Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Prisma Health University Medical Group

Prisma Health University Medical Group was paid $59K by Medicaid between Oct 2021 and Mar 2022, across 15 billing codes. Its largest line is 71045, Radiologic examination, chest; single view — 19% of everything it billed.

33Billing provider infoPRISMA HEALTH UNIVERSITY MEDICAL GROUP
GREENVILLE, SC 29605
33aNPI1730850322assigned 09/23/2021
28Total paid$59K
24GClaims3,937
24DCodes billed15
24AFirst – last monthOct 2021 – Mar 2022
Compared with peers

Next to other Diagnostic Radiology Physician providers in South Carolina

Rank by total paid#26 of 117
Median peer was paid$482.86
This provider vs. median123×

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.

Entity ProliferationAuthorized official LAWRENCE, KRISTI controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20211,893$25K
20222,044$34K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
71045 Radiologic examination, chest; single view 19% 2,006 1,575 $11K
70450 Computed tomography, head or brain; without contrast material 19% 459 406 $11K
74177 Computed tomography, abdomen and pelvis; with contrast material 15% 152 144 $9K
77067 Screening mammography, bilateral, including computer-aided detection 14% 287 263 $8K
77063 Screening digital breast tomosynthesis, bilateral 8.4% 224 210 $5K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 7.7% 194 155 $5K
71046 Radiologic examination, chest; 2 views 4.9% 389 345 $3K
74176 Computed tomography, abdomen and pelvis; without contrast material 3.8% 41 38 $2K
76819 Fetal biophysical profile; without non-stress testing 3.2% 66 45 $2K
76700 Ultrasound, abdominal, real time with image documentation; complete 2.0% 46 44 $1K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 1.5% 13 12 $895.01
71275 Computed tomographic angiography, chest, with contrast material 1.3% 14 13 $788.02
3 more codes
73630 <1% 21 $117.16
74018 <1% 13 $79.56
73030 <1% 12 $58.82

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.

From NPPES

Who's on the registration

Authorized officialLAWRENCE, KRISTI (DIRECTOR PROVIDER ENROLLMENT)
Same official

Other billing entities under LAWRENCE, KRISTI

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.