Hospital
Prisma Health-Upstate
Prisma Health-Upstate was paid $1.99M by Medicaid between Jan 2018 and Dec 2024, across 90 billing codes. Its largest line is 99283, emergency room visit (moderate) — 14% of everything it billed.
33Billing provider infoPRISMA HEALTH-UPSTATE
TRAVELERS REST, SC 29690
TRAVELERS REST, SC 29690
33aNPI1427504554assigned 08/29/2016
33bProvider typeLong Term Care Hospital
28Total paid$1.99M
24GClaims84,616
24DCodes billed90
24AFirst – last monthJan 2018 – Dec 2024
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official MILLER, POLLY 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 | 21,912 | $508K | |
| 2019 | 23,961 | $533K | |
| 2020 | 5,726 | $135K | |
| 2021 | 586 | $31K | |
| 2022 | 930 | $37K | |
| 2023 | 14,386 | $397K | |
| 2024incomplete | 17,115 | $353K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 14% | 11,095 | 10,479 | $286K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 12% | 3,110 | 3,014 | $231K |
| 80053 | Comprehensive metabolic panel | 12% | 4,038 | 3,742 | $229K |
| 36415 | Collection of venous blood by venipuncture | 9.9% | 2,648 | 2,449 | $198K |
| 80048 | Basic metabolic panel (calcium, ionized) | 6.1% | 2,022 | 1,912 | $122K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 6.1% | 1,565 | 1,526 | $122K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 4.1% | 1,590 | 1,551 | $81K |
| 96361 | Intravenous infusion, hydration; each additional hour | 3.8% | 1,870 | 1,716 | $76K |
| 87081 | 3.5% | 922 | 904 | $70K | |
| 81025 | 3.4% | 2,500 | 2,379 | $68K | |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 2.3% | 2,189 | 2,032 | $47K |
| 71046 | Radiologic examination, chest; 2 views | 2.3% | 2,580 | 2,479 | $46K |
78 more codes
| 81001 | 2.1% | 3,338 | $41K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.6% | 1,203 | $32K |
| 81003 | 1.5% | 1,432 | $29K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | 1.5% | 1,412 | $29K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.4% | 748 | $28K |
| 87077 | 1.3% | 585 | $26K | |
| 99284 | Emergency room visit (serious) | 1.2% | 4,511 | $25K |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | 1.2% | 24 | $23K |
| 73630 | 1.0% | 501 | $21K | |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 868 | $18K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 652 | $17K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 589 | $15K |
| 73130 | <1% | 146 | $12K | |
| 73610 | <1% | 348 | $12K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,161 | $12K |
| 99285 | Emergency room visit (most serious) | <1% | 2,932 | $9K |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | <1% | 12 | $8K |
| 87210 | <1% | 181 | $8K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 5,902 | $6K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 472 | $6K |
| 96360 | Intravenous infusion, hydration; initial, 31 minutes to 1 hour | <1% | 383 | $6K |
| 73110 | <1% | 108 | $5K | |
| 71045 | Radiologic examination, chest; single view | <1% | 869 | $5K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 41 | $4K |
| 73564 | <1% | 124 | $3K | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 69 | $2K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 41 | $2K |
| 74018 | <1% | 38 | $2K | |
| 80047 | <1% | 24 | $2K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 61 | $2K |
| 72100 | <1% | 50 | $2K | |
| 73030 | <1% | 25 | $1K | |
| 73090 | <1% | 15 | $1K | |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 1,510 | $1K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 81 | $1K |
| 84484 | <1% | 1,311 | $649.52 | |
| 80061 | Lipid panel | <1% | 161 | $638.47 |
| 84702 | <1% | 43 | $459.65 | |
| 86140 | <1% | 259 | $357.93 | |
| 85379 | <1% | 138 | $247.48 | |
| 85610 | <1% | 197 | $239.03 | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 1,460 | $140.42 |
| 80076 | <1% | 33 | $112.40 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 466 | $103.65 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 332 | $76.74 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | 0% | 1,081 | $0.00 |
| J7030 | Infusion, normal saline solution , 1000 cc | 0% | 1,993 | $0.00 |
| J7120 | Ringers lactate infusion, up to 1000 cc | 0% | 104 | $0.00 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 0% | 2,169 | $0.00 |
| J2270 | Injection, morphine sulfate, up to 10 mg | 0% | 257 | $0.00 |
| J2550 | Injection, promethazine hcl, up to 50 mg | 0% | 99 | $0.00 |
| G1004 | Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program | 0% | 702 | $0.00 |
| 87186 | 0% | 328 | $0.00 | |
| 90715 | 0% | 16 | $0.00 | |
| J2272 | Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg | 0% | 157 | $0.00 |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 0% | 37 | $0.00 |
| J1200 | Injection, diphenhydramine hcl, up to 50 mg | 0% | 48 | $0.00 |
| 93976 | 0% | 13 | $0.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 703 | $0.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 1,663 | $0.00 |
| 83690 | 0% | 1,614 | $0.00 | |
| 83605 | 0% | 417 | $0.00 | |
| 83735 | 0% | 532 | $0.00 | |
| 83880 | 0% | 110 | $0.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 580 | $0.00 |
| 87040 | 0% | 63 | $0.00 | |
| A9585 | Injection, gadobutrol, 0.1 ml | 0% | 123 | $0.00 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 443 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 14 | $0.00 |
| J7512 | Prednisone, immediate release or delayed release, oral, 1 mg | 0% | 123 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 40 | $0.00 |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 0% | 39 | $0.00 |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | 0% | 73 | $0.00 |
| 96376 | 0% | 27 | $0.00 | |
| 85651 | 0% | 25 | $0.00 | |
| 87807 | 0% | 12 | $0.00 | |
| 85730 | 0% | 12 | $0.00 | |
| J2765 | Injection, metoclopramide hcl, up to 10 mg | 0% | 14 | $0.00 |
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 officialMILLER, POLLY (VP PAYOR STRATEGIES & ALIGNMENT)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.