PRISMA HEALTH-UPSTATE
NPI: 1700239787
· GRAY COURT, SC 29645
· Rural Health Clinic/Center
· NPI assigned 07/14/2016
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official MILLER, POLLY controls 20+ related entities in our dataset. Read more
$513K
Total Medicaid Paid
Provider Details
| Authorized Official | MILLER, POLLY (VP PAYOR STRATEGIES & ALIGNMENT) |
| NPI Enumeration Date | 07/14/2016 |
Related Entities
Other providers sharing the same authorized official: MILLER, POLLY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
754 |
$59K |
| 2019 |
771 |
$52K |
| 2020 |
786 |
$65K |
| 2021 |
1,058 |
$83K |
| 2022 |
1,100 |
$91K |
| 2023 |
1,228 |
$94K |
| 2024 |
1,132 |
$68K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
6,302 |
5,453 |
$486K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
388 |
372 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
139 |
131 |
$11K |