Prisma Health University Medical Group
Prisma Health University Medical Group was paid $581K by Medicaid between Oct 2020 and Nov 2024, across 32 billing codes. Its largest line is 74177, Computed tomography, abdomen and pelvis; with contrast material — 37% of everything it billed.
COLUMBIA, SC 29201
Next to other Diagnostic Radiology Physician providers in South Carolina
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 13,169 | $177K | |
| 2021 | 14,461 | $189K | |
| 2022 | 6,576 | $92K | |
| 2023 | 6,027 | $82K | |
| 2024incomplete | 3,950 | $41K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 37% | 4,109 | 3,777 | $213K |
| 71045 | Radiologic examination, chest; single view | 23% | 26,675 | 22,262 | $136K |
| 70450 | Computed tomography, head or brain; without contrast material | 15% | 3,705 | 3,209 | $84K |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | 4.3% | 836 | 752 | $25K |
| 71046 | Radiologic examination, chest; 2 views | 4.2% | 3,534 | 3,358 | $24K |
| 74018 | 3.1% | 3,074 | 2,233 | $18K | |
| 71275 | Computed tomographic angiography, chest, with contrast material | 2.2% | 257 | 233 | $13K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | 2.2% | 243 | 212 | $13K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 2.1% | 453 | 424 | $12K |
| 70551 | Magnetic resonance imaging, brain; without contrast material | 2.1% | 238 | 206 | $12K |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | 1.6% | 126 | 119 | $9K |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | <1% | 96 | 89 | $4K |
20 more codes
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 194 | $4K |
| 76506 | <1% | 140 | $3K | |
| 76770 | <1% | 128 | $3K | |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 43 | $1K |
| 76885 | <1% | 31 | $904.65 | |
| 93976 | <1% | 37 | $903.34 | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 31 | $645.18 |
| 76642 | <1% | 28 | $591.09 | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 17 | $442.97 |
| 74230 | <1% | 29 | $434.16 | |
| 71250 | <1% | 12 | $415.65 | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 14 | $354.88 |
| 77065 | Tomosynthesis, mammo | <1% | 13 | $287.17 |
| 77072 | <1% | 27 | $200.97 | |
| 73630 | <1% | 30 | $139.91 | |
| 73130 | <1% | 14 | $96.10 | |
| 73030 | <1% | 12 | $74.24 | |
| 76376 | <1% | 12 | $68.82 | |
| 73560 | <1% | 13 | $60.68 | |
| 99152 | <1% | 12 | $37.44 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.