Medicaid Provider Spending

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

PRIME HEALTHCARE SERVICES-SUBURBAN HOSPITAL LLC

NPI: 1124495239 · EAST NORRITON, PA 19401 · General Acute Care Hospital · NPI assigned 08/24/2015

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

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

$4.49M
Total Medicaid Paid
38,457
Total Claims
34,678
Beneficiaries
53
Codes Billed
2019-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDOAN, CHRISTOPHER (MANAGING ASSOCIATE GENERAL COUNSEL)
NPI Enumeration Date08/24/2015

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 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 72 $1K
2020 3,466 $318K
2021 11,745 $1.37M
2022 6,610 $1.16M
2023 9,318 $1.06M
2024 7,246 $583K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 6,252 5,907 $1.50M
99284 Emergency department visit for the evaluation and management, high severity 4,792 4,574 $1.08M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 4,345 4,155 $872K
G0378 Hospital observation service, per hour 511 421 $699K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1,467 1,366 $179K
96361 Intravenous infusion, hydration; each additional hour 687 629 $50K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 325 296 $44K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 161 154 $18K
80053 Comprehensive metabolic panel 3,242 2,857 $8K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 48 43 $7K
77067 Screening mammography, bilateral, including computer-aided detection 76 76 $5K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 3,303 2,900 $4K
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 171 141 $4K
96375 Therapeutic injection; each additional sequential IV push 271 240 $4K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 296 269 $3K
70450 Computed tomography, head or brain; without contrast material 187 172 $3K
99281 Emergency department visit for the evaluation and management, self-limited or minor 15 15 $2K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 739 637 $2K
77063 Screening digital breast tomosynthesis, bilateral 76 76 $1K
82550 972 865 $1K
71045 Radiologic examination, chest; single view 647 589 $1K
84484 591 488 $979.73
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 449 408 $805.06
83690 584 545 $525.52
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 54 52 $454.22
84443 Thyroid stimulating hormone (TSH) 109 99 $428.23
36415 Collection of venous blood by venipuncture 2,553 2,259 $380.57
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 30 28 $315.00
85730 159 134 $218.03
80320 125 107 $211.68
85610 184 156 $178.19
73630 27 24 $165.39
J7030 Infusion, normal saline solution , 1000 cc 1,979 1,522 $160.71
84702 58 53 $150.90
81001 250 220 $149.71
87086 Culture, bacterial; quantitative colony count, urine 94 83 $129.04
81003 239 218 $112.25
81025 191 161 $100.48
85379 52 41 $53.00
J1885 Injection, ketorolac tromethamine, per 15 mg 742 655 $47.87
80048 Basic metabolic panel (calcium, ionized) 13 12 $37.44
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 28 26 $25.78
J2405 Injection, ondansetron hydrochloride, per 1 mg 600 523 $17.36
82962 76 40 $12.00
J3490 Unclassified drugs 505 322 $5.97
J2270 Injection, morphine sulfate, up to 10 mg 16 13 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 14 13 $0.00
84100 36 14 $0.00
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 15 12 $0.00
83735 36 14 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 33 27 $0.00
J1170 Injection, hydromorphone, up to 4 mg 17 14 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 15 13 $0.00