Medicaid Provider Spending

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

PRIME HEALTHCARE FOUNDATION - COSHOCTON, LLC

NPI: 1013468172 · COSHOCTON, OH 43812 · Internal Medicine Physician · NPI assigned 10/24/2016

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

Authorized official DOAN, CHRISTOPHER controls 20+ related entities in our dataset. Read more

$13.32M
Total Medicaid Paid
392,953
Total Claims
320,781
Beneficiaries
181
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDOAN, CHRISTOPHER (MANAGING ASSOCIATE GENERAL COUNSEL)
NPI Enumeration Date10/24/2016

Related Entities

Other providers sharing the same authorized official: DOAN, CHRISTOPHER

ProviderCityStateTotal Paid
DESERT VALLEY HOSPITAL, LLC VICTORVILLE CA $92.81M
PRIME HEALTHCARE SERVICES - ST MICHAELS LLC NEWARK NJ $67.67M
PRIME HEALTHCARE CENTINELA, LLC INGLEWOOD CA $50.16M
NORTH VISTA HOSPITAL LLC NORTH LAS VEGAS NV $31.56M
PRIME HEALTHCARE SERVICES - ST FRANCIS LLC LYNWOOD CA $27.65M
PRIME HEALTHCARE SERVICES LANDMARK LLC WOONSOCKET RI $26.18M
PRIME HEALTHCARE FOUNDATION - SOUTHERN REGIONAL, LLC RIVERDALE GA $25.96M
PRIME HEALTHCARE SERVICES - SHASTA LLC REDDING CA $22.75M
THE CITY HOSPITAL ASSOCIATION EAST LIVERPOOL OH $16.46M
PRIME HEALTHCARE SERVICES - RENO LLC RENO NV $15.09M
VERITAS HEALTH SERVICES, LLC CHINO CA $14.93M
PRIME HEALTHCARE PARADISE VALLEY LLC CHULA VISTA CA $13.85M
PRIME HEALTHCARE PARADISE VALLEY LLC NATIONAL CITY CA $12.56M
ALVARADO HOSPITAL, LLC SAN DIEGO CA $11.46M
PRIME HEALTHCARE SERVICES - MONTCLAIR, LLC MONTCLAIR CA $11.26M
PRIME HEALTHCARE SERVICES BLUE SPRINGS, LLC BLUE SPRINGS MO $10.51M
PRIME HEALTHCARE SERVICES LOWER BUCKS LLC BRISTOL PA $8.71M
PRIME HEALTHCARE SERVICES - GARDEN GROVE LLC GARDEN GROVE CA $6.67M
PRIME HEALTHCARE SERVICES-LEHIGH ACRES LLC LEHIGH ACRES FL $5.64M
PRIME HEALTHCARE SERVICES-SUBURBAN HOSPITAL LLC EAST NORRITON PA $4.49M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 50,271 $1.62M
2019 43,196 $1.49M
2020 32,057 $1.51M
2021 41,819 $1.72M
2022 47,483 $1.96M
2023 106,307 $2.95M
2024 71,820 $2.07M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 21,388 18,257 $1.71M
99283 Emergency department visit for the evaluation and management, moderate severity 19,113 17,639 $1.69M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 12,428 10,529 $1.45M
99284 Emergency department visit for the evaluation and management, high severity 15,209 13,811 $1.43M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 34,640 28,858 $1.41M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 29,292 25,805 $1.10M
96361 Intravenous infusion, hydration; each additional hour 4,576 3,595 $1.06M
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 4,813 4,306 $429K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,019 4,609 $374K
70450 Computed tomography, head or brain; without contrast material 1,238 1,028 $238K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2,974 764 $214K
74177 Computed tomography, abdomen and pelvis; with contrast material 917 712 $211K
74176 Computed tomography, abdomen and pelvis; without contrast material 960 819 $207K
80053 Comprehensive metabolic panel 16,713 13,976 $201K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 1,450 518 $120K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,251 835 $114K
36415 Collection of venous blood by venipuncture 11,879 9,711 $102K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 998 709 $97K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 11,687 5,296 $82K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,926 1,742 $60K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 412 302 $49K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 19,855 16,304 $47K
87070 2,412 2,229 $43K
80048 Basic metabolic panel (calcium, ionized) 2,402 1,828 $42K
97161 520 468 $40K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 963 904 $40K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 5,332 4,816 $38K
99281 Emergency department visit for the evaluation and management, self-limited or minor 346 312 $35K
99233 Prolong inpt eval add15 m 1,741 853 $29K
87400 1,886 908 $26K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 6,747 5,273 $26K
97530 Therapeutic activities, direct patient contact, each 15 minutes 365 149 $26K
87086 Culture, bacterial; quantitative colony count, urine 3,198 2,672 $25K
C8929 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography 125 92 $23K
99215 Prolong outpt/office vis 611 533 $21K
99223 Prolong inpt eval add15 m 584 526 $21K
84484 7,011 4,342 $21K
73630 533 485 $20K
71275 Computed tomographic angiography, chest, with contrast material 101 74 $19K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,300 1,056 $19K
71046 Radiologic examination, chest; 2 views 2,876 2,641 $18K
80061 Lipid panel 2,440 2,147 $18K
99406 598 485 $16K
83036 Hemoglobin; glycosylated (A1C) 2,100 1,841 $16K
87081 1,462 1,285 $16K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 4,290 2,757 $15K
99232 Subsequent hospital care, per day, moderate complexity 1,258 683 $14K
G0378 Hospital observation service, per hour 299 202 $14K
99282 Emergency department visit for the evaluation and management, low to moderate severity 157 147 $13K
C9113 Injection, pantoprazole sodium, per vial 130 74 $13K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2,613 2,220 $13K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 93 59 $12K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 255 201 $11K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 765 659 $11K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 4,880 4,020 $11K
73610 250 207 $10K
84443 Thyroid stimulating hormone (TSH) 937 824 $9K
99239 Hospital discharge day management, more than 30 minutes 419 391 $9K
71045 Radiologic examination, chest; single view 4,718 3,826 $9K
82607 477 417 $9K
96375 Therapeutic injection; each additional sequential IV push 3,812 2,916 $8K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 262 255 $6K
J7030 Infusion, normal saline solution , 1000 cc 8,596 5,726 $6K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 20 12 $6K
81001 5,644 4,981 $6K
81025 1,779 1,578 $6K
73130 188 151 $5K
77063 Screening digital breast tomosynthesis, bilateral 114 106 $5K
97113 114 31 $5K
99222 Initial hospital care, per day, moderate complexity 188 172 $5K
85610 3,829 3,120 $5K
83690 3,313 2,767 $4K
76705 Ultrasound, abdominal, real time with image documentation; limited 42 38 $4K
84439 332 295 $4K
73030 169 125 $4K
84702 824 660 $4K
73562 83 62 $3K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 53 38 $3K
87186 859 723 $3K
83605 1,684 1,183 $3K
83880 612 466 $3K
83735 1,116 833 $3K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 162 142 $3K
85379 949 747 $3K
87807 793 723 $3K
85730 2,784 2,297 $3K
93971 32 25 $3K
82728 184 146 $2K
90460 Immunization administration through 18 years of age via any route, first or only component 166 133 $2K
99457 200 199 $2K
83540 324 264 $2K
81003 2,657 2,301 $2K
85027 852 656 $2K
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 442 357 $2K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 162 142 $2K
81002 495 422 $2K
J2405 Injection, ondansetron hydrochloride, per 1 mg 3,278 2,336 $2K
73110 30 27 $1K
82553 182 147 $1K
99458 38 37 $1K
90686 97 84 $1K
80076 163 123 $1K
74018 48 37 $1K
86140 109 86 $1K
99441 166 155 $1K
77067 Screening mammography, bilateral, including computer-aided detection 114 106 $941.70
G0008 Administration of influenza virus vaccine 128 111 $922.13
94760 197 108 $848.30
96376 414 236 $785.24
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 64 50 $767.16
85652 269 223 $761.20
J1885 Injection, ketorolac tromethamine, per 15 mg 2,999 2,376 $749.58
99201 96 66 $685.90
72125 Computed tomography, cervical spine; without contrast material 127 99 $666.80
82550 554 424 $643.84
82948 642 375 $642.85
82746 48 40 $591.00
82150 380 339 $571.66
99238 Hospital discharge day management, 30 minutes or less 25 24 $520.14
83550 54 40 $434.98
86803 17 13 $421.86
82525 12 12 $275.51
73502 15 12 $257.12
J1170 Injection, hydromorphone, up to 4 mg 452 192 $215.59
J2270 Injection, morphine sulfate, up to 10 mg 797 524 $190.35
99454 70 70 $188.36
80320 49 43 $185.76
99442 13 13 $181.65
88142 15 13 $181.14
84630 12 12 $175.35
84703 67 56 $109.00
J0696 Injection, ceftriaxone sodium, per 250 mg 224 134 $105.22
84100 23 15 $79.52
99490 Ccm add 20min 25 25 $74.61
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 20 20 $66.88
J7120 Ringers lactate infusion, up to 1000 cc 424 228 $45.76
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,734 1,383 $29.88
J3010 Injection, fentanyl citrate, 0.1 mg 894 587 $23.42
J2360 Injection, orphenadrine citrate, up to 60 mg 63 62 $21.60
J1100 Injection, dexamethasone sodium phosphate, 1 mg 617 501 $18.56
36416 27 27 $11.43
J2765 Injection, metoclopramide hcl, up to 10 mg 202 130 $8.76
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 120 109 $4.28
J2250 Injection, midazolam hydrochloride, per 1 mg 484 319 $2.23
J1200 Injection, diphenhydramine hcl, up to 50 mg 166 118 $1.90
J0690 Injection, cefazolin sodium, 500 mg 212 131 $1.48
J2704 Injection, propofol, 10 mg 944 683 $1.17
3074F 4,372 3,889 $0.53
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 131 108 $0.36
3078F 3,432 3,051 $0.34
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 692 509 $0.18
3079F 712 635 $0.18
91300 16 15 $0.10
3080F 16 13 $0.07
3077F 32 30 $0.06
3044F 110 102 $0.03
3075F 64 61 $0.01
3008F 13,004 11,537 $0.01
1160F 15,424 13,691 $0.00
4004F 67 62 $0.00
3288F 984 938 $0.00
G9562 Patients who had a follow-up evaluation conducted at least every three months during opioid therapy 132 126 $0.00
G9577 Patients prescribed opiates for longer than six weeks 133 127 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 333 316 $0.00
G9584 Patient evaluated for risk of misuse of opiates by using a brief validated instrument (e.g., opioid risk tool, soapp-r) or patient interviewed at least once during opioid therapy 129 124 $0.00
G9578 Documentation of signed opioid treatment agreement at least once during opioid therapy 133 127 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 52 37 $0.00
G9561 Patients prescribed opiates for longer than six weeks 132 126 $0.00
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 251 236 $0.00
J1171 Injection, hydromorphone, 0.1 mg 36 18 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 21 15 $0.00
90461 14 14 $0.00
01992 25 17 $0.00
1126F 2,930 2,633 $0.00
J2060 Injection, lorazepam, 2 mg 51 40 $0.00
1125F 1,346 1,149 $0.00
G9583 Patients prescribed opiates for longer than six weeks 130 124 $0.00
A9270 Non-covered item or service 202 173 $0.00
1036F 100 95 $0.00
J1030 Injection, methylprednisolone acetate, 40 mg 16 15 $0.00
J7050 Infusion, normal saline solution, 250 cc 44 24 $0.00