Medicaid Provider Spending

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

PRISMA HEALTH-UPSTATE

NPI: 1720747496 · GREENVILLE, SC 29605 · General Acute Care Hospital · NPI assigned 12/10/2021

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

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

$10K
Total Medicaid Paid
1,569
Total Claims
1,048
Beneficiaries
16
Codes Billed
2023-11
First Month
2024-05
Last Month

Provider Details

Authorized OfficialMILLER, POLLY (SVP FINANCE, ENTERPRISE CONTRACTING)
NPI Enumeration Date12/10/2021

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
2023 223 $2K
2024 1,346 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
36415 Collection of venous blood by venipuncture 207 137 $10K
80053 Comprehensive metabolic panel 16 12 $471.32
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 76 58 $199.27
82043 90 62 $0.00
80197 157 102 $0.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 101 69 $0.00
83735 185 124 $0.00
87086 Culture, bacterial; quantitative colony count, urine 18 14 $0.00
80048 Basic metabolic panel (calcium, ionized) 139 90 $0.00
85027 18 13 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 14 12 $0.00
81001 124 82 $0.00
84100 184 123 $0.00
82570 111 76 $0.00
87799 114 61 $0.00
87497 15 13 $0.00