Medicaid Provider Spending

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

PRISMA HEALTH-UPSTATE

NPI: 1659827756 · GREENVILLE, SC 29605 · General Acute Care Hospital · NPI assigned 08/29/2016

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

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

$1.31M
Total Medicaid Paid
52,896
Total Claims
39,039
Beneficiaries
29
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMILLER, POLLY (VP PAYOR STRATEGIES & ALIGNMENT)
NPI Enumeration Date08/29/2016

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 6,012 $140K
2019 7,450 $139K
2020 7,654 $176K
2021 10,978 $274K
2022 9,124 $250K
2023 7,659 $225K
2024 4,019 $101K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
36415 Collection of venous blood by venipuncture 9,662 6,876 $1.05M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 10,224 7,266 $92K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,184 855 $87K
96375 Therapeutic injection; each additional sequential IV push 240 127 $28K
80048 Basic metabolic panel (calcium, ionized) 6,411 4,250 $27K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 834 521 $8K
82728 2,199 2,080 $4K
80053 Comprehensive metabolic panel 659 614 $2K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 15 12 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 27 27 $718.91
85025 Blood count; complete (CBC), automated, and automated differential WBC count 9,192 6,713 $574.27
G0463 Hospital outpatient clinic visit for assessment and management of a patient 50 44 $515.01
83540 2,200 2,087 $509.35
82607 90 85 $370.23
80076 4,858 3,531 $163.69
83615 30 26 $126.75
84443 Thyroid stimulating hormone (TSH) 479 379 $0.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 32 26 $0.00
83735 222 144 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 107 53 $0.00
36591 153 97 $0.00
85027 55 40 $0.00
82746 28 24 $0.00
86140 14 13 $0.00
82378 16 12 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 1,434 836 $0.00
84466 2,198 2,085 $0.00
84439 229 177 $0.00
85007 54 39 $0.00