Medicaid Provider Spending

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

PRIME HEALTHCARE SERVICES-LEHIGH ACRES LLC

NPI: 1194194720 · LEHIGH ACRES, FL 33936 · Medicare Defined Swing Bed Hospital Unit · NPI assigned 09/24/2015

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

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

$5.64M
Total Medicaid Paid
270,033
Total Claims
224,689
Beneficiaries
123
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDOAN, CHRISTOPHER (CHIEF COMPLIANCE COUNSEL)
NPI Enumeration Date09/24/2015

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-SUBURBAN HOSPITAL LLC EAST NORRITON PA $4.49M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 14,381 $121K
2019 38,775 $522K
2020 37,621 $499K
2021 48,983 $969K
2022 45,154 $1.15M
2023 53,751 $1.38M
2024 31,368 $1.00M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 24,006 22,136 $1.89M
99284 Emergency department visit for the evaluation and management, high severity 15,597 13,960 $1.01M
96361 Intravenous infusion, hydration; each additional hour 6,031 5,040 $662K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 11,226 9,676 $632K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,985 1,734 $313K
70450 Computed tomography, head or brain; without contrast material 2,720 2,326 $247K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,113 982 $118K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 7,979 6,937 $94K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,568 1,346 $73K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,894 2,913 $66K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 316 296 $60K
74176 Computed tomography, abdomen and pelvis; without contrast material 623 547 $59K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 5,656 5,252 $57K
99281 Emergency department visit for the evaluation and management, self-limited or minor 808 743 $53K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 16,609 8,309 $46K
71275 Computed tomographic angiography, chest, with contrast material 84 72 $22K
72125 Computed tomography, cervical spine; without contrast material 436 365 $20K
87086 Culture, bacterial; quantitative colony count, urine 3,801 3,303 $18K
80053 Comprehensive metabolic panel 15,502 12,930 $17K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 7,472 6,948 $15K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 63 61 $14K
81003 6,365 5,570 $13K
71045 Radiologic examination, chest; single view 6,872 5,934 $12K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 791 624 $10K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,350 1,175 $9K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,446 1,251 $8K
81025 7,681 6,812 $7K
99282 Emergency department visit for the evaluation and management, low to moderate severity 123 118 $6K
36415 Collection of venous blood by venipuncture 8,912 7,430 $5K
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 1,474 1,368 $5K
81001 6,411 5,601 $5K
73630 309 266 $5K
73562 287 241 $4K
80048 Basic metabolic panel (calcium, ionized) 1,393 1,206 $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 1,504 1,398 $3K
71046 Radiologic examination, chest; 2 views 379 354 $3K
72131 95 84 $3K
88305 Level IV - Surgical pathology, gross and microscopic examination 615 400 $3K
73610 365 328 $3K
87420 268 256 $3K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 5,615 4,562 $2K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 220 159 $2K
82962 1,153 558 $2K
73130 215 187 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 16,894 13,951 $2K
84484 4,747 3,450 $2K
73030 72 66 $2K
96375 Therapeutic injection; each additional sequential IV push 5,891 4,974 $2K
J7030 Infusion, normal saline solution , 1000 cc 8,700 7,335 $2K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 654 585 $1K
G0378 Hospital observation service, per hour 1,246 601 $1K
J2704 Injection, propofol, 10 mg 1,213 599 $1K
83880 1,346 1,097 $1K
J2405 Injection, ondansetron hydrochloride, per 1 mg 4,164 3,466 $1K
87040 1,643 827 $994.47
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 6,336 5,827 $930.27
84702 830 695 $869.00
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 28 24 $830.25
J1885 Injection, ketorolac tromethamine, per 15 mg 4,295 3,521 $823.63
83690 7,111 6,083 $782.03
73110 65 59 $778.92
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 13 12 $694.42
85610 1,950 1,599 $602.88
83605 1,120 864 $578.82
74018 44 40 $547.31
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 1,460 1,161 $528.97
85379 607 509 $508.79
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,034 875 $467.84
76801 152 129 $427.46
85730 1,405 1,158 $361.86
87210 56 51 $325.18
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 654 585 $300.30
96376 467 342 $252.51
83735 831 626 $240.46
J1100 Injection, dexamethasone sodium phosphate, 1 mg 762 588 $226.69
J2060 Injection, lorazepam, 2 mg 134 103 $177.24
86900 246 204 $174.93
84443 Thyroid stimulating hormone (TSH) 395 321 $171.97
J2270 Injection, morphine sulfate, up to 10 mg 1,365 1,085 $149.60
J0696 Injection, ceftriaxone sodium, per 250 mg 1,170 1,026 $135.30
73140 13 13 $118.18
82550 1,050 858 $107.70
94760 316 253 $103.51
80320 419 366 $100.44
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 405 360 $92.16
J7060 5% dextrose/water (500 ml = 1 unit) 692 535 $90.91
76705 Ultrasound, abdominal, real time with image documentation; limited 18 15 $56.83
94762 140 121 $48.31
87070 1,657 1,575 $29.44
85014 513 480 $25.74
85018 513 480 $25.74
88312 304 275 $7.54
86140 125 106 $6.61
86901 230 192 $4.17
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 1,079 990 $0.08
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 54 51 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 281 254 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 77 55 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 76 65 $0.00
80061 Lipid panel 104 85 $0.00
90715 88 76 $0.00
J7510 Prednisolone oral, per 5 mg 68 64 $0.00
84145 36 25 $0.00
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 25 25 $0.00
94664 12 12 $0.00
71250 17 12 $0.00
29125 14 13 $0.00
72100 13 13 $0.00
12011 12 12 $0.00
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 14 13 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 406 369 $0.00
85027 15 12 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 276 265 $0.00
J1170 Injection, hydromorphone, up to 4 mg 136 110 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 56 39 $0.00
80329 13 12 $0.00
J2360 Injection, orphenadrine citrate, up to 60 mg 137 121 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 101 87 $0.00
J1815 Injection, insulin, per 5 units 21 13 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 16 14 $0.00
J0500 Injection, dicyclomine hcl, up to 20 mg 19 17 $0.00
J3490 Unclassified drugs 24 24 $0.00
J8540 Dexamethasone, oral, 0.25 mg 16 16 $0.00