Medicaid Provider Spending

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

PRISMA HEALTH-UPSTATE

NPI: 1821544925 · SENECA, SC 29672 · General Acute Care Hospital · NPI assigned 08/29/2016

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

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

$876K
Total Medicaid Paid
22,525
Total Claims
14,662
Beneficiaries
15
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMILLER, POLLY (VP PAYOR STRATEGIES & ALIGNMENT)
NPI Enumeration Date08/29/2016

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
2018 2,255 $77K
2019 3,799 $179K
2020 3,036 $78K
2021 4,331 $131K
2022 4,056 $180K
2023 2,751 $121K
2024 2,297 $110K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
36415 Collection of venous blood by venipuncture 5,376 3,372 $785K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,289 3,647 $69K
80048 Basic metabolic panel (calcium, ionized) 3,238 1,924 $14K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 442 338 $3K
80053 Comprehensive metabolic panel 208 177 $2K
96375 Therapeutic injection; each additional sequential IV push 20 12 $1K
80076 2,316 1,567 $329.47
85025 Blood count; complete (CBC), automated, and automated differential WBC count 4,856 3,028 $180.82
83540 132 130 $0.00
84466 133 130 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 265 152 $0.00
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 80 47 $0.00
84443 Thyroid stimulating hormone (TSH) 133 111 $0.00
83735 18 12 $0.00
82728 19 15 $0.00