Medicaid Provider Spending

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

PRISMA HEALTH-UPSTATE

NPI: 1902352008 · BOILING SPRINGS, SC 29316 · 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

$194K
Total Medicaid Paid
11,156
Total Claims
8,170
Beneficiaries
13
Codes Billed
2018-01
First Month
2023-06
Last Month

Provider Details

Authorized OfficialMILLER, POLLY (SVP FIN-ENTERPRISE PAYOR CONTRACTIN)
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 4,231 $77K
2019 4,983 $89K
2020 1,859 $25K
2021 47 $3K
2022 15 $480.88
2023 21 $487.07

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
36415 Collection of venous blood by venipuncture 1,983 1,349 $170K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,452 1,059 $12K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 526 396 $6K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 66 50 $4K
80048 Basic metabolic panel (calcium, ionized) 1,736 1,176 $3K
80076 1,527 1,125 $223.42
83540 408 366 $0.00
84466 408 366 $0.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,879 1,299 $0.00
83615 748 604 $0.00
82728 386 347 $0.00
80053 Comprehensive metabolic panel 22 21 $0.00
82378 15 12 $0.00