Medicaid Provider Spending

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

NPI: 1639656713 · EASLEY, SC 29640 · General Acute Care Hospital · NPI assigned 07/23/2018

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

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

$9.32M
Total Medicaid Paid
431,883
Total Claims
381,549
Beneficiaries
216
Codes Billed
2018-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMILLER, POLLY (VP PAYOR STRATEGIES & ALIGNMENT)
NPI Enumeration Date07/23/2018

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 TUOMEY SUMTER SC $6.84M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 9,706 $264K
2019 71,800 $1.39M
2020 70,777 $1.46M
2021 79,968 $1.73M
2022 72,393 $1.65M
2023 67,502 $1.65M
2024 59,737 $1.18M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
36415 Collection of venous blood by venipuncture 23,590 18,415 $1.77M
80053 Comprehensive metabolic panel 20,769 18,848 $867K
99283 Emergency department visit for the evaluation and management, moderate severity 20,172 19,183 $724K
99282 Emergency department visit for the evaluation and management, low to moderate severity 4,861 4,742 $517K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 4,933 4,747 $412K
80048 Basic metabolic panel (calcium, ionized) 9,540 7,905 $272K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2,911 2,791 $256K
86850 1,843 1,721 $253K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 6,227 3,927 $237K
81025 7,999 7,531 $237K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 7,588 6,934 $234K
96361 Intravenous infusion, hydration; each additional hour 6,462 5,641 $231K
76830 Ultrasound, transvaginal 737 722 $220K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,140 1,125 $140K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 468 289 $134K
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 2,211 2,115 $125K
87086 Culture, bacterial; quantitative colony count, urine 7,997 7,553 $109K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 5,011 4,541 $108K
81001 11,084 10,319 $102K
99284 Emergency department visit for the evaluation and management, high severity 12,982 12,195 $97K
87081 2,594 2,558 $94K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 111 109 $92K
71046 Radiologic examination, chest; 2 views 5,449 5,272 $90K
99281 Emergency department visit for the evaluation and management, self-limited or minor 618 591 $88K
73610 1,475 1,412 $84K
87070 1,035 970 $83K
87077 3,639 3,457 $81K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 2,001 1,923 $78K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,388 1,362 $72K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 3,023 2,747 $71K
71260 Computed tomography, thorax, diagnostic; with contrast material 425 411 $71K
70450 Computed tomography, head or brain; without contrast material 3,055 2,887 $70K
73130 1,016 981 $66K
73630 1,678 1,605 $64K
U0005 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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 854 829 $63K
74177 Computed tomography, abdomen and pelvis; with contrast material 3,420 3,290 $61K
81003 3,203 3,065 $53K
73110 838 814 $50K
73564 1,467 1,377 $49K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 11,364 10,502 $42K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,162 1,140 $41K
82565 309 262 $36K
76705 Ultrasound, abdominal, real time with image documentation; limited 960 940 $36K
71045 Radiologic examination, chest; single view 5,517 5,108 $36K
86900 2,106 1,946 $35K
73030 993 960 $32K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 531 520 $31K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,268 973 $31K
93971 241 238 $27K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,047 1,033 $27K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 28,201 24,071 $26K
84702 2,068 1,684 $25K
71250 126 125 $23K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 1,962 1,874 $23K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 453 446 $22K
72100 979 964 $22K
87210 819 801 $21K
74018 657 636 $19K
97597 503 260 $19K
77063 Screening digital breast tomosynthesis, bilateral 201 201 $18K
76642 524 449 $16K
80061 Lipid panel 3,759 3,717 $13K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 9,424 8,339 $12K
J2405 Injection, ondansetron hydrochloride, per 1 mg 7,450 6,035 $11K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,069 1,045 $11K
71275 Computed tomographic angiography, chest, with contrast material 581 565 $10K
84443 Thyroid stimulating hormone (TSH) 6,143 6,001 $10K
82950 1,196 1,184 $9K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,474 1,460 $8K
73090 135 131 $8K
73080 127 124 $8K
J7120 Ringers lactate infusion, up to 1000 cc 5,678 4,683 $7K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 956 948 $7K
96375 Therapeutic injection; each additional sequential IV push 5,728 4,968 $7K
J0330 Injection, succinylcholine chloride, up to 20 mg 1,255 753 $7K
96376 2,020 1,402 $7K
86780 1,464 1,398 $7K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,470 2,374 $7K
80076 1,669 1,500 $7K
77067 Screening mammography, bilateral, including computer-aided detection 528 525 $6K
76770 73 72 $6K
84439 1,031 1,005 $5K
83036 Hemoglobin; glycosylated (A1C) 2,931 2,879 $5K
G0378 Hospital observation service, per hour 1,675 1,428 $4K
72125 Computed tomography, cervical spine; without contrast material 786 755 $4K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 917 543 $4K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 89 89 $4K
73502 175 170 $4K
82607 730 719 $4K
82728 558 542 $4K
82105 283 274 $3K
83735 4,595 3,570 $3K
J1885 Injection, ketorolac tromethamine, per 15 mg 6,754 5,659 $3K
96367 144 123 $3K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 5,811 5,394 $3K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 106 84 $3K
84484 6,542 4,859 $3K
0202U Oncology (prostate), multianalyte, gene expression profiling 18 18 $3K
93970 12 12 $2K
J7030 Infusion, normal saline solution , 1000 cc 6,866 6,009 $2K
93017 40 38 $2K
82043 294 293 $2K
87807 82 82 $2K
73140 26 26 $2K
83605 2,867 2,357 $2K
76536 13 13 $2K
J3490 Unclassified drugs 5,724 2,904 $2K
74022 109 105 $2K
85379 1,473 1,422 $1K
73590 85 79 $1K
88305 Level IV - Surgical pathology, gross and microscopic examination 97 90 $1K
87205 757 700 $1K
93976 1,136 1,092 $1K
82550 560 495 $1K
J3475 Injection, magnesium sulfate, per 500 mg 868 768 $1K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 333 250 $1K
85027 2,666 2,454 $1K
88304 38 38 $1K
J1170 Injection, hydromorphone, up to 4 mg 1,996 1,676 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 190 176 $1K
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 837 722 $1K
85014 117 100 $987.32
76700 Ultrasound, abdominal, real time with image documentation; complete 12 12 $958.92
87186 2,793 2,651 $883.59
12001 14 14 $812.00
82570 418 376 $805.19
86803 495 492 $706.47
J3010 Injection, fentanyl citrate, 0.1 mg 2,172 1,999 $650.75
J2060 Injection, lorazepam, 2 mg 277 217 $646.98
86140 1,926 1,775 $621.15
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 13 13 $516.86
A9585 Injection, gadobutrol, 0.1 ml 636 551 $507.81
80074 12 12 $506.84
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 2,285 1,917 $504.65
76775 14 14 $493.36
83880 1,962 1,792 $446.41
84156 83 73 $442.00
85007 598 532 $423.17
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 4,030 3,159 $354.50
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 148 142 $343.10
J1650 Injection, enoxaparin sodium, 10 mg 604 203 $329.85
86592 45 37 $317.92
84145 991 901 $280.11
J2550 Injection, promethazine hcl, up to 50 mg 370 317 $243.51
76942 60 59 $236.45
82247 133 61 $223.94
82140 27 24 $220.82
82040 39 26 $190.84
85018 795 745 $164.03
84146 27 25 $163.36
86762 886 828 $124.91
85610 2,255 2,023 $121.10
83540 427 422 $113.65
J1815 Injection, insulin, per 5 units 700 326 $82.79
83690 5,820 5,362 $72.25
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,003 978 $64.12
90715 250 242 $33.90
85651 651 612 $24.95
97162 157 146 $24.81
J0690 Injection, cefazolin sodium, 500 mg 1,662 1,488 $20.88
84132 12 12 $16.31
84550 26 25 $14.45
82077 1,357 1,254 $13.82
J2250 Injection, midazolam hydrochloride, per 1 mg 2,737 2,163 $2.38
J2270 Injection, morphine sulfate, up to 10 mg 1,861 1,592 $1.26
J1200 Injection, diphenhydramine hcl, up to 50 mg 788 718 $0.47
86901 2,105 1,945 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 576 427 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 3,300 3,086 $0.00
85730 1,033 963 $0.00
87340 1,091 1,026 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 506 478 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 2,136 1,755 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 72 69 $0.00
85652 536 504 $0.00
82677 32 28 $0.00
87040 1,402 943 $0.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 83 77 $0.00
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 234 225 $0.00
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 13 12 $0.00
90870 37 12 $0.00
82746 25 25 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 13 13 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 39 39 $0.00
86580 45 39 $0.00
70498 25 25 $0.00
76801 44 40 $0.00
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) 18 15 $0.00
94761 18 12 $0.00
70496 13 13 $0.00
82803 13 13 $0.00
84100 1,323 956 $0.00
80143 494 454 $0.00
80179 410 376 $0.00
86336 32 28 $0.00
J1644 Injection, heparin sodium, per 1000 units 1,336 635 $0.00
76000 100 98 $0.00
82805 178 144 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 150 146 $0.00
J0688 Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg 14 14 $0.00
84466 411 406 $0.00
97530 Therapeutic activities, direct patient contact, each 15 minutes 22 12 $0.00
82248 163 95 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 151 141 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 154 144 $0.00
97116 89 36 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 148 145 $0.00
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 16 16 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 32 31 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 20 15 $0.00
84403 13 12 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 203 167 $0.00
86038 13 13 $0.00
36600 31 26 $0.00
J1171 Injection, hydromorphone, 0.1 mg 52 40 $0.00
51701 13 12 $0.00