Prisma Health Tuomey
Prisma Health Tuomey was paid $6.84M by Medicaid between Jan 2018 and Sep 2023, across 14 billing codes. Its largest line is 99284, emergency room visit (serious) — 39% of everything it billed.
SUMTER, SC 29150
Next to other Cardiovascular Disease Physician providers in South Carolina
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | 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 |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 39% | 33,948 | 30,523 | $2.69M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 38% | 25,618 | 24,288 | $2.58M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 21% | 32,097 | 30,207 | $1.42M |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.0% | 13,989 | 12,495 | $69K |
| 99460 | <1% | 379 | 367 | $30K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 478 | 458 | $28K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 300 | 284 | $7K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 65 | 62 | $6K |
| 99462 | <1% | 152 | 126 | $5K | |
| 93042 | <1% | 1,558 | 1,448 | $4K | |
| 99218 | <1% | 12 | 12 | $902.04 | |
| 99217 | <1% | 12 | 12 | $660.84 |
2 more codes
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.
Who's on the registration
| 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-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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.