Medicaid Provider Spending

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

PRIME HEALTHCARE SERVICES - ST FRANCIS LLC

NPI: 1114547114 · LYNWOOD, CA 90262 · General Acute Care Hospital · NPI assigned 04/20/2020

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

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

$27.65M
Total Medicaid Paid
998,041
Total Claims
879,907
Beneficiaries
263
Codes Billed
2020-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDOAN, CHRISTOPHER (MANAGING ASSOCIATE GENERAL COUNSEL)
NPI Enumeration Date04/20/2020

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 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 FOUNDATION - COSHOCTON, LLC COSHOCTON OH $13.32M
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
2020 38,320 $1.05M
2021 189,358 $7.25M
2022 248,638 $8.23M
2023 281,512 $6.20M
2024 240,213 $4.93M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0450 Emergency room services 90,793 80,704 $4.10M
0121 571 543 $3.19M
0214 437 418 $2.11M
Z7502 27,310 26,871 $1.03M
74177 Computed tomography, abdomen and pelvis; with contrast material 5,313 5,162 $932K
0122 545 536 $885K
70450 Computed tomography, head or brain; without contrast material 8,490 8,237 $850K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 16,601 15,005 $749K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,090 1,985 $661K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 25,910 24,140 $583K
80053 Comprehensive metabolic panel 55,328 51,664 $569K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 24,959 22,136 $511K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 9,628 9,265 $504K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 64,652 59,788 $442K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 12,543 11,349 $375K
72125 Computed tomography, cervical spine; without contrast material 2,884 2,801 $332K
93976 1,804 1,737 $301K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 14,495 13,063 $287K
96361 Intravenous infusion, hydration; each additional hour 8,797 8,307 $269K
99284 Emergency department visit for the evaluation and management, high severity 2,059 1,942 $269K
99199 Unlisted special service, procedure or report 7,729 6,812 $262K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 5,805 5,459 $261K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 3,601 3,497 $250K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 4,527 4,365 $236K
0171 Inj, epinephrine (belcher) 555 545 $223K
74176 Computed tomography, abdomen and pelvis; without contrast material 2,372 2,313 $221K
99281 Emergency department visit for the evaluation and management, self-limited or minor 6,089 4,920 $218K
Z7610 18,114 15,188 $213K
71260 Computed tomography, thorax, diagnostic; with contrast material 1,400 1,348 $201K
0270 26,282 16,208 $200K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 3,043 2,926 $199K
71046 Radiologic examination, chest; 2 views 11,077 10,735 $195K
71045 Radiologic examination, chest; single view 15,346 14,650 $190K
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 4,102 3,513 $178K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 1,569 1,379 $166K
96375 Therapeutic injection; each additional sequential IV push 5,359 5,058 $161K
84484 18,673 16,552 $159K
0250 47,547 28,553 $156K
0300 4,663 4,009 $155K
76700 Ultrasound, abdominal, real time with image documentation; complete 2,350 2,307 $155K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 2,544 2,447 $142K
99283 Emergency department visit for the evaluation and management, moderate severity 2,024 1,916 $140K
Z9725 3,217 2,860 $138K
76801 3,240 2,700 $134K
71275 Computed tomographic angiography, chest, with contrast material 821 800 $129K
93971 1,286 1,239 $127K
81025 22,258 21,135 $124K
J1885 Injection, ketorolac tromethamine, per 15 mg 21,521 16,264 $121K
0761 4,503 4,213 $120K
76705 Ultrasound, abdominal, real time with image documentation; limited 2,220 2,171 $115K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 15,578 7,908 $114K
83690 17,364 16,379 $103K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 2,175 1,907 $97K
87086 Culture, bacterial; quantitative colony count, urine 15,120 14,488 $95K
83880 3,879 3,646 $92K
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 1,332 1,251 $88K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 3,074 2,961 $86K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 3,076 2,959 $86K
J7030 Infusion, normal saline solution , 1000 cc 11,739 10,877 $82K
81001 28,536 27,066 $80K
J1953 Injection, levetiracetam, 10 mg 649 596 $77K
76830 Ultrasound, transvaginal 1,349 1,301 $77K
90715 2,063 2,021 $67K
84702 6,501 5,674 $67K
99152 1,413 1,383 $59K
70486 542 530 $58K
80048 Basic metabolic panel (calcium, ionized) 6,934 6,608 $54K
76819 Fetal biophysical profile; without non-stress testing 1,426 1,025 $53K
76770 837 808 $53K
87040 6,081 3,372 $53K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1,078 1,023 $50K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 2,872 2,658 $49K
73030 2,319 2,209 $48K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 622 599 $47K
73610 2,007 1,960 $45K
73562 2,241 2,154 $43K
93970 272 263 $42K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 685 633 $42K
73130 1,869 1,805 $41K
J0696 Injection, ceftriaxone sodium, per 250 mg 3,516 3,351 $40K
73630 1,840 1,809 $39K
0360 1,076 895 $39K
83605 4,224 3,538 $37K
J2270 Injection, morphine sulfate, up to 10 mg 4,973 4,430 $36K
0510 1,057 1,046 $34K
0301 2,795 2,278 $30K
88305 Level IV - Surgical pathology, gross and microscopic examination 956 879 $30K
59025 Fetal non-stress test 1,618 1,221 $30K
J2250 Injection, midazolam hydrochloride, per 1 mg 2,535 2,296 $30K
87420 5,422 5,274 $30K
73564 1,106 1,089 $29K
0272 9,789 9,154 $28K
85730 5,781 5,497 $28K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,341 1,657 $26K
72131 241 239 $26K
73110 1,256 1,204 $26K
73502 1,026 1,003 $25K
87186 3,380 3,229 $24K
0682 461 451 $23K
0636 6,632 5,529 $23K
81003 10,659 10,249 $22K
77300 54 54 $22K
J2405 Injection, ondansetron hydrochloride, per 1 mg 4,540 4,154 $22K
72100 793 780 $21K
85610 6,308 5,991 $20K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 825 772 $20K
73590 1,052 1,013 $19K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 485 453 $19K
J3490 Unclassified drugs 7,072 4,599 $19K
76818 1,188 842 $19K
0001A 491 491 $19K
76870 426 408 $18K
77336 325 142 $18K
84443 Thyroid stimulating hormone (TSH) 1,382 1,342 $18K
86901 6,391 5,898 $17K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 27 27 $16K
86900 6,366 5,872 $15K
36415 Collection of venous blood by venipuncture 26,927 24,275 $15K
J3010 Injection, fentanyl citrate, 0.1 mg 2,736 2,586 $15K
85379 1,661 1,616 $13K
86850 3,067 2,939 $13K
0760 1,754 1,645 $13K
J0561 Injection, penicillin g benzathine, 100,000 units 44 38 $13K
76775 344 334 $12K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 185 184 $12K
73090 706 673 $12K
0002A 287 287 $11K
J2765 Injection, metoclopramide hcl, up to 10 mg 2,375 2,298 $11K
77290 60 53 $11K
73080 449 442 $10K
87088 1,825 1,760 $10K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 8,272 7,028 $10K
0160 257 232 $9K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 229 208 $9K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,127 1,108 $9K
J0690 Injection, cefazolin sodium, 500 mg 1,251 1,176 $9K
J2060 Injection, lorazepam, 2 mg 1,749 1,541 $9K
82962 3,647 2,506 $9K
99221 284 258 $8K
0710 936 909 $8K
J7060 5% dextrose/water (500 ml = 1 unit) 1,652 1,394 $8K
74018 541 523 $8K
0762 105 69 $7K
86141 828 811 $7K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,092 2,039 $7K
J7120 Ringers lactate infusion, up to 1000 cc 1,307 1,155 $7K
J2704 Injection, propofol, 10 mg 763 404 $7K
P9016 Red blood cells, leukocytes reduced, each unit 44 40 $7K
83735 1,330 1,243 $7K
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,390 1,286 $7K
77417 220 102 $6K
85027 1,119 1,052 $6K
J1815 Injection, insulin, per 5 units 697 573 $6K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 113 112 $5K
87210 1,525 1,481 $5K
87081 982 951 $5K
0305 2,137 1,998 $4K
73070 288 266 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 117 116 $4K
82550 760 710 $4K
0258 1,753 1,674 $4K
82947 1,006 810 $4K
73560 255 244 $4K
84439 626 611 $4K
0410 211 203 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 224 215 $4K
76820 249 214 $4K
0460 187 183 $4K
73552 226 218 $4K
J1170 Injection, hydromorphone, up to 4 mg 544 453 $4K
96376 269 245 $3K
A4649 Surgical supply; miscellaneous 3,145 1,641 $3K
Q0181 Unspecified oral dosage form, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for a iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 473 461 $3K
87077 548 526 $3K
73140 272 261 $3K
0170 45 44 $3K
73060 198 187 $3K
99153 Mod sedat endo service >5yrs 258 250 $3K
85018 1,495 1,425 $3K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 287 276 $3K
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 179 144 $3K
12001 190 186 $3K
0370 694 680 $3K
82140 265 260 $3K
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 201 190 $3K
86703 252 249 $3K
0271 5,840 5,524 $3K
85007 736 674 $2K
99070 970 540 $2K
J1630 Injection, haloperidol, up to 5 mg 411 370 $2K
J7050 Infusion, normal saline solution, 250 cc 287 281 $2K
77334 12 12 $2K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 28 12 $2K
86592 462 421 $2K
70498 12 12 $2K
80076 227 216 $2K
12011 56 55 $2K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 352 341 $2K
A4615 Cannula, nasal 447 438 $1K
82247 278 241 $1K
85384 173 152 $1K
J2919 Injection, methylprednisolone sodium succinate, 5 mg 30 26 $1K
84100 320 297 $1K
29125 248 240 $1K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 55 54 $1K
81002 464 447 $1K
84550 276 251 $1K
45380 Colonoscopy, flexible; with biopsy, single or multiple 26 26 $1K
85396 66 64 $1K
S0164 Injection, pantoprazole sodium, 40 mg 100 93 $974.15
77280 14 14 $967.94
J0360 Injection, hydralazine hcl, up to 20 mg 126 118 $798.47
72170 57 55 $753.37
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 214 205 $697.30
0306 1,871 1,696 $691.60
G0379 Direct admission of patient for hospital observation care 29 25 $630.64
0391 26 25 $612.18
82248 137 123 $572.46
84112 80 72 $519.61
0324 614 590 $513.23
86140 150 142 $507.91
J3475 Injection, magnesium sulfate, per 500 mg 40 38 $496.86
73600 27 26 $489.89
87070 55 53 $468.57
86923 17 12 $458.74
J0780 Injection, prochlorperazine, up to 10 mg 65 63 $378.64
82565 84 66 $344.46
20610 16 13 $268.36
76857 12 12 $262.30
71101 12 12 $245.23
36416 296 261 $213.60
29515 28 26 $196.79
S0020 Injection, bupivicaine hydrochloride, 30 ml 49 48 $190.56
87205 66 52 $164.57
29130 13 12 $148.40
0302 1,522 1,235 $132.89
12002 12 12 $122.52
84520 26 25 $102.64
0420 159 134 $83.54
83036 Hemoglobin; glycosylated (A1C) 15 14 $79.49
J1940 Injection, furosemide, up to 20 mg 17 12 $77.15
94799 19 17 $69.18
82010 13 12 $56.67
0470 573 563 $55.94
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 12 12 $54.01
0307 1,235 1,172 $50.96
0260 144 123 $42.37
A4657 Syringe, with or without needle, each 101 92 $10.98
0730 603 578 $0.00
0312 328 323 $0.00
0402 747 714 $0.00
0278 12 12 $0.00
0351 65 65 $0.00
0361 92 84 $0.00
0489 56 55 $0.00
0320 125 124 $0.00
0481 54 53 $0.00
91300 29 29 $0.00
0720 319 291 $0.00
0371 38 37 $0.00
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 138 64 $0.00
0352 277 270 $0.00
76377 14 13 $0.00