Medicaid Provider Spending

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

PRISMA HEALTH MEDICAL GROUP-MIDLANDS

NPI: 1457848848 · COLUMBIA, SC 29203 · Developmental - Behavioral Pediatrics Physician · NPI assigned 04/20/2018

$5.90M
Total Medicaid Paid
18,659
Total Claims
17,087
Beneficiaries
3
Codes Billed
2019-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialELLIS, JAMES (CHIEF INTEGRATION OFFICER)
NPI Enumeration Date04/20/2018

Related Entities

Other providers sharing the same authorized official: ELLIS, JAMES

ProviderCityStateTotal Paid
SOUTHWEST MISSISSIPPI MENTAL HEALTH MENTAL RETARDATION COMMISSION MCCOMB MS $5.03M
PRISMA HEALTH MEDICAL GROUP-MIDLANDS COLUMBIA SC $2.49M
PRISMA HEALTH MEDICAL GROUP-MIDLANDS COLUMBIA SC $17K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 1,781 $691K
2020 4,190 $1.14M
2021 3,654 $1.19M
2022 3,942 $1.34M
2023 3,425 $1.07M
2024 1,667 $469K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1024 Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter 6,374 5,689 $3.68M
T1023 Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter 11,724 10,993 $2.20M
G9004 Coordinated care fee, risk adjusted low, initial 561 405 $16K