90686 468 456 $838.25
U0003 Cov-19 amp prb hgh thruput 105 100 $735.00
80053 473 445 $683.96
90460 1,178 1,158 $655.21
80048 25 25 $542.82
85025 371 348 $418.37
87661 37 26 $392.83
90670 281 278 $329.89
87591 20 13 $219.32
90656 87 86 $191.62
87086 14 13 $128.11
84443 242 235 $104.82
86803 49 42 $71.04
90471 143 138 $60.90
90461 81 78 $22.70
90677 84 84 $0.02
87491 35 26 $0.00
80061 161 153 $0.00
90633 39 39 $0.00
90697 58 57 $0.00
90698 27 26 $0.00
90680 38 37 $0.00
U0005 Infec agen detec ampli probe 42 40 $0.00
87389 17 12 $0.00
87635 13 13 $0.00