Dr. Prisma Health-Upstate
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Medicare Patients
7K
Total Services
156K
Medicare Payment
$4.5M
E&M Visits
0
Top Billing Codes
| Code | Services | Payment | Avg/Service |
|---|---|---|---|
| A0427 | 3,135 | $1.2M | $375.46 |
| A0428 | 5,882 | $1.2M | $197.83 |
| A0425 | 144,161 | $1.1M | $7.74 |
| A0429 | 2,470 | $782K | $316.57 |
| A0426 | 550 | $130K | $236.54 |
| A0433 | 151 | $83K | $547.85 |
| A0434 | 118 | $76K | $641.62 |
Care Management Programs
Medicare care management program participation based on CMS billing data. Active programs represent significant revenue and better patient outcomes.
Chronic Care Management (99490)
Services
0
Payment
$0
Remote Patient Monitoring (99454/99457)
Services
0
Payment
$0
Behavioral Health Integration (99484)
Services
0
Payment
$0
Annual Wellness Visit (G0438/G0439)
Services
0
Payment
$0
Unlock Patient Eligibility Lists
We identified potential CCM, RPM, and AWV candidates from Dr. Prisma Health-Upstate's Medicare patient panel. Upgrade to see the full eligibility breakdown and personalized action plan.
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See Dr. Prisma Health-Upstate's Full Revenue Analysis
Enter any NPI number to instantly see missed revenue from E&M coding gaps, CCM, RPM, BHI, and AWV programs.
Run Free ScanData sourced from CMS Medicare Physician & Other Practitioners public dataset. All information shown is publicly available government data. This page does not contain any protected health information (PHI).