Medicaid Provider Spending

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

PRISMA HEALTH - BLOUNT MEMORIAL HOSPITAL INC.

NPI: 1518953801 · MARYVILLE, TN 37804 · Oxygen Equipment & Supplies (DME) · NPI assigned 09/22/2005

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official LAWRENCE, KRISTI controls 20+ related entities in our dataset. Read more

$233K
Total Medicaid Paid
34,414
Total Claims
24,759
Beneficiaries
17
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLAWRENCE, KRISTI (DIRECTOR OF ENROLLMENT AND CVO)
NPI Enumeration Date09/22/2005

Related Entities

Other providers sharing the same authorized official: LAWRENCE, KRISTI

ProviderCityStateTotal Paid
PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC $172.15M
PRISMA HEALTH MEDICAL GROUP-MIDLANDS COLUMBIA SC $77.82M
PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC $15.98M
PRISMA HEALTH - BLOUNT MEMORIAL HOSPITAL INC. MARYVILLE TN $14.75M
PRISMA HEALTH MEDICAL GROUP-MIDLANDS COLUMBIA SC $8.70M
PRISMA HEALTH UNIVERSITY MEDICAL GROUP EASLEY SC $4.70M
BLOUNT MEMORIAL PHYSICIAN GROUP, INC. ALCOA TN $4.21M
PRISMA HEALTH MEDICAL GROUP-MIDLANDS SUMTER SC $3.66M
PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC $2.07M
PRISMA HEALTH UNIVERSITY MEDICAL GROUP COLUMBIA SC $581K
PRISMA HEALTH UNIVERSITY MEDICAL GROUP TAYLORS SC $412K
PRISMA HEALTH MEDICAL GROUP-MIDLANDS COLUMBIA SC $263K
PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC $59K
PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC $21K
PRISMA HEALTH URGENT CARE OF SOUTH CAROLINA, PC GREENVILLE SC $19K
PRISMA HEALTH UNIVERSITY MEDICAL GROUP COLUMBIA SC $19K
PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC $17K
PRISMA HEALTH - BLOUNT MEMORIAL HOSPITAL INC. MARYVILLE TN $10K
PRISMA HEALTH UNIVERSITY MEDICAL GROUP EASLEY SC $4K
PRISMA HEALTH MEDICAL GROUP-MIDLANDS SUMTER SC $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,867 $23K
2019 3,720 $20K
2020 4,244 $21K
2021 6,396 $36K
2022 6,286 $43K
2023 6,786 $52K
2024 5,115 $37K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 8,107 5,829 $109K
E0601 Continuous positive airway pressure (cpap) device 1,704 1,317 $18K
A7030 Full face mask used with positive airway pressure device, each 680 488 $15K
E0431 Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing 4,751 3,416 $14K
A4604 Tubing with integrated heating element for use with positive airway pressure device 1,135 844 $12K
E0260 Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress 1,451 1,004 $11K
A7031 Face mask interface, replacement for full face mask, each 1,371 988 $11K
K0001 Standard wheelchair 3,132 2,175 $11K
E0562 Humidifier, heated, used with positive airway pressure device 2,943 2,176 $8K
E1392 Portable oxygen concentrator, rental 1,311 973 $7K
E0570 Nebulizer, with compressor 4,661 3,224 $6K
E0470 Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) 169 134 $3K
A7038 Filter, disposable, used with positive airway pressure device 2,159 1,603 $2K
A7035 Headgear used with positive airway pressure device 464 345 $2K
E0143 Walker, folding, wheeled, adjustable or fixed height 307 194 $2K
A7046 Water chamber for humidifier, used with positive airway pressure device, replacement, each 50 37 $85.85
A7005 Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable 19 12 $40.00