Medicaid Provider Spending

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

PRIME HEALTHCARE FOUNDATION - SOUTHERN REGIONAL, LLC

NPI: 1154795581 · RIVERDALE, GA 30274 · Cardiovascular Disease Physician · NPI assigned 11/23/2015

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

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

$25.96M
Total Medicaid Paid
703,790
Total Claims
558,465
Beneficiaries
248
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDOAN, CHRISTOPHER (MANAGING ASSOCIATE GENERAL COUNSEL)
NPI Enumeration Date11/23/2015

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 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
2018 119,408 $4.13M
2019 136,372 $5.08M
2020 112,969 $3.33M
2021 100,181 $3.26M
2022 92,381 $3.51M
2023 91,877 $4.41M
2024 50,602 $2.23M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 25,634 22,426 $5.30M
99283 Emergency department visit for the evaluation and management, moderate severity 28,597 25,466 $3.59M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 11,601 10,076 $3.34M
74177 Computed tomography, abdomen and pelvis; with contrast material 3,250 2,865 $1000K
99282 Emergency department visit for the evaluation and management, low to moderate severity 12,689 11,553 $985K
70450 Computed tomography, head or brain; without contrast material 5,984 5,273 $951K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 12,229 10,387 $752K
74176 Computed tomography, abdomen and pelvis; without contrast material 2,150 1,925 $659K
59025 Fetal non-stress test 6,918 5,597 $547K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 16,403 12,899 $426K
G0378 Hospital observation service, per hour 3,570 2,447 $412K
96361 Intravenous infusion, hydration; each additional hour 9,421 7,405 $408K
96375 Therapeutic injection; each additional sequential IV push 11,028 8,934 $390K
71046 Radiologic examination, chest; 2 views 9,428 8,476 $374K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 8,692 7,270 $350K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 12,929 9,468 $344K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 5,098 4,462 $322K
71045 Radiologic examination, chest; single view 8,970 7,475 $262K
99281 Emergency department visit for the evaluation and management, self-limited or minor 4,105 3,719 $233K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1,072 935 $228K
72125 Computed tomography, cervical spine; without contrast material 1,137 1,026 $227K
76801 3,124 2,713 $225K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 43,274 34,339 $223K
71275 Computed tomographic angiography, chest, with contrast material 962 869 $217K
76819 Fetal biophysical profile; without non-stress testing 2,324 1,885 $210K
80053 Comprehensive metabolic panel 28,040 23,394 $205K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 3,424 3,063 $202K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 2,519 2,192 $190K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 2,353 2,029 $171K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 3,696 2,839 $169K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 2,317 979 $166K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 3,785 986 $151K
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 2,459 2,005 $121K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1,963 1,383 $116K
80048 Basic metabolic panel (calcium, ionized) 19,967 14,951 $109K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,814 1,560 $99K
84484 12,984 8,374 $99K
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 1,493 1,297 $84K
96376 3,891 2,482 $81K
73030 1,194 1,026 $78K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 722 646 $72K
83880 3,150 2,744 $72K
81001 31,281 26,980 $69K
73562 1,264 1,106 $64K
72100 1,221 1,116 $64K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 4,261 3,674 $60K
80320 5,313 4,392 $56K
73610 758 680 $55K
83690 8,891 7,755 $43K
84702 7,020 6,010 $42K
80329 2,640 1,265 $41K
81025 8,332 7,632 $41K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 111 104 $40K
84443 Thyroid stimulating hormone (TSH) 3,375 3,008 $40K
77067 Screening mammography, bilateral, including computer-aided detection 383 359 $40K
84703 7,284 6,545 $37K
86901 5,329 4,599 $37K
73630 827 737 $35K
87086 Culture, bacterial; quantitative colony count, urine 6,059 5,430 $34K
86850 3,627 3,129 $33K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 478 436 $33K
85027 6,863 5,661 $30K
73130 442 390 $29K
36415 Collection of venous blood by venipuncture 57,819 42,242 $25K
93971 264 236 $22K
87400 2,109 1,222 $20K
J3490 Unclassified drugs 4,687 3,014 $20K
85730 5,674 4,876 $20K
85610 8,121 6,354 $19K
82962 12,088 5,081 $19K
83735 4,696 3,553 $19K
43235 63 55 $19K
76830 Ultrasound, transvaginal 256 232 $18K
97162 221 174 $18K
76705 Ultrasound, abdominal, real time with image documentation; limited 231 203 $18K
82140 2,268 1,548 $17K
J7030 Infusion, normal saline solution , 1000 cc 11,979 9,494 $17K
72040 452 416 $17K
88342 290 270 $16K
84112 280 264 $16K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 212 192 $16K
95811 24 24 $16K
87116 1,886 1,695 $16K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 475 412 $16K
90715 823 719 $16K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,211 1,099 $15K
80074 432 374 $15K
80061 Lipid panel 1,935 1,737 $15K
85379 2,121 1,863 $14K
J7120 Ringers lactate infusion, up to 1000 cc 6,549 4,988 $14K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 293 270 $13K
86900 5,327 4,599 $13K
87040 2,364 1,289 $12K
74018 432 367 $12K
70486 50 42 $12K
82805 551 417 $12K
87430 1,495 1,379 $11K
74022 202 191 $11K
J2270 Injection, morphine sulfate, up to 10 mg 6,399 4,456 $11K
83036 Hemoglobin; glycosylated (A1C) 1,448 1,300 $10K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 614 563 $10K
APT15 841 686 $9K
82550 3,827 3,154 $8K
82553 1,086 882 $7K
80076 1,921 1,702 $7K
J1170 Injection, hydromorphone, up to 4 mg 5,445 3,036 $6K
10060 71 60 $6K
73502 166 151 $6K
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation 54 53 $6K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 429 370 $6K
J3486 Injection, ziprasidone mesylate, 10 mg 576 253 $5K
76937 104 82 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 534 254 $5K
J1885 Injection, ketorolac tromethamine, per 15 mg 7,599 5,811 $5K
93975 30 26 $5K
87186 816 715 $5K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,596 1,270 $5K
12001 76 68 $5K
J0696 Injection, ceftriaxone sodium, per 250 mg 4,265 3,441 $4K
11045 75 36 $4K
82565 1,216 1,038 $4K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 5,962 3,939 $4K
J2405 Injection, ondansetron hydrochloride, per 1 mg 12,355 9,759 $4K
87076 693 622 $4K
73560 78 63 $4K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 113 111 $4K
73120 42 41 $4K
85007 4,409 3,501 $4K
J0690 Injection, cefazolin sodium, 500 mg 2,597 2,097 $4K
73110 70 64 $4K
83605 629 413 $4K
83615 923 771 $4K
84550 1,022 881 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 484 409 $3K
88307 28 24 $3K
93970 29 27 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 315 292 $3K
J1953 Injection, levetiracetam, 10 mg 858 663 $3K
84439 476 441 $3K
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 1,847 1,615 $3K
81003 1,873 1,667 $3K
82947 1,184 496 $3K
94760 1,160 346 $3K
93017 29 26 $3K
87210 928 863 $3K
J3010 Injection, fentanyl citrate, 0.1 mg 4,972 3,758 $3K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 104 84 $2K
80164 255 201 $2K
29515 71 65 $2K
86703 202 191 $2K
84460 602 512 $2K
84450 605 515 $2K
29125 69 66 $2K
82803 176 133 $2K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 433 373 $2K
82731 44 42 $2K
12011 36 31 $2K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 152 130 $2K
96367 89 80 $2K
74019 49 45 $2K
73090 26 24 $2K
74220 13 13 $2K
87340 185 175 $2K
J2704 Injection, propofol, 10 mg 1,567 1,173 $2K
97161 50 40 $2K
73590 37 36 $1K
29505 46 40 $1K
87081 276 259 $1K
J3475 Injection, magnesium sulfate, per 500 mg 510 364 $1K
82728 141 126 $1K
J2765 Injection, metoclopramide hcl, up to 10 mg 1,940 1,599 $1K
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 1,683 1,350 $1K
J1644 Injection, heparin sodium, per 1000 units 3,989 1,470 $1K
J1200 Injection, diphenhydramine hcl, up to 50 mg 3,046 2,210 $1K
86803 174 164 $1K
J2060 Injection, lorazepam, 2 mg 2,078 1,328 $1K
77065 Tomosynthesis, mammo 19 12 $1K
J3105 Injection, terbutaline sulfate, up to 1 mg 526 401 $1K
J0561 Injection, penicillin g benzathine, 100,000 units 22 18 $1K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 41 14 $1K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 1,027 855 $972.37
J0500 Injection, dicyclomine hcl, up to 20 mg 18 15 $924.70
J2790 Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) 13 12 $888.84
82607 54 54 $848.78
86140 243 207 $835.94
J2250 Injection, midazolam hydrochloride, per 1 mg 3,632 2,884 $784.99
APT09 79 63 $762.24
86762 57 56 $704.41
73140 13 12 $680.45
82150 129 106 $663.63
J0360 Injection, hydralazine hcl, up to 20 mg 587 347 $647.24
86780 212 194 $610.86
85018 556 399 $592.37
94644 53 43 $577.66
85014 547 394 $560.57
J2370 Injection, phenylephrine hcl, up to 1 ml 310 250 $549.56
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 35 33 $534.43
82248 136 68 $530.90
73600 13 12 $487.58
J1650 Injection, enoxaparin sodium, 10 mg 290 117 $402.80
J1815 Injection, insulin, per 5 units 448 255 $364.82
82570 75 64 $364.50
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 35 33 $355.34
J7510 Prednisolone oral, per 5 mg 117 83 $351.84
83718 31 28 $332.68
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 97 83 $329.60
84100 301 221 $293.82
84520 132 113 $288.31
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 80 64 $268.21
J2919 Injection, methylprednisolone sodium succinate, 5 mg 129 103 $244.07
J1630 Injection, haloperidol, up to 5 mg 375 229 $232.89
84156 67 57 $229.98
87077 51 37 $207.75
86787 14 14 $196.68
APT16 14 12 $173.88
99406 14 13 $170.10
80047 16 14 $142.10
83020 12 12 $140.92
87420 15 13 $140.27
J0330 Injection, succinylcholine chloride, up to 20 mg 46 37 $139.71
A4217 Sterile water/saline, 500 ml 31 26 $137.61
84145 23 19 $133.73
82247 32 27 $131.33
S0020 Injection, bupivicaine hydrochloride, 30 ml 124 109 $129.44
C1769 Guide wire 62 54 $126.39
G0463 Hospital outpatient clinic visit for assessment and management of a patient 77 54 $126.11
85670 31 24 $105.75
C9113 Injection, pantoprazole sodium, per vial 105 74 $93.35
J0171 Injection, adrenalin, epinephrine, 0.1 mg 54 40 $70.90
J3370 Injection, vancomycin hcl, 500 mg 20 13 $51.58
84132 35 26 $39.62
87641 12 12 $27.60
82009 14 13 $24.91
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 242 205 $22.08
J1940 Injection, furosemide, up to 20 mg 97 55 $19.52
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 732 408 $19.28
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 35 29 $17.42
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 50 40 $15.02
85049 15 13 $13.44
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 165 130 $12.92
J1956 Injection, levofloxacin, 250 mg 20 14 $7.87
J7050 Infusion, normal saline solution, 250 cc 19 17 $7.37
J2003 Injection, lidocaine hydrochloride, 1 mg 100 61 $2.77
J8540 Dexamethasone, oral, 0.25 mg 29 29 $2.68
G0257 Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility 20 12 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 15 12 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 15 12 $0.00
J1171 Injection, hydromorphone, 0.1 mg 24 12 $0.00