Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MI › GARDEN CITY › PRIME HEALTHCARE SERVICES - GARDEN CITY LLC

PRIME HEALTHCARE SERVICES - GARDEN CITY LLC

NPI: 1043625940 · GARDEN CITY, MI 48135 · General Acute Care Hospital · NPI assigned 06/30/2014

$31.29M
Total Medicaid Paid
908,527
Total Claims
815,681
Beneficiaries
264
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBUTCHER, GINA (REGIONAL CFO)
Parent OrganizationPRIME HEALTHCARE HOLDINGS INC
NPI Enumeration Date06/30/2014

Related Entities

Other providers sharing the same authorized official: BUTCHER, GINA

ProviderCityStateTotal Paid
VHS SINAI-GRACE HOSPITAL INC DETROIT MI $96.77M
VHS SINAI-GRACE HOSPITAL INC DETROIT MI $1.47M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 126,479 $4.13M
2019 127,990 $3.94M
2020 114,514 $3.65M
2021 126,474 $4.34M
2022 148,091 $5.27M
2023 153,390 $5.46M
2024 111,589 $4.50M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 28,955 27,392 $8.69M
99284 Emergency department visit for the evaluation and management, high severity 36,460 34,998 $6.67M
99283 Emergency department visit for the evaluation and management, moderate severity 49,204 46,342 $6.64M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 21,881 20,580 $1.77M
96361 Intravenous infusion, hydration; each additional hour 15,966 14,887 $521K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 5,191 5,045 $435K
70450 Computed tomography, head or brain; without contrast material 5,773 5,647 $427K
74177 Computed tomography, abdomen and pelvis; with contrast material 3,257 3,183 $413K
71045 Radiologic examination, chest; single view 12,321 11,740 $392K
G0378 Hospital observation service, per hour 2,449 2,157 $370K
74176 Computed tomography, abdomen and pelvis; without contrast material 3,931 3,859 $355K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 4,321 3,615 $347K
96375 Therapeutic injection; each additional sequential IV push 13,924 12,829 $345K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 4,996 4,917 $321K
71046 Radiologic examination, chest; 2 views 10,044 9,778 $305K
99281 Emergency department visit for the evaluation and management, self-limited or minor 4,912 4,849 $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 6,604 6,389 $287K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3,353 3,312 $271K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 543 532 $263K
80061 Lipid panel 2,904 2,870 $244K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 6,387 1,486 $174K
76801 2,635 2,407 $133K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 2,094 1,555 $130K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 2,211 2,172 $102K
87428 5,141 4,989 $96K
76830 Ultrasound, transvaginal 1,896 1,864 $94K
77067 Screening mammography, bilateral, including computer-aided detection 1,609 1,608 $80K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 4,919 1,274 $73K
76705 Ultrasound, abdominal, real time with image documentation; limited 1,257 1,243 $61K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1,667 1,464 $54K
71260 Computed tomography, thorax, diagnostic; with contrast material 555 544 $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 3,420 3,302 $45K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 5,483 5,378 $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 7,330 7,056 $44K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 101 100 $38K
97161 516 513 $35K
93971 751 734 $35K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 5,474 5,368 $28K
86900 4,645 4,475 $27K
58558 18 17 $26K
93976 608 598 $26K
10060 319 311 $25K
71275 Computed tomographic angiography, chest, with contrast material 395 387 $23K
84443 Thyroid stimulating hormone (TSH) 6,458 6,300 $23K
0012A 599 599 $22K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,480 1,473 $21K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 41,849 37,030 $21K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,546 2,488 $19K
59025 Fetal non-stress test 221 143 $18K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 727 704 $17K
80053 Comprehensive metabolic panel 16,214 14,892 $16K
72125 Computed tomography, cervical spine; without contrast material 2,430 2,386 $16K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 3,598 3,540 $15K
0011A 531 531 $15K
97014 1,992 518 $14K
82947 1,351 1,160 $14K
86769 804 786 $13K
97035 2,112 630 $12K
84702 5,456 4,742 $9K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 21,598 17,004 $9K
G0475 Hiv antigen/antibody, combination assay, screening 1,062 1,051 $8K
73630 2,153 2,039 $8K
72131 242 240 $8K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 6,123 5,825 $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 8,446 7,322 $8K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 252 244 $7K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 180 179 $7K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1,698 1,669 $7K
70486 575 568 $7K
83036 Hemoglobin; glycosylated (A1C) 2,123 2,082 $6K
36415 Collection of venous blood by venipuncture 49,314 39,989 $6K
80048 Basic metabolic panel (calcium, ionized) 26,186 23,452 $6K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 19,248 17,542 $6K
72100 898 894 $6K
84439 1,917 1,882 $5K
76642 143 135 $5K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,543 1,428 $4K
29505 62 62 $4K
74018 1,460 1,427 $4K
29515 64 64 $4K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring 17 17 $4K
85027 4,846 4,366 $4K
87086 Culture, bacterial; quantitative colony count, urine 14,202 13,607 $4K
73030 1,732 1,617 $4K
73610 1,907 1,810 $3K
83735 8,872 7,506 $3K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 243 236 $3K
73562 1,720 1,597 $3K
87070 1,583 1,533 $3K
87653 266 265 $3K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 37 37 $3K
73130 2,541 2,391 $3K
82607 360 358 $2K
93970 25 25 $2K
87340 533 530 $2K
85730 9,796 9,284 $2K
76770 38 37 $2K
80055 123 123 $2K
86850 3,304 3,202 $2K
80076 7,292 6,937 $2K
76700 Ultrasound, abdominal, real time with image documentation; complete 25 25 $2K
86592 790 785 $2K
83880 1,474 1,415 $1K
87088 3,298 3,187 $1K
87186 2,912 2,816 $1K
84550 1,001 933 $1K
87081 3,604 3,548 $1K
86762 218 217 $1K
83690 12,766 12,043 $1K
83001 234 232 $1K
85610 10,469 9,942 $1K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 4,682 3,915 $1K
83540 408 388 $1K
83550 277 261 $1K
73110 708 669 $1K
86901 4,626 4,452 $1K
73120 406 384 $996.01
84460 654 605 $979.40
87077 2,685 2,600 $975.46
93975 12 12 $974.17
97530 Therapeutic activities, direct patient contact, each 15 minutes 49 24 $973.54
81001 19,754 18,788 $956.25
84450 655 605 $955.52
83021 257 257 $936.99
76000 13 13 $935.12
74019 1,469 1,440 $928.24
70496 29 27 $928.04
82105 217 216 $873.10
83615 711 640 $832.71
82565 811 744 $769.10
0002A 27 27 $698.99
82150 1,713 1,672 $688.79
72110 45 45 $666.31
72170 522 516 $661.99
84520 726 662 $600.70
82950 373 372 $597.59
82728 208 205 $591.71
73502 123 121 $530.25
86140 1,502 1,447 $509.06
12001 1,133 1,130 $503.75
82550 3,684 3,483 $500.28
0001A 32 32 $494.45
85007 2,017 1,909 $452.56
86696 94 92 $451.92
84100 6,157 5,044 $438.05
87147 626 581 $435.62
94664 1,039 976 $411.58
81003 12,265 11,789 $404.67
97116 32 12 $401.31
86803 49 49 $359.88
73564 217 205 $357.84
77063 Screening digital breast tomosynthesis, bilateral 27 27 $355.08
84484 12,802 9,460 $354.33
86703 85 85 $342.69
96367 48 43 $338.85
86787 114 114 $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 5,208 5,059 $306.34
86695 93 91 $303.58
73590 233 214 $274.89
85652 962 921 $264.89
81025 22,550 21,227 $253.16
85660 249 249 $252.11
70498 13 13 $242.26
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 6,049 5,640 $238.40
82677 54 54 $232.20
84153 25 25 $206.68
74022 746 730 $202.53
82140 39 38 $198.00
80051 196 179 $194.51
83605 6,470 5,747 $194.46
73560 27 24 $192.94
J7030 Infusion, normal saline solution , 1000 cc 23,131 20,838 $188.70
73620 226 215 $179.13
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 6,002 3,049 $175.69
73090 475 433 $171.03
87040 2,803 1,716 $162.50
90715 2,295 2,281 $153.53
86336 54 54 $149.70
85379 2,020 1,967 $137.93
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) 12 12 $131.65
82962 3,888 2,843 $131.01
96376 2,514 2,054 $115.63
86694 43 42 $106.17
88312 39 39 $93.10
83002 31 30 $92.80
84156 159 143 $88.10
82570 98 90 $79.38
87205 96 90 $77.38
71101 61 61 $59.64
J2360 Injection, orphenadrine citrate, up to 60 mg 1,593 1,556 $57.86
J1815 Injection, insulin, per 5 units 461 225 $55.86
J1100 Injection, dexamethasone sodium phosphate, 1 mg 7,773 7,024 $50.61
73070 156 146 $48.33
73100 13 13 $48.14
J7120 Ringers lactate infusion, up to 1000 cc 3,103 2,768 $44.95
73080 28 27 $42.94
82043 12 12 $38.96
82977 13 13 $36.24
J1885 Injection, ketorolac tromethamine, per 15 mg 21,148 19,319 $33.91
73600 64 60 $31.62
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4,303 4,240 $25.53
Q0245 Injection, bamlanivimab and etesevimab, 2100 mg 17 17 $20.09
J1630 Injection, haloperidol, up to 5 mg 1,897 1,386 $17.68
J2270 Injection, morphine sulfate, up to 10 mg 5,269 4,406 $16.13
84145 469 459 $13.33
J2405 Injection, ondansetron hydrochloride, per 1 mg 10,986 10,021 $10.75
J1170 Injection, hydromorphone, up to 4 mg 1,634 1,276 $10.46
J3490 Unclassified drugs 7,933 6,364 $10.05
87807 1,103 1,086 $10.00
J7060 5% dextrose/water (500 ml = 1 unit) 2,461 1,534 $9.43
J2765 Injection, metoclopramide hcl, up to 10 mg 3,640 3,446 $7.63
94799 98 77 $6.56
82670 13 13 $5.08
J3010 Injection, fentanyl citrate, 0.1 mg 1,648 1,590 $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 1,692 1,582 $3.75
J1200 Injection, diphenhydramine hcl, up to 50 mg 5,253 4,400 $3.35
J0690 Injection, cefazolin sodium, 500 mg 849 679 $1.27
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 42 40 $0.38
J1644 Injection, heparin sodium, per 1000 units 2,366 1,202 $0.30
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,941 1,812 $0.25
J0696 Injection, ceftriaxone sodium, per 250 mg 3,834 3,282 $0.20
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 864 783 $0.02
J0500 Injection, dicyclomine hcl, up to 20 mg 279 272 $0.00
J2704 Injection, propofol, 10 mg 3,984 2,968 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 3,238 2,917 $0.00
J3411 Injection, thiamine hcl, 100 mg 59 38 $0.00
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,960 1,809 $0.00
J2060 Injection, lorazepam, 2 mg 1,986 1,362 $0.00
J8540 Dexamethasone, oral, 0.25 mg 412 407 $0.00
J7050 Infusion, normal saline solution, 250 cc 1,214 830 $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 633 154 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 62 55 $0.00
94760 115 113 $0.00
12002 130 130 $0.00
91301 1,136 1,076 $0.00
73552 13 12 $0.00
99156 51 49 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 73 56 $0.00
J3360 Injection, diazepam, up to 5 mg 26 13 $0.00
C1769 Guide wire 116 109 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 13 13 $0.00
88304 13 12 $0.00
J3480 Injection, potassium chloride, per 2 meq 13 12 $0.00
S0020 Injection, bupivicaine hydrochloride, 30 ml 14 13 $0.00
29125 622 612 $0.00
C9113 Injection, pantoprazole sodium, per vial 453 279 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 705 666 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 180 164 $0.00
12011 139 139 $0.00
J1171 Injection, hydromorphone, 0.1 mg 16 13 $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 232 186 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 258 190 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 38 38 $0.00
99157 39 37 $0.00
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 62 61 $0.00
82805 40 38 $0.00
82009 56 52 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 29 28 $0.00
91300 59 52 $0.00
76999 46 46 $0.00
70360 16 16 $0.00
76775 28 28 $0.00
J7510 Prednisolone oral, per 5 mg 31 30 $0.00
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 15 15 $0.00