Medicaid Provider Spending

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

PRISMA HEALTH - BLOUNT MEMORIAL HOSPITAL INC.

NPI: 1619939071 · MARYVILLE, TN 37804 · General Acute Care Hospital · NPI assigned 04/03/2006

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

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

$14.75M
Total Medicaid Paid
300,923
Total Claims
264,887
Beneficiaries
98
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLAWRENCE, KRISTI (DIRECTOR PROVIDER ENROLLMENT)
NPI Enumeration Date04/03/2006

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 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 - BLOUNT MEMORIAL HOSPITAL INC. MARYVILLE TN $233K
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 48,100 $2.44M
2019 49,305 $2.34M
2020 42,911 $2.12M
2021 47,137 $2.26M
2022 39,684 $1.97M
2023 44,159 $2.13M
2024 29,627 $1.49M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 36,166 34,044 $7.38M
99283 Emergency department visit for the evaluation and management, moderate severity 23,486 22,495 $3.49M
99282 Emergency department visit for the evaluation and management, low to moderate severity 7,499 7,277 $810K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,229 2,066 $563K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 6,469 6,080 $405K
G0378 Hospital observation service, per hour 2,059 1,573 $356K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 5,448 1,562 $248K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 43,727 40,097 $206K
97530 Therapeutic activities, direct patient contact, each 15 minutes 4,135 1,162 $195K
80053 Comprehensive metabolic panel 40,340 36,959 $139K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 9,961 9,254 $136K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1,142 1,080 $108K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,416 2,238 $81K
84484 6,122 4,399 $63K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2,172 2,056 $55K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 12,078 10,884 $45K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 8,060 3,925 $39K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 1,029 905 $27K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 4,356 4,058 $26K
84703 3,833 3,608 $25K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 3,525 2,532 $22K
96375 Therapeutic injection; each additional sequential IV push 2,655 2,408 $22K
95810 Polysomnography; sleep staging with 4 or more additional parameters 121 116 $20K
96361 Intravenous infusion, hydration; each additional hour 2,874 2,659 $19K
71046 Radiologic examination, chest; 2 views 3,558 3,418 $18K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 712 661 $18K
74177 Computed tomography, abdomen and pelvis; with contrast material 254 241 $18K
74176 Computed tomography, abdomen and pelvis; without contrast material 452 426 $18K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,674 2,599 $18K
J2405 Injection, ondansetron hydrochloride, per 1 mg 2,241 2,063 $17K
81001 19,081 18,049 $17K
70450 Computed tomography, head or brain; without contrast material 530 491 $16K
87400 2,113 1,016 $12K
87081 2,249 2,184 $10K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 38 36 $10K
97597 390 110 $9K
83690 1,811 1,700 $9K
87086 Culture, bacterial; quantitative colony count, urine 1,933 1,775 $9K
71045 Radiologic examination, chest; single view 3,536 3,296 $8K
95811 57 50 $7K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 293 66 $7K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 13 12 $5K
85610 4,064 3,132 $4K
36415 Collection of venous blood by venipuncture 6,672 5,481 $4K
81025 1,419 1,365 $4K
85730 1,316 1,235 $4K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 94 85 $4K
83970 782 698 $3K
83605 415 381 $3K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 85 43 $2K
71250 93 73 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,389 1,329 $2K
80048 Basic metabolic panel (calcium, ionized) 677 577 $1K
95816 14 14 $1K
82728 321 292 $779.95
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 12 12 $668.75
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 15 15 $635.74
94060 17 13 $616.71
84443 Thyroid stimulating hormone (TSH) 537 483 $518.24
83550 296 268 $475.03
73630 47 40 $468.87
84702 23 13 $440.91
82607 220 201 $378.42
80069 525 466 $370.81
83540 296 268 $345.17
G9162 Spoken language expression functional limitation, current status at therapy episode outset and at reporting intervals 75 65 $334.56
94618 29 28 $255.48
83036 Hemoglobin; glycosylated (A1C) 240 212 $251.99
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 132 114 $248.90
77300 25 12 $240.60
77334 16 12 $232.78
80061 Lipid panel 378 334 $200.79
94729 29 25 $198.76
82746 122 114 $168.86
83735 38 36 $132.64
85027 15 13 $119.72
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 15 13 $95.28
G9163 Spoken language expression functional limitation, projected goal status at therapy episode outset, at reporting intervals, and at discharge or to end reporting 75 65 $83.64
87077 43 38 $62.56
94727 17 13 $56.91
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 12 12 $55.55
J2270 Injection, morphine sulfate, up to 10 mg 84 76 $50.21
84481 53 51 $48.65
J1885 Injection, ketorolac tromethamine, per 15 mg 4,327 4,084 $35.26
84439 53 52 $25.48
81003 60 55 $9.57
87186 13 12 $5.63
J3010 Injection, fentanyl citrate, 0.1 mg 318 289 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 153 143 $0.00
88305 Level IV - Surgical pathology, gross and microscopic examination 927 476 $0.00
J0690 Injection, cefazolin sodium, 500 mg 19 12 $0.00
88304 14 13 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 262 214 $0.00
A9576 Injection, gadoteridol, (prohance multipack), per ml 15 13 $0.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 127 109 $0.00
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 27 26 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 29 27 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 15 15 $0.00