Medicaid Provider Spending

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

PRISMA HEALTH-UPSTATE

NPI: 1922788728 · GREENVILLE, SC 29607 · General Acute Care Hospital · NPI assigned 07/18/2023

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

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

$148K
Total Medicaid Paid
3,415
Total Claims
3,268
Beneficiaries
13
Codes Billed
2023-09
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMILLER, POLLY (SVP FINANCE, ENTERPRISE CONTRACTING)
NPI Enumeration Date07/18/2023

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
2023 1,185 $35K
2024 2,230 $113K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
94760 973 917 $55K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,048 986 $38K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 185 185 $11K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 194 193 $11K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 548 523 $9K
87428 83 82 $9K
87081 96 96 $7K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 181 180 $4K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 22 22 $3K
87807 35 35 $972.12
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 22 22 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 15 14 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 13 13 $0.00