Medicaid Provider Spending

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

ALVARADO HOSPITAL, LLC

NPI: 1265468946 · SAN DIEGO, CA 92120 · Pharmacy · NPI assigned 06/24/2006

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

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

$11.46M
Total Medicaid Paid
387,833
Total Claims
318,027
Beneficiaries
158
Codes Billed
2018-01
First Month
2023-12
Last Month

Provider Details

Authorized OfficialDOAN, CHRISTOPHER (CHIEF COMPLIANCE COUNSEL)
NPI Enumeration Date06/24/2006

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
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 51,271 $2.02M
2019 44,035 $1.76M
2020 51,915 $1.35M
2021 71,720 $1.93M
2022 92,832 $2.37M
2023 76,060 $2.04M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99499 11,014 8,472 $1.81M
0450 Emergency room services 23,325 20,935 $1.47M
99283 Emergency department visit for the evaluation and management, moderate severity 16,095 14,539 $916K
0121 348 308 $613K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 9,173 8,547 $556K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,590 1,525 $341K
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 5,394 4,798 $336K
70450 Computed tomography, head or brain; without contrast material 3,113 3,005 $308K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 11,969 10,773 $272K
Z7502 5,988 5,878 $224K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,381 2,265 $211K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 8,541 7,463 $199K
80053 Comprehensive metabolic panel 20,849 18,766 $189K
99284 Emergency department visit for the evaluation and management, high severity 2,917 2,733 $185K
0300 361 352 $185K
0250 6,228 3,024 $181K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 26,404 23,320 $165K
99199 Unlisted special service, procedure or report 3,173 2,866 $158K
0730 192 190 $157K
96375 Therapeutic injection; each additional sequential IV push 5,763 5,241 $152K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,908 1,770 $129K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 4,323 4,160 $129K
96361 Intravenous infusion, hydration; each additional hour 6,887 6,331 $122K
0270 6,171 3,475 $113K
0301 182 178 $113K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,928 1,879 $112K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 5,452 1,731 $102K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 4,452 4,313 $94K
71045 Radiologic examination, chest; single view 9,182 8,620 $93K
74176 Computed tomography, abdomen and pelvis; without contrast material 927 905 $93K
J3490 Unclassified drugs 41,232 19,486 $91K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,223 2,147 $89K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,240 1,199 $87K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 2,407 824 $78K
72125 Computed tomography, cervical spine; without contrast material 443 438 $71K
J1885 Injection, ketorolac tromethamine, per 15 mg 9,843 7,755 $64K
84484 7,904 6,397 $61K
83690 8,696 8,004 $52K
J7030 Infusion, normal saline solution , 1000 cc 7,016 6,216 $51K
0636 57 53 $47K
83880 2,393 2,215 $47K
71046 Radiologic examination, chest; 2 views 2,001 1,887 $41K
76705 Ultrasound, abdominal, real time with image documentation; limited 597 593 $38K
87086 Culture, bacterial; quantitative colony count, urine 5,011 4,708 $37K
80048 Basic metabolic panel (calcium, ionized) 5,597 5,013 $35K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 2,785 2,465 $34K
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 767 764 $34K
90715 825 814 $33K
0762 34 15 $30K
81025 6,075 5,670 $30K
93970 130 126 $26K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,440 1,748 $26K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,637 1,290 $25K
0305 182 178 $25K
J2405 Injection, ondansetron hydrochloride, per 1 mg 4,115 3,761 $23K
J0696 Injection, ceftriaxone sodium, per 250 mg 2,268 1,849 $21K
73630 885 807 $20K
81001 7,109 6,668 $20K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 907 850 $19K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 910 851 $18K
0306 117 115 $18K
73562 894 818 $18K
87040 2,280 1,186 $17K
0258 300 292 $15K
0324 151 150 $14K
J2250 Injection, midazolam hydrochloride, per 1 mg 1,976 1,542 $14K
J2270 Injection, morphine sulfate, up to 10 mg 2,001 1,681 $14K
Z7610 1,208 758 $14K
73610 577 546 $13K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 240 239 $13K
81003 6,573 6,181 $13K
73130 537 507 $13K
83605 1,604 1,420 $12K
87186 1,752 1,619 $12K
73030 477 449 $12K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 89 87 $12K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 63 62 $11K
0460 79 79 $11K
82962 5,219 3,109 $9K
87070 1,137 1,070 $9K
76830 Ultrasound, transvaginal 144 136 $9K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 427 391 $9K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 950 915 $9K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 477 369 $8K
72100 304 291 $8K
97139 59 22 $8K
99152 130 129 $7K
99406 564 556 $6K
85730 1,319 1,225 $6K
85610 1,973 1,847 $6K
J3010 Injection, fentanyl citrate, 0.1 mg 1,450 1,395 $6K
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,094 1,015 $6K
0272 321 306 $6K
87077 1,238 1,172 $6K
84702 633 555 $5K
85379 586 576 $5K
93971 52 50 $5K
84443 Thyroid stimulating hormone (TSH) 482 473 $4K
83735 1,346 988 $4K
J2765 Injection, metoclopramide hcl, up to 10 mg 727 684 $4K
J2060 Injection, lorazepam, 2 mg 827 733 $4K
J1815 Injection, insulin, per 5 units 647 366 $4K
70486 27 26 $3K
97161 74 73 $3K
94060 87 87 $3K
36415 Collection of venous blood by venipuncture 2,816 2,352 $3K
88305 Level IV - Surgical pathology, gross and microscopic examination 262 233 $3K
82550 454 431 $2K
73502 108 102 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 875 837 $2K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 459 451 $2K
0307 74 73 $2K
0360 13 12 $2K
G0378 Hospital observation service, per hour 32 25 $2K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 33 33 $2K
97750 54 39 $2K
94729 43 43 $2K
0710 18 17 $2K
85027 346 314 $2K
99153 Mod sedat endo service >5yrs 96 87 $2K
87420 226 224 $1K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 13 13 $1K
94727 42 42 $1K
84703 243 223 $1K
96376 252 203 $996.62
86140 210 206 $960.37
J1170 Injection, hydromorphone, up to 4 mg 170 124 $952.79
73110 39 37 $937.93
J2704 Injection, propofol, 10 mg 29 13 $923.16
J7120 Ringers lactate infusion, up to 1000 cc 96 81 $894.90
86901 294 288 $790.84
85007 292 269 $766.23
86900 295 289 $743.00
10060 13 13 $592.92
81002 251 244 $513.15
J7060 5% dextrose/water (500 ml = 1 unit) 207 130 $475.47
76999 13 13 $454.17
80061 Lipid panel 264 247 $418.48
86850 93 90 $387.12
71010 23 12 $342.47
J1630 Injection, haloperidol, up to 5 mg 63 56 $330.41
J2175 Injection, meperidine hydrochloride, per 100 mg 39 37 $301.59
84145 30 29 $291.40
73080 12 12 $270.46
83036 Hemoglobin; glycosylated (A1C) 164 161 $245.48
87081 37 30 $211.07
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 25 25 $167.73
87210 39 38 $157.50
85651 80 78 $148.77
J7050 Infusion, normal saline solution, 250 cc 31 31 $138.14
82553 13 13 $125.70
S0164 Injection, pantoprazole sodium, 40 mg 15 13 $123.14
J3370 Injection, vancomycin hcl, 500 mg 36 12 $121.54
0271 160 116 $111.13
84100 71 37 $44.72
87205 12 12 $18.58
A4615 Cannula, nasal 34 34 $15.46
A9270 Non-covered item or service 53 40 $11.41