Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Prisma Health University Medical Group

Prisma Health University Medical Group was paid $7.44M by Medicaid between Jan 2018 and Dec 2024, across 68 billing codes. Its largest line is 74177, Computed tomography, abdomen and pelvis; with contrast material — 23% of everything it billed.

33Billing provider infoPRISMA HEALTH UNIVERSITY MEDICAL GROUP
GREENVILLE, SC 29605
33aNPI1568799955assigned 11/06/2009
28Total paid$7.44M
24GClaims451,043
24DCodes billed68
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Diagnostic Radiology Physician providers in South Carolina

Rank by total paid#1 of 117
Median peer was paid$482.86
This provider vs. median15,413×

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.

Entity ProliferationAuthorized official MILLER, POLLY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$100K$200K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
201837,097$530K
201935,925$584K
202032,378$582K
202181,868$1.38M
202295,944$1.60M
202391,481$1.54M
2024incomplete76,350$1.22M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
74177 Computed tomography, abdomen and pelvis; with contrast material 23% 31,705 30,059 $1.71M
71045 Radiologic examination, chest; single view 14% 176,691 134,940 $1.06M
70450 Computed tomography, head or brain; without contrast material 13% 34,674 32,300 $967K
71046 Radiologic examination, chest; 2 views 7.6% 72,082 69,988 $565K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 7.2% 7,418 7,081 $532K
70551 Magnetic resonance imaging, brain; without contrast material 4.8% 7,102 6,603 $354K
74018 3.9% 47,611 35,442 $292K
76770 3.7% 10,169 9,910 $275K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 3.1% 5,029 4,850 $233K
77067 Screening mammography, bilateral, including computer-aided detection 3.1% 8,012 7,945 $230K
76705 Ultrasound, abdominal, real time with image documentation; limited 2.9% 10,113 9,563 $216K
71275 Computed tomographic angiography, chest, with contrast material 2.6% 3,685 3,419 $195K
56 more codes
74176 Computed tomography, abdomen and pelvis; without contrast material 1.6% 2,402 $122K
76506 1.1% 3,591 $83K
77063 Screening digital breast tomosynthesis, bilateral <1% 3,320 $74K
72125 Computed tomography, cervical spine; without contrast material <1% 1,592 $57K
93976 <1% 2,011 $55K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 1,548 $45K
76642 <1% 1,686 $37K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 1,325 $33K
74230 <1% 1,660 $31K
76885 <1% 985 $28K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 564 $22K
70496 <1% 414 $21K
76830 Ultrasound, transvaginal <1% 872 $21K
77072 <1% 2,617 $18K
78815 Positron emission tomography (PET) for limited area imaging <1% 327 $16K
70498 <1% 306 $16K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 325 $14K
73630 <1% 2,013 $12K
73610 <1% 1,835 $12K
93975 <1% 257 $10K
74019 <1% 1,166 $10K
74022 <1% 852 $10K
51600 <1% 236 $7K
76536 <1% 240 $5K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 179 $4K
73221 <1% 99 $4K
73564 <1% 485 $4K
74455 <1% 313 $4K
73130 <1% 587 $4K
73110 <1% 576 $4K
76870 <1% 146 $3K
74240 <1% 119 $3K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 105 $3K
93970 <1% 129 $3K
73030 <1% 396 $3K
71250 <1% 69 $2K
93971 <1% 126 $2K
72141 <1% 36 $2K
72100 <1% 180 $1K
70491 <1% 24 $1K
71271 <1% 35 $1K
77065 Tomosynthesis, mammo <1% 55 $995.38
73560 <1% 159 $942.26
73700 <1% 27 $810.70
73590 <1% 126 $754.91
73562 <1% 103 $731.93
73090 <1% 113 $728.51
99152 <1% 117 $689.27
74270 <1% 29 $678.94
76376 <1% 88 $609.93
77066 Tomosynthesis, mammo <1% 13 $517.12
73080 <1% 55 $343.42
99285 Emergency room visit (most serious) <1% 15 $238.58
72040 <1% 24 $196.80
70360 <1% 24 $153.22
99283 Emergency room visit (moderate) 0% 56 $0.00

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.

From NPPES

Who's on the registration

Authorized officialMILLER, POLLY (VP OF PAYOR STRATEGIES & ALIGNMENTS)
Same official

Other billing entities under MILLER, POLLY

Full network →
ProviderLocationPaid
Prisma Health-MidlandsColumbia, SC$74.58M
Prisma Health-MidlandsColumbia, SC$68.26M
Prisma Health-UpstateGreenville, SC$25.04M
Prisma Health-UpstateGreenville, SC$21.98M
Prisma Health-UpstateGreenville, SC$19.69M
Prisma Health-UpstateSeneca, SC$15.64M
Prisma Health-MidlandsColumbia, SC$11.77M
Prisma Health-UpstateGreenville, SC$10.74M
Greenville Health CorporationGreenville, SC$8.90M
Prisma Health-UpstateGreenville, SC$8.32M
Prisma Health-UpstateGreenville, SC$7.45M
Prisma Health-MidlandsCoulmbia, SC$7.43M
Prisma Health-MidlandsColumbia, SC$6.88M
Prisma Health TuomeySumter, SC$6.84M
Prisma Health-MidlandsColumbia, SC$6.77M
Prisma Health-UpstateGreenville, SC$6.37M
Prisma Health-UpstateGreenville, SC$5.00M
Prisma Health-UpstateGreenville, SC$4.65M
Prisma Health-MidlandsColumbia, SC$4.63M
Prisma Health-UpstateSeneca, SC$4.48M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.