Medicaid Provider Spending

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

PRISMA HEALTH TUOMEY

NPI: 1548625593 · SUMTER, SC 29150 · Cardiovascular Disease Physician · NPI assigned 12/17/2015

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

Authorized official MILLER, POLLY controls 20+ related entities in our dataset. Read more

$6.84M
Total Medicaid Paid
108,635
Total Claims
100,309
Beneficiaries
14
Codes Billed
2018-01
First Month
2023-09
Last Month

Provider Details

Authorized OfficialMILLER, POLLY (VP PAYOR STRATEGIES ALIGNMENT)
Parent OrganizationPRISMA HEALTH TUOMEY
NPI Enumeration Date12/17/2015

Related Entities

Other providers sharing the same authorized official: MILLER, POLLY

ProviderCityStateTotal 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-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
PRISMA HEALTH-UPSTATE SENECA SC $4.48M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 24,526 $1.38M
2019 21,939 $1.32M
2020 18,023 $1.17M
2021 15,905 $1.05M
2022 18,083 $1.17M
2023 10,159 $760K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 33,948 30,523 $2.69M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 25,618 24,288 $2.58M
99283 Emergency department visit for the evaluation and management, moderate severity 32,097 30,207 $1.42M
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 13,989 12,495 $69K
99460 379 367 $30K
99238 Hospital discharge day management, 30 minutes or less 478 458 $28K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 300 284 $7K
99239 Hospital discharge day management, more than 30 minutes 65 62 $6K
99462 152 126 $5K
93042 1,558 1,448 $4K
99218 12 12 $902.04
99217 12 12 $660.84
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 13 13 $29.89
99053 14 14 $0.00