Medicaid Provider Spending

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

PRISMA HEALTH-UPSTATE

NPI: 1942756051 · GREENVILLE, SC 29605 · 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

$206K
Total Medicaid Paid
4,540
Total Claims
4,192
Beneficiaries
23
Codes Billed
2018-03
First Month
2024-12
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 143 $9K
2019 103 $9K
2020 71 $6K
2021 171 $13K
2022 188 $12K
2023 221 $13K
2024 3,643 $144K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,288 1,209 $71K
36415 Collection of venous blood by venipuncture 620 552 $62K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 752 656 $27K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 249 238 $22K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 83 78 $13K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 142 119 $10K
83036 Hemoglobin; glycosylated (A1C) 211 201 $954.82
83540 12 12 $0.00
84466 12 12 $0.00
80061 Lipid panel 104 98 $0.00
82570 24 24 $0.00
90662 35 35 $0.00
80048 Basic metabolic panel (calcium, ionized) 187 166 $0.00
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 76 72 $0.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 156 149 $0.00
G0008 Administration of influenza virus vaccine 62 62 $0.00
84443 Thyroid stimulating hormone (TSH) 105 101 $0.00
83735 14 12 $0.00
80053 Comprehensive metabolic panel 160 155 $0.00
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 68 62 $0.00
90656 79 79 $0.00
90673 16 16 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 85 84 $0.00