Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MI › Garden City › NPI 1043625940
Hospital

Prime Healthcare Services - Garden City LLC

Prime Healthcare Services - Garden City LLC was paid $31.29M by Medicaid between Jan 2018 and Dec 2024, across 264 billing codes. Its largest line is 99285, emergency room visit (most serious) — 28% of everything it billed.

33Billing provider infoPRIME HEALTHCARE SERVICES - GARDEN CITY LLC
GARDEN CITY, MI 48135
33aNPI1043625940assigned 06/30/2014
28Total paid$31.29M
24GClaims908,527
24DCodes billed264
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Michigan

Rank by total paid#38 of 86
Median peer was paid$21.55M
This provider vs. median1.5×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$200K$400K$600K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018126,479$4.13M
2019127,990$3.94M
2020114,514$3.65M
2021126,474$4.34M
2022148,091$5.27M
2023153,390$5.46M
2024incomplete111,589$4.50M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 28% 28,955 27,392 $8.69M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 21% 36,460 34,998 $6.67M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 21% 49,204 46,342 $6.64M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 5.7% 21,881 20,580 $1.77M
96361 Intravenous infusion, hydration; each additional hour 1.7% 15,966 14,887 $521K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1.4% 5,191 5,045 $435K
70450 Computed tomography, head or brain; without contrast material 1.4% 5,773 5,647 $427K
74177 Computed tomography, abdomen and pelvis; with contrast material 1.3% 3,257 3,183 $413K
71045 Radiologic examination, chest; single view 1.3% 12,321 11,740 $392K
G0378 Hospital observation service, per hour 1.2% 2,449 2,157 $370K
74176 Computed tomography, abdomen and pelvis; without contrast material 1.1% 3,931 3,859 $355K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1.1% 4,321 3,615 $347K
252 more codes
96375 Therapeutic injection; each additional sequential IV push 1.1% 13,924 $345K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 1.0% 4,996 $321K
71046 Radiologic examination, chest; 2 views <1% 10,044 $305K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 4,912 $288K
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% 6,604 $287K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 3,353 $271K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 543 $263K
80061 Lipid panel <1% 2,904 $244K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 6,387 $174K
76801 <1% 2,635 $133K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 2,094 $130K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 2,211 $102K
87428 <1% 5,141 $96K
76830 Ultrasound, transvaginal <1% 1,896 $94K
77067 Screening mammography, bilateral, including computer-aided detection <1% 1,609 $80K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 4,919 $73K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 1,257 $61K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 1,667 $54K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 555 $49K
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 <1% 3,420 $45K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 5,483 $44K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 7,330 $44K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 101 $38K
97161 <1% 516 $35K
93971 <1% 751 $35K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 5,474 $28K
86900 <1% 4,645 $27K
58558 <1% 18 $26K
93976 <1% 608 $26K
10060 <1% 319 $25K
71275 Computed tomographic angiography, chest, with contrast material <1% 395 $23K
84443 Thyroid stimulating hormone (TSH) <1% 6,458 $23K
0012A <1% 599 $22K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 1,480 $21K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 41,849 $21K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 2,546 $19K
59025 Fetal non-stress test <1% 221 $18K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 727 $17K
80053 Comprehensive metabolic panel <1% 16,214 $16K
72125 Computed tomography, cervical spine; without contrast material <1% 2,430 $16K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 3,598 $15K
0011A <1% 531 $15K
97014 <1% 1,992 $14K
82947 <1% 1,351 $14K
86769 <1% 804 $13K
97035 <1% 2,112 $12K
84702 <1% 5,456 $9K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 21,598 $9K
G0475 Hiv antigen/antibody, combination assay, screening <1% 1,062 $8K
73630 <1% 2,153 $8K
72131 <1% 242 $8K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 6,123 $8K
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 <1% 8,446 $8K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 252 $7K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 180 $7K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 1,698 $7K
70486 <1% 575 $7K
83036 Hemoglobin; glycosylated (A1C) <1% 2,123 $6K
36415 Collection of venous blood by venipuncture <1% 49,314 $6K
80048 Basic metabolic panel (calcium, ionized) <1% 26,186 $6K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 19,248 $6K
72100 <1% 898 $6K
84439 <1% 1,917 $5K
76642 <1% 143 $5K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 1,543 $4K
29505 <1% 62 $4K
74018 <1% 1,460 $4K
29515 <1% 64 $4K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring <1% 17 $4K
85027 <1% 4,846 $4K
87086 Culture, bacterial; quantitative colony count, urine <1% 14,202 $4K
73030 <1% 1,732 $4K
73610 <1% 1,907 $3K
83735 <1% 8,872 $3K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 243 $3K
73562 <1% 1,720 $3K
87070 <1% 1,583 $3K
87653 <1% 266 $3K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 37 $3K
73130 <1% 2,541 $3K
82607 <1% 360 $2K
93970 <1% 25 $2K
87340 <1% 533 $2K
85730 <1% 9,796 $2K
76770 <1% 38 $2K
80055 <1% 123 $2K
86850 <1% 3,304 $2K
80076 <1% 7,292 $2K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 25 $2K
86592 <1% 790 $2K
83880 <1% 1,474 $1K
87088 <1% 3,298 $1K
87186 <1% 2,912 $1K
84550 <1% 1,001 $1K
87081 <1% 3,604 $1K
86762 <1% 218 $1K
83690 <1% 12,766 $1K
83001 <1% 234 $1K
85610 <1% 10,469 $1K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 4,682 $1K
83540 <1% 408 $1K
83550 <1% 277 $1K
73110 <1% 708 $1K
86901 <1% 4,626 $1K
73120 <1% 406 $996.01
84460 <1% 654 $979.40
87077 <1% 2,685 $975.46
93975 <1% 12 $974.17
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 49 $973.54
81001 <1% 19,754 $956.25
84450 <1% 655 $955.52
83021 <1% 257 $936.99
76000 <1% 13 $935.12
74019 <1% 1,469 $928.24
70496 <1% 29 $928.04
82105 <1% 217 $873.10
83615 <1% 711 $832.71
82565 <1% 811 $769.10
0002A <1% 27 $698.99
82150 <1% 1,713 $688.79
72110 <1% 45 $666.31
72170 <1% 522 $661.99
84520 <1% 726 $600.70
82950 <1% 373 $597.59
82728 <1% 208 $591.71
73502 <1% 123 $530.25
86140 <1% 1,502 $509.06
12001 <1% 1,133 $503.75
82550 <1% 3,684 $500.28
0001A <1% 32 $494.45
85007 <1% 2,017 $452.56
86696 <1% 94 $451.92
84100 <1% 6,157 $438.05
87147 <1% 626 $435.62
94664 <1% 1,039 $411.58
81003 <1% 12,265 $404.67
97116 <1% 32 $401.31
86803 <1% 49 $359.88
73564 <1% 217 $357.84
77063 Screening digital breast tomosynthesis, bilateral <1% 27 $355.08
84484 <1% 12,802 $354.33
86703 <1% 85 $342.69
96367 <1% 48 $338.85
86787 <1% 114 $336.17
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen <1% 5,208 $306.34
86695 <1% 93 $303.58
73590 <1% 233 $274.89
85652 <1% 962 $264.89
81025 <1% 22,550 $253.16
85660 <1% 249 $252.11
70498 <1% 13 $242.26
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 6,049 $238.40
82677 <1% 54 $232.20
84153 <1% 25 $206.68
74022 <1% 746 $202.53
82140 <1% 39 $198.00
80051 <1% 196 $194.51
83605 <1% 6,470 $194.46
73560 <1% 27 $192.94
J7030 Infusion, normal saline solution , 1000 cc <1% 23,131 $188.70
73620 <1% 226 $179.13
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 6,002 $175.69
73090 <1% 475 $171.03
87040 <1% 2,803 $162.50
90715 <1% 2,295 $153.53
86336 <1% 54 $149.70
85379 <1% 2,020 $137.93
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) <1% 12 $131.65
82962 <1% 3,888 $131.01
96376 <1% 2,514 $115.63
86694 <1% 43 $106.17
88312 <1% 39 $93.10
83002 <1% 31 $92.80
84156 <1% 159 $88.10
82570 <1% 98 $79.38
87205 <1% 96 $77.38
71101 <1% 61 $59.64
J2360 Injection, orphenadrine citrate, up to 60 mg <1% 1,593 $57.86
J1815 Injection, insulin, per 5 units <1% 461 $55.86
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 7,773 $50.61
73070 <1% 156 $48.33
73100 <1% 13 $48.14
J7120 Ringers lactate infusion, up to 1000 cc <1% 3,103 $44.95
73080 <1% 28 $42.94
82043 <1% 12 $38.96
82977 <1% 13 $36.24
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 21,148 $33.91
73600 <1% 64 $31.62
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 4,303 $25.53
Q0245 Injection, bamlanivimab and etesevimab, 2100 mg <1% 17 $20.09
J1630 Injection, haloperidol, up to 5 mg <1% 1,897 $17.68
J2270 Injection, morphine sulfate, up to 10 mg <1% 5,269 $16.13
84145 <1% 469 $13.33
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 10,986 $10.75
J1170 Injection, hydromorphone, up to 4 mg <1% 1,634 $10.46
J3490 Unclassified drugs <1% 7,933 $10.05
87807 <1% 1,103 $10.00
J7060 5% dextrose/water (500 ml = 1 unit) <1% 2,461 $9.43
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 3,640 $7.63
94799 <1% 98 $6.56
82670 <1% 13 $5.08
J3010 Injection, fentanyl citrate, 0.1 mg <1% 1,648 $3.88
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen <1% 1,692 $3.75
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 5,253 $3.35
J0690 Injection, cefazolin sodium, 500 mg <1% 849 $1.27
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 42 $0.38
J1644 Injection, heparin sodium, per 1000 units <1% 2,366 $0.30
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 1,941 $0.25
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 3,834 $0.20
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 864 $0.02
J0500 Injection, dicyclomine hcl, up to 20 mg 0% 279 $0.00
J2704 Injection, propofol, 10 mg 0% 3,984 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 0% 3,238 $0.00
J3411 Injection, thiamine hcl, 100 mg 0% 59 $0.00
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 0% 1,960 $0.00
J2060 Injection, lorazepam, 2 mg 0% 1,986 $0.00
J8540 Dexamethasone, oral, 0.25 mg 0% 412 $0.00
J7050 Infusion, normal saline solution, 250 cc 0% 1,214 $0.00
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 0% 633 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 0% 62 $0.00
94760 0% 115 $0.00
12002 0% 130 $0.00
91301 0% 1,136 $0.00
73552 0% 13 $0.00
99156 0% 51 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 0% 73 $0.00
J3360 Injection, diazepam, up to 5 mg 0% 26 $0.00
C1769 Guide wire 0% 116 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 0% 13 $0.00
88304 0% 13 $0.00
J3480 Injection, potassium chloride, per 2 meq 0% 13 $0.00
S0020 Injection, bupivicaine hydrochloride, 30 ml 0% 14 $0.00
29125 0% 622 $0.00
C9113 Injection, pantoprazole sodium, per vial 0% 453 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 0% 705 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 0% 180 $0.00
12011 0% 139 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 16 $0.00
Q0177 Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 0% 232 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 0% 258 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 0% 38 $0.00
99157 0% 39 $0.00
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 0% 62 $0.00
82805 0% 40 $0.00
82009 0% 56 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 0% 29 $0.00
91300 0% 59 $0.00
76999 0% 46 $0.00
70360 0% 16 $0.00
76775 0% 28 $0.00
J7510 Prednisolone oral, per 5 mg 0% 31 $0.00
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 0% 15 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialBUTCHER, GINA (REGIONAL CFO)
Parent organizationPRIME HEALTHCARE HOLDINGS INC
Same official

Other billing entities under BUTCHER, GINA

Full network →
ProviderLocationPaid
VHS Sinai-Grace Hospital INCDetroit, MI$96.77M
VHS Sinai-Grace Hospital INCDetroit, MI$1.47M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.