Medicaid Provider Spending

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

PRISMA HEALTH MEDICAL GROUP-MIDLANDS

NPI: 1871080283 · SUMTER, SC 29150 · Hospitalist Physician · NPI assigned 04/20/2018

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

Authorized official LAWRENCE, KRISTI controls 20+ related entities in our dataset. Read more

$3.66M
Total Medicaid Paid
117,617
Total Claims
102,258
Beneficiaries
55
Codes Billed
2018-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLAWRENCE, KRISTI (DIRECTOR PROVIDER ENROLLMENT)
NPI Enumeration Date04/20/2018

Related Entities

Other providers sharing the same authorized official: LAWRENCE, KRISTI

ProviderCityStateTotal Paid
PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC $172.15M
PRISMA HEALTH MEDICAL GROUP-MIDLANDS COLUMBIA SC $77.82M
PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC $15.98M
PRISMA HEALTH - BLOUNT MEMORIAL HOSPITAL INC. MARYVILLE TN $14.75M
PRISMA HEALTH MEDICAL GROUP-MIDLANDS COLUMBIA SC $8.70M
PRISMA HEALTH UNIVERSITY MEDICAL GROUP EASLEY SC $4.70M
BLOUNT MEMORIAL PHYSICIAN GROUP, INC. ALCOA TN $4.21M
PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC $2.07M
PRISMA HEALTH UNIVERSITY MEDICAL GROUP COLUMBIA SC $581K
PRISMA HEALTH UNIVERSITY MEDICAL GROUP TAYLORS SC $412K
PRISMA HEALTH MEDICAL GROUP-MIDLANDS COLUMBIA SC $263K
PRISMA HEALTH - BLOUNT MEMORIAL HOSPITAL INC. MARYVILLE TN $233K
PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC $59K
PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC $21K
PRISMA HEALTH URGENT CARE OF SOUTH CAROLINA, PC GREENVILLE SC $19K
PRISMA HEALTH UNIVERSITY MEDICAL GROUP COLUMBIA SC $19K
PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC $17K
PRISMA HEALTH - BLOUNT MEMORIAL HOSPITAL INC. MARYVILLE TN $10K
PRISMA HEALTH UNIVERSITY MEDICAL GROUP EASLEY SC $4K
PRISMA HEALTH MEDICAL GROUP-MIDLANDS SUMTER SC $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,075 $33K
2019 19,476 $623K
2020 19,043 $614K
2021 18,705 $612K
2022 19,517 $621K
2023 23,027 $654K
2024 16,774 $506K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 34,677 30,929 $2.16M
99232 Subsequent hospital care, per day, moderate complexity 8,186 3,095 $304K
99223 Prolong inpt eval add15 m 1,312 1,230 $140K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,693 1,639 $104K
99238 Hospital discharge day management, 30 minutes or less 1,660 1,568 $101K
99460 1,124 1,066 $92K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,517 1,394 $90K
59025 Fetal non-stress test 2,401 1,785 $76K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,278 2,158 $68K
20610 2,983 2,527 $51K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 2,804 1,709 $46K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 377 372 $40K
85018 14,481 13,780 $36K
36415 Collection of venous blood by venipuncture 11,857 11,348 $34K
81003 13,293 12,071 $31K
81025 3,784 3,590 $28K
99239 Hospital discharge day management, more than 30 minutes 403 364 $22K
99233 Prolong inpt eval add15 m 436 171 $21K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 283 263 $20K
76830 Ultrasound, transvaginal 194 178 $19K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 142 138 $16K
99222 Initial hospital care, per day, moderate complexity 190 169 $15K
99462 404 363 $15K
H0002 Behavioral health screening to determine eligibility for admission to treatment program 154 131 $14K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 313 306 $14K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 13 12 $13K
62323 319 285 $10K
J1030 Injection, methylprednisolone acetate, 40 mg 2,646 2,404 $10K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 129 119 $9K
59514 12 12 $9K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 2,879 2,631 $8K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 741 720 $8K
90686 470 458 $7K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,484 1,443 $6K
59430 37 37 $6K
99078 125 98 $4K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 41 39 $4K
99221 54 54 $3K
90715 66 66 $3K
99219 30 28 $2K
J1050 Injection, medroxyprogesterone acetate, 1 mg 345 343 $2K
93922 442 403 $2K
76801 12 12 $1K
93925 139 119 $1K
93970 43 38 $780.88
J1010 Injection, methylprednisolone acetate, 1 mg 347 332 $780.28
99231 Subsequent hospital care, per day, straightforward or low complexity 22 12 $336.00
99441 25 25 $298.86
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 24 18 $214.03
11045 14 12 $149.66
93926 17 16 $129.96
93880 13 12 $125.19
3074F 120 109 $0.53
3078F 49 44 $0.23
36416 13 13 $0.00