Medicaid Provider Spending

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

PRISMA HEALTH-UPSTATE

NPI: 1679029771 · GREENVILLE, SC 29615 · 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

$1.36M
Total Medicaid Paid
58,001
Total Claims
39,259
Beneficiaries
32
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 6,387 $175K
2019 7,978 $176K
2020 8,475 $198K
2021 10,167 $252K
2022 10,442 $239K
2023 7,995 $174K
2024 6,557 $146K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
36415 Collection of venous blood by venipuncture 10,987 6,724 $1.16M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 9,791 6,853 $107K
80048 Basic metabolic panel (calcium, ionized) 6,811 4,215 $31K
96375 Therapeutic injection; each additional sequential IV push 222 99 $17K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 103 66 $9K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 464 244 $8K
83735 1,581 936 $7K
80053 Comprehensive metabolic panel 2,392 1,856 $5K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 20 14 $3K
82728 1,575 1,442 $2K
80076 5,156 3,702 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 10,084 6,332 $2K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 71 60 $1K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 22 13 $726.48
83615 1,971 1,435 $465.72
83883 429 335 $384.26
82607 68 65 $287.94
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 18 15 $138.86
84165 573 456 $99.19
86300 184 138 $73.71
85027 467 287 $65.33
84443 Thyroid stimulating hormone (TSH) 143 118 $43.95
83540 1,372 1,274 $35.53
82784 292 226 $30.21
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 1,039 574 $0.48
83521 126 94 $0.00
84466 1,374 1,276 $0.00
84439 28 25 $0.00
84550 132 76 $0.00
85007 444 271 $0.00
84100 42 25 $0.00
82977 20 13 $0.00