PRISMA HEALTH-UPSTATE
NPI: 1932654704
· GREENVILLE, SC 29605
· General Acute Care Hospital
· NPI assigned 08/22/2016
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official MILLER, POLLY controls 20+ related entities in our dataset. Read more
$516K
Total Medicaid Paid
Provider Details
| Authorized Official | MILLER, POLLY (VP PAYOR STRATEGIES & ALIGNMENT) |
| NPI Enumeration Date | 08/22/2016 |
Related Entities
Other providers sharing the same authorized official: MILLER, POLLY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,165 |
$134K |
| 2019 |
2,082 |
$116K |
| 2020 |
1,922 |
$105K |
| 2021 |
1,650 |
$69K |
| 2022 |
1,247 |
$53K |
| 2023 |
670 |
$33K |
| 2024 |
245 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,823 |
6,756 |
$343K |
| 81001 |
|
930 |
871 |
$83K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
512 |
449 |
$33K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
371 |
151 |
$28K |
| 73610 |
|
206 |
182 |
$17K |
| 20610 |
|
30 |
25 |
$6K |
| 73552 |
|
40 |
39 |
$3K |
| 73590 |
|
38 |
36 |
$1K |
| 99441 |
|
12 |
12 |
$1K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
19 |
18 |
$841.52 |