Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › SC › SIMPSONVILLE › PRISMA HEALTH-UPSTATE

PRISMA HEALTH-UPSTATE

NPI: 1447706569 · SIMPSONVILLE, SC 29681 · 282N00000X

$8.30M
Total Medicaid Paid
376,262
Total Claims
339,765
Beneficiaries
203
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 40,003 $875K
2019 46,304 $882K
2020 39,584 $855K
2021 55,613 $1.30M
2022 66,746 $1.63M
2023 67,813 $1.59M
2024 60,199 $1.17M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
80053 15,514 13,916 $1.01M
36415 10,019 8,343 $676K
99283 18,371 17,554 $577K
99282 4,907 4,769 $472K
80048 7,635 6,730 $419K
87081 5,397 5,316 $327K
81025 9,388 8,926 $322K
86850 1,778 1,630 $303K
96365 3,111 2,616 $273K
0241U 3,175 3,048 $242K
96361 6,741 5,591 $212K
76830 1,538 1,497 $169K
96374 7,322 6,628 $161K
93306 1,267 1,242 $153K
96372 5,339 3,680 $150K
87804 3,482 2,828 $146K
87086 7,136 6,722 $124K
U0003 Cov-19 amp prb hgh thruput 2,928 2,789 $107K
74177 3,355 3,216 $106K
88305 1,410 1,383 $105K
87491 4,788 4,567 $92K
76805 795 760 $92K
71046 5,017 4,845 $88K
87210 3,199 2,590 $81K
87077 2,749 2,642 $77K
99284 10,830 10,243 $77K
87428 1,308 1,274 $77K
81001 10,604 9,903 $73K
96360 2,039 1,848 $70K
70450 2,433 2,336 $66K
C9803 Hopd covid-19 spec collect 1,044 1,003 $65K
74176 1,100 1,068 $61K
80307 2,270 2,098 $59K
81003 4,899 4,689 $56K
99285 10,323 9,581 $50K
87400 642 620 $48K
73610 1,034 1,002 $46K
73130 473 458 $43K
U0005 Infec agen detec ampli probe 474 448 $41K
76705 945 921 $40K
85610 2,690 2,150 $40K
86900 1,965 1,788 $39K
73630 1,003 970 $36K
86780 2,431 2,267 $35K
76816 625 606 $35K
82565 222 202 $34K
87389 2,219 2,076 $34K
70553 37 37 $30K
84702 1,726 1,474 $30K
71045 4,557 4,220 $30K
71250 148 147 $29K
76856 1,204 1,173 $28K
82950 1,288 1,257 $27K
73564 784 752 $25K
85025 23,347 20,346 $24K
77063 242 242 $24K
87651 637 618 $24K
87880 4,401 4,302 $24K
99281 198 191 $20K
71275 499 486 $20K
73110 195 192 $19K
74018 594 566 $19K
59025 453 309 $19K
87070 262 254 $18K
73721 27 27 $17K
83655 907 898 $17K
93005 8,638 7,614 $14K
87637 321 308 $14K
J7120 Ringers lactate infusion 5,117 4,530 $14K
87624 581 554 $11K
84443 3,802 3,643 $11K
73030 367 354 $10K
96375 5,318 4,472 $9K
87635 664 632 $9K
72100 336 330 $8K
43239 1,353 1,334 $7K
83036 2,237 2,090 $6K
87636 54 53 $6K
76801 537 484 $6K
71260 26 26 $6K
93017 106 105 $6K
76819 71 48 $5K
80076 1,209 1,118 $5K
G0378 Hospital observation per hr 1,505 1,232 $5K
87811 69 69 $5K
85027 3,475 3,217 $4K
80061 1,766 1,720 $4K
83001 106 101 $4K
85018 1,526 1,497 $4K
77067 424 422 $4K
84484 4,804 4,061 $4K
76817 206 189 $4K
0202U 29 29 $3K
88175 111 109 $3K
82728 223 220 $2K
96376 1,921 1,371 $2K
96366 529 338 $2K
80047 115 109 $2K
83986 30 30 $2K
87807 301 299 $2K
83690 5,746 5,206 $2K
85379 1,478 1,409 $2K
85007 537 503 $2K
82105 126 115 $2K
J2270 Morphine sulfate injection 1,885 1,606 $2K
86762 1,177 1,063 $2K
83540 278 269 $2K
82570 549 487 $2K
86803 1,179 1,107 $1K
82247 112 68 $1K
94640 1,583 1,357 $1K
83735 3,857 3,102 $1K
84439 256 243 $1K
G0472 Hep c screen high risk/other 165 134 $1K
90471 67 66 $1K
J1170 Hydromorphone injection 2,082 1,569 $1K
84146 56 54 $1K
87661 2,546 2,376 $1K
72040 27 26 $1K
82306 269 265 $980.92
J2405 Ondansetron hcl injection 5,558 4,780 $931.63
74022 56 54 $929.06
93976 715 688 $884.75
Q9967 Locm 300-399mg/ml iodine,1ml 5,280 5,038 $860.44
87591 4,504 4,266 $830.95
72125 170 162 $794.35
83605 1,908 1,685 $732.33
73502 37 37 $704.67
J1644 Inj heparin sodium per 1000u 1,134 558 $704.64
G0145 Scr c/v cyto,thinlayer,rescr 834 769 $665.11
J3475 Inj magnesium sulfate 246 226 $652.84
76775 12 12 $600.30
82607 124 120 $579.41
J0690 Cefazolin sodium injection 1,041 972 $560.13
J2795 Ropivacaine hcl injection 432 406 $528.21
86140 1,774 1,664 $509.64
83880 1,715 1,573 $426.05
J3490 Drugs unclassified injection 3,366 2,199 $418.90
J7030 Normal saline solution infus 6,610 5,730 $393.25
A9585 Gadobutrol injection 313 302 $371.14
99291 55 52 $360.26
82077 514 485 $349.33
J2550 Promethazine hcl injection 470 394 $341.89
88141 17 17 $331.98
J7512 Prednisone ir or dr oral 1mg 524 370 $286.71
86787 749 697 $246.69
87177 29 25 $197.46
J0696 Ceftriaxone sodium injection 1,839 1,595 $193.26
86901 1,963 1,788 $159.93
J2250 Inj midazolam hydrochloride 1,368 1,249 $155.09
87340 1,394 1,270 $152.07
82550 28 25 $132.17
86308 13 13 $125.89
J0330 Succinycholine chloride inj 107 97 $102.71
99211 46 24 $86.11
76000 12 12 $83.02
73090 17 17 $72.35
83020 186 154 $51.76
87040 426 383 $46.42
G1004 Cdsm ndsc 3,018 2,416 $46.20
86317 111 83 $37.48
84550 93 80 $32.04
J1100 Dexamethasone sodium phos 2,303 2,154 $27.49
J1885 Ketorolac tromethamine inj 4,701 4,361 $26.04
82784 17 12 $11.27
87186 1,802 1,719 $11.00
J2272 Inj, morphine (fresenius) 698 587 $7.96
J1200 Diphenhydramine hcl injectio 1,039 942 $5.97
84156 282 244 $4.73
85651 423 396 $4.71
84100 941 759 $0.00
C1713 Anchor/screw bn/bn,tis/bn 25 25 $0.00
J7040 Normal saline solution infus 130 125 $0.00
J2930 Methylprednisolone injection 80 63 $0.00
97163 25 24 $0.00
90715 58 57 $0.00
82248 176 111 $0.00
84145 161 146 $0.00
84466 263 254 $0.00
J2710 Neostigmine methylslfte inj 38 30 $0.00
J1596 Inj, glycopyrrolate, 0.1 mg 155 151 $0.00
80143 29 27 $0.00
97530 37 26 $0.00
94664 15 13 $0.00
86682 18 16 $0.00
J1650 Inj enoxaparin sodium 128 60 $0.00
J0780 Prochlorperazine injection 40 39 $0.00
45385 14 14 $0.00
87209 29 25 $0.00
73590 12 12 $0.00
80179 13 13 $0.00
85730 561 519 $0.00
J2765 Metoclopramide hcl injection 636 573 $0.00
J3010 Fentanyl citrate injection 224 206 $0.00
85652 551 515 $0.00
83615 76 65 $0.00
87205 172 165 $0.00
86704 109 81 $0.00
J1815 Insulin injection 55 24 $0.00
J2360 Orphenadrine injection 24 24 $0.00
88304 13 12 $0.00
J2003 Inj, lidocaine hcl, 1 mg 30 30 $0.00
J2060 Lorazepam injection 59 56 $0.00