Medicaid Provider Spending

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

NPI: 1982150009 · GREER, SC 29650 · 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

$10.91M
Total Medicaid Paid
492,575
Total Claims
435,607
Beneficiaries
205
Codes Billed
2018-01
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 67,125 $1.44M
2019 71,649 $1.45M
2020 68,688 $1.51M
2021 79,706 $1.71M
2022 76,560 $1.85M
2023 70,412 $1.69M
2024 58,435 $1.24M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
80053 Comprehensive metabolic panel 21,220 18,490 $1.29M
36415 Collection of venous blood by venipuncture 19,488 16,540 $1.19M
99283 Emergency department visit for the evaluation and management, moderate severity 25,536 24,274 $897K
99282 Emergency department visit for the evaluation and management, low to moderate severity 6,731 6,578 $683K
80048 Basic metabolic panel (calcium, ionized) 11,212 9,652 $595K
81025 10,574 9,959 $429K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 5,488 5,299 $401K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 3,662 3,496 $330K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 4,613 3,587 $325K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 7,895 5,098 $315K
87081 3,165 3,097 $312K
96361 Intravenous infusion, hydration; each additional hour 9,990 8,161 $309K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 9,953 8,919 $241K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,553 1,522 $195K
81001 14,572 13,524 $188K
99284 Emergency department visit for the evaluation and management, high severity 15,072 14,222 $181K
76830 Ultrasound, transvaginal 1,734 1,633 $149K
86850 1,845 1,728 $139K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,782 2,698 $132K
86900 2,474 2,295 $129K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 3,075 2,863 $109K
71260 Computed tomography, thorax, diagnostic; with contrast material 585 568 $108K
82565 496 423 $107K
74177 Computed tomography, abdomen and pelvis; with contrast material 4,477 4,251 $101K
71046 Radiologic examination, chest; 2 views 6,231 5,975 $97K
70450 Computed tomography, head or brain; without contrast material 3,580 3,387 $88K
73610 1,563 1,502 $87K
73630 1,747 1,683 $83K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 16,271 14,890 $82K
87086 Culture, bacterial; quantitative colony count, urine 5,691 5,392 $81K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 95 94 $77K
81003 4,228 4,014 $70K
73130 869 831 $69K
88305 Level IV - Surgical pathology, gross and microscopic examination 2,337 2,244 $67K
74018 1,537 1,456 $59K
87077 2,417 2,320 $57K
76705 Ultrasound, abdominal, real time with image documentation; limited 1,908 1,818 $55K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,417 1,367 $51K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 801 760 $50K
84702 2,584 2,259 $50K
73110 673 650 $46K
71045 Radiologic examination, chest; single view 7,171 6,574 $46K
73564 1,504 1,406 $43K
87210 1,398 1,324 $41K
99281 Emergency department visit for the evaluation and management, self-limited or minor 700 637 $39K
93971 216 211 $35K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2,575 2,350 $35K
73030 759 731 $33K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,078 1,060 $32K
71250 137 137 $31K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1,849 1,742 $31K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 12,502 10,596 $30K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 32,502 27,714 $30K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 2,068 1,984 $24K
77067 Screening mammography, bilateral, including computer-aided detection 735 728 $24K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 568 543 $23K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 1,403 1,302 $21K
J7120 Ringers lactate infusion, up to 1000 cc 7,636 6,626 $20K
71275 Computed tomographic angiography, chest, with contrast material 1,040 982 $19K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1,702 973 $19K
G0378 Hospital observation service, per hour 2,901 2,396 $18K
72110 568 555 $17K
96375 Therapeutic injection; each additional sequential IV push 7,552 6,161 $16K
76700 Ultrasound, abdominal, real time with image documentation; complete 179 173 $16K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,299 2,247 $14K
96376 2,930 1,997 $13K
76770 197 194 $12K
84484 7,126 5,933 $10K
70496 75 73 $10K
93017 222 215 $10K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 2,536 2,186 $9K
73140 69 69 $7K
80076 1,986 1,830 $7K
0202U Oncology (prostate), multianalyte, gene expression profiling 90 86 $7K
12001 88 87 $7K
72125 Computed tomography, cervical spine; without contrast material 763 724 $7K
85027 3,034 2,679 $7K
76775 193 187 $6K
86140 2,735 2,397 $6K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 194 138 $6K
73080 89 87 $5K
70551 Magnetic resonance imaging, brain; without contrast material 12 12 $5K
J3490 Unclassified drugs 5,593 3,105 $4K
73090 53 51 $4K
87070 13 12 $4K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 166 149 $4K
87807 288 282 $4K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 29 27 $4K
J7030 Infusion, normal saline solution , 1000 cc 9,101 7,855 $4K
J2550 Injection, promethazine hcl, up to 50 mg 1,569 1,128 $3K
82247 670 416 $3K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 13 13 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,971 2,817 $3K
J1650 Injection, enoxaparin sodium, 10 mg 1,618 670 $3K
76536 39 39 $3K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 7,467 6,980 $3K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,282 1,242 $3K
J2405 Injection, ondansetron hydrochloride, per 1 mg 8,619 7,105 $2K
73590 30 29 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 117 110 $2K
J1644 Injection, heparin sodium, per 1000 units 1,031 506 $2K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 212 207 $2K
84443 Thyroid stimulating hormone (TSH) 3,583 3,414 $2K
85379 2,014 1,931 $2K
93976 1,191 1,138 $2K
84145 911 792 $1K
86308 29 29 $1K
12011 14 14 $1K
45380 Colonoscopy, flexible; with biopsy, single or multiple 234 229 $1K
J2270 Injection, morphine sulfate, up to 10 mg 2,744 2,229 $1K
J2003 Injection, lidocaine hydrochloride, 1 mg 75 72 $1K
97597 19 12 $1K
80061 Lipid panel 3,037 2,976 $993.96
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 3,597 3,537 $829.79
85007 1,404 1,243 $789.09
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 21 16 $782.71
87400 21 21 $771.37
83690 7,702 6,996 $745.03
72040 28 27 $744.69
J1100 Injection, dexamethasone sodium phosphate, 1 mg 4,198 3,954 $714.70
82803 649 595 $696.74
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 618 567 $690.31
J1596 Injection, glycopyrrolate, 0.1 mg 161 156 $681.08
J2765 Injection, metoclopramide hcl, up to 10 mg 937 850 $678.75
74022 65 64 $629.33
83735 4,973 3,721 $505.29
83605 2,822 2,449 $446.75
82077 826 773 $422.30
87040 1,505 1,333 $413.02
J0696 Injection, ceftriaxone sodium, per 250 mg 2,601 2,208 $398.79
93308 94 90 $392.28
84439 578 545 $386.39
80143 117 112 $378.44
85610 3,095 2,757 $365.80
J1885 Injection, ketorolac tromethamine, per 15 mg 6,626 5,994 $363.13
82728 557 532 $358.60
J0330 Injection, succinylcholine chloride, up to 20 mg 774 743 $356.51
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 3,959 3,100 $337.56
83880 2,325 2,125 $271.58
83655 614 600 $209.42
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 45 13 $197.05
83036 Hemoglobin; glycosylated (A1C) 2,141 2,054 $167.08
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 2,024 1,939 $158.70
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 58 53 $121.87
85730 1,623 1,502 $42.50
J0690 Injection, cefazolin sodium, 500 mg 1,917 1,702 $40.72
86901 2,474 2,295 $39.58
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 441 429 $31.58
87186 1,800 1,722 $26.67
J3475 Injection, magnesium sulfate, per 500 mg 852 711 $21.63
J1170 Injection, hydromorphone, up to 4 mg 3,449 2,545 $14.87
84466 309 295 $11.64
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,856 1,487 $8.12
84100 1,530 1,070 $6.33
83540 416 398 $5.90
A9585 Injection, gadobutrol, 0.1 ml 376 353 $1.95
J2250 Injection, midazolam hydrochloride, per 1 mg 2,108 1,982 $1.76
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 72 66 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 649 631 $0.00
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 877 765 $0.00
82248 51 39 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 134 127 $0.00
J3370 Injection, vancomycin hcl, 500 mg 20 12 $0.00
Q9957 Injection, perflutren lipid microspheres, per ml 12 12 $0.00
80179 65 63 $0.00
90715 166 163 $0.00
84460 26 25 $0.00
59025 Fetal non-stress test 15 13 $0.00
85014 31 28 $0.00
96367 67 53 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 45 41 $0.00
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 117 110 $0.00
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 14 14 $0.00
88312 12 12 $0.00
84450 25 24 $0.00
97530 Therapeutic activities, direct patient contact, each 15 minutes 96 53 $0.00
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 28 27 $0.00
J1171 Injection, hydromorphone, 0.1 mg 69 52 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 15 15 $0.00
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 16 15 $0.00
J0688 Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg 18 18 $0.00
82550 240 212 $0.00
85651 788 696 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 836 681 $0.00
97162 180 172 $0.00
J1815 Injection, insulin, per 5 units 898 421 $0.00
88304 79 78 $0.00
85652 864 820 $0.00
87486 29 28 $0.00
70498 79 77 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 816 735 $0.00
J2060 Injection, lorazepam, 2 mg 133 109 $0.00
82607 115 110 $0.00
85018 62 55 $0.00
J2360 Injection, orphenadrine citrate, up to 60 mg 14 12 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 13 12 $0.00
J1790 Injection, droperidol, up to 5 mg 12 12 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 90 79 $0.00
J2785 Injection, regadenoson, 0.1 mg 29 27 $0.00
J1940 Injection, furosemide, up to 20 mg 23 13 $0.00
87581 29 28 $0.00
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 27 13 $0.00
J8540 Dexamethasone, oral, 0.25 mg 12 12 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 14 13 $0.00
87205 13 12 $0.00