PRISMA HEALTH-UPSTATE
NPI: 1790264497
· GREENVILLE, SC 29611
· Radiology Clinic/Center
· NPI assigned 08/13/2018
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official MILLER, POLLY controls 20+ related entities in our dataset. Read more
Provider Details
| Authorized Official | MILLER, POLLY (SVP FINANCE, ENTERPRISE CONTRACTING) |
| NPI Enumeration Date | 08/13/2018 |
Related Entities
Other providers sharing the same authorized official: MILLER, POLLY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
65 |
$0.00 |
| 2021 |
27 |
$0.00 |
| 2022 |
180 |
$8K |
| 2023 |
237 |
$26.60 |
| 2024 |
75 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
13 |
13 |
$8K |
| 95811 |
|
13 |
13 |
$3K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
206 |
202 |
$90.60 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
340 |
323 |
$0.00 |
| 93976 |
|
12 |
12 |
$0.00 |