Medicaid Provider Spending

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

PRISMA HEALTH-UPSTATE

NPI: 1689129496 · GREENVILLE, SC 29605 · General Acute Care Hospital · NPI assigned 08/22/2016

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

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

$3.42M
Total Medicaid Paid
126,590
Total Claims
95,569
Beneficiaries
52
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMILLER, POLLY (SVP FINANCE, ENTERPRISE CONTRACTING)
NPI Enumeration Date08/22/2016

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 17,192 $375K
2019 20,314 $434K
2020 18,134 $411K
2021 17,338 $480K
2022 17,815 $581K
2023 18,107 $573K
2024 17,690 $569K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
36415 Collection of venous blood by venipuncture 19,674 14,574 $2.50M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 19,969 15,835 $465K
80053 Comprehensive metabolic panel 16,619 11,793 $172K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,158 3,323 $55K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 348 224 $37K
96361 Intravenous infusion, hydration; each additional hour 293 222 $37K
85007 8,257 5,651 $22K
85027 21,332 15,200 $21K
86850 2,603 1,765 $20K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 267 200 $19K
96375 Therapeutic injection; each additional sequential IV push 632 438 $14K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 256 184 $11K
96523 70 40 $11K
86902 898 701 $9K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 127 127 $6K
82728 4,033 3,530 $4K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 117 80 $3K
90837 Psychotherapy, 53 minutes with patient 146 78 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 65 65 $2K
83020 1,474 1,152 $2K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 242 187 $2K
36430 545 450 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 34 26 $994.48
85660 1,277 851 $739.27
83540 1,928 1,805 $642.44
86900 2,823 2,007 $593.34
86920 89 64 $557.12
86923 402 296 $370.23
90686 752 714 $279.61
88112 79 61 $123.41
90656 85 85 $34.10
36591 40 26 $30.05
90460 Immunization administration through 18 years of age via any route, first or only component 315 308 $20.16
86901 2,823 2,007 $0.00
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 246 240 $0.00
83735 900 550 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 74 69 $0.00
0001A 25 24 $0.00
81001 45 38 $0.00
96409 19 14 $0.00
85651 31 26 $0.00
85730 24 24 $0.00
82043 13 13 $0.00
84466 1,932 1,807 $0.00
85045 9,382 7,953 $0.00
J2405 Injection, ondansetron hydrochloride, per 1 mg 89 68 $0.00
84100 845 537 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 109 71 $0.00
86922 42 27 $0.00
J9370 Vincristine sulfate, 1 mg 15 12 $0.00
85384 13 13 $0.00
82570 14 14 $0.00