Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

Prime Healthcare Services-Port Huron LLC

Prime Healthcare Services-Port Huron LLC was paid $15.15M by Medicaid between Jan 2018 and Dec 2024, across 245 billing codes. Its largest line is 99285, emergency room visit (most serious) — 23% of everything it billed.

33Billing provider infoPRIME HEALTHCARE SERVICES-PORT HURON LLC
PORT HURON, MI 48060
33aNPI1306227764assigned 06/11/2015
28Total paid$15.15M
24GClaims574,617
24DCodes billed245
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Michigan

Rank by total paid#54 of 86
Median peer was paid$21.55M
This provider vs. median0.7×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$100K$200K$300K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
201853,013$1.71M
201980,307$2.00M
202064,423$1.61M
202178,818$2.18M
2022104,390$2.70M
2023108,906$2.68M
2024incomplete84,760$2.27M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 23% 11,483 10,752 $3.48M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 21% 17,160 16,301 $3.21M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 17% 20,649 19,589 $2.57M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 6.0% 9,713 9,025 $902K
74177 Computed tomography, abdomen and pelvis; with contrast material 2.2% 2,349 2,239 $336K
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 1.8% 5,764 5,505 $274K
96361 Intravenous infusion, hydration; each additional hour 1.6% 8,023 7,376 $238K
70450 Computed tomography, head or brain; without contrast material 1.5% 2,910 2,800 $232K
96375 Therapeutic injection; each additional sequential IV push 1.5% 7,180 6,497 $231K
74176 Computed tomography, abdomen and pelvis; without contrast material 1.5% 2,217 2,158 $226K
71045 Radiologic examination, chest; single view 1.4% 5,979 5,685 $215K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1.4% 9,723 2,600 $208K
233 more codes
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1.3% 2,125 $204K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1.1% 5,620 $169K
71046 Radiologic examination, chest; 2 views 1.1% 4,457 $167K
80061 Lipid panel 1.1% 10,229 $162K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1.1% 1,895 $159K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1.0% 9,262 $159K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 3,807 $147K
84443 Thyroid stimulating hormone (TSH) <1% 14,130 $125K
G0378 Hospital observation service, per hour <1% 959 $107K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 4,215 $107K
80053 Comprehensive metabolic panel <1% 28,163 $99K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 7,259 $96K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 34,796 $82K
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% 3,929 $63K
77067 Screening mammography, bilateral, including computer-aided detection <1% 1,263 $61K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 883 $52K
84439 <1% 9,399 $47K
83036 Hemoglobin; glycosylated (A1C) <1% 8,029 $43K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 2,677 $43K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 2,584 $41K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 861 $34K
88142 <1% 2,698 $28K
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 <1% 3,130 $27K
86003 <1% 498 $26K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 69 $26K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 1,320 $24K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 2,799 $24K
82607 <1% 2,744 $23K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 1,213 $22K
83970 <1% 882 $21K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 10,196 $21K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 6,119 $21K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 26 $19K
87081 <1% 6,127 $19K
82728 <1% 2,332 $18K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 1,628 $18K
80048 Basic metabolic panel (calcium, ionized) <1% 8,498 $17K
87086 Culture, bacterial; quantitative colony count, urine <1% 7,507 $15K
97162 <1% 281 $14K
88342 <1% 727 $14K
74018 <1% 583 $13K
82947 <1% 586 $13K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 50 $12K
83550 <1% 2,356 $12K
83735 <1% 5,087 $12K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 25 $11K
73610 <1% 1,353 $11K
71275 Computed tomographic angiography, chest, with contrast material <1% 130 $11K
73630 <1% 1,615 $10K
36415 Collection of venous blood by venipuncture <1% 27,885 $10K
76536 <1% 184 $10K
83540 <1% 2,486 $9K
86140 <1% 3,873 $9K
85027 <1% 3,494 $9K
86803 <1% 1,021 $9K
84153 <1% 791 $8K
72100 <1% 345 $8K
87186 <1% 3,192 $8K
85651 <1% 3,854 $8K
87420 <1% 1,708 $8K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 74 $8K
87070 <1% 1,963 $8K
84460 <1% 2,414 $7K
73130 <1% 1,439 $7K
84450 <1% 2,383 $7K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 77 $7K
73562 <1% 1,009 $7K
73030 <1% 660 $7K
94762 <1% 303 $6K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 111 $6K
81001 <1% 11,887 $6K
72125 Computed tomography, cervical spine; without contrast material <1% 569 $6K
76830 Ultrasound, transvaginal <1% 102 $6K
84481 <1% 642 $6K
87077 <1% 2,034 $6K
84550 <1% 2,246 $6K
82570 <1% 1,875 $6K
82043 <1% 1,655 $6K
82550 <1% 3,564 $6K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 2,271 $5K
84403 <1% 318 $5K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 1,456 $5K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 6,474 $5K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 13 $5K
87340 <1% 782 $5K
76770 <1% 79 $4K
73110 <1% 622 $4K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 210 $4K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 83 $4K
80074 <1% 157 $4K
72131 <1% 64 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 2,427 $3K
80076 <1% 1,740 $3K
97035 <1% 590 $3K
84702 <1% 796 $3K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 14 $3K
97116 <1% 204 $3K
83880 <1% 1,395 $3K
85613 <1% 474 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 7,642 $3K
82746 <1% 311 $3K
83001 <1% 210 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 268 $2K
10060 <1% 26 $2K
83690 <1% 9,214 $2K
93971 <1% 42 $2K
84100 <1% 858 $2K
85610 <1% 6,209 $2K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 25 $2K
76801 <1% 27 $2K
82565 <1% 703 $2K
86038 <1% 238 $2K
82785 <1% 177 $2K
70551 Magnetic resonance imaging, brain; without contrast material <1% 16 $2K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 58 $2K
86160 <1% 208 $1K
82784 <1% 155 $1K
73502 <1% 115 $1K
85007 <1% 1,112 $1K
74019 <1% 177 $1K
85730 <1% 5,606 $1K
84520 <1% 575 $1K
87486 <1% 50 $1K
87581 <1% 50 $1K
29515 <1% 13 $1K
81003 <1% 4,908 $992.13
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 13 $946.00
84484 <1% 5,444 $936.84
G0103 Prostate cancer screening; prostate specific antigen test (psa) <1% 76 $884.45
81025 <1% 7,823 $832.35
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 16 $831.86
0012A <1% 27 $821.79
76641 <1% 14 $775.32
82248 <1% 244 $745.64
86900 <1% 537 $722.41
71250 <1% 13 $720.84
86376 <1% 99 $715.34
84144 <1% 58 $699.52
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% 1,985 $689.33
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 56 $658.45
83002 <1% 58 $632.45
84156 <1% 273 $536.17
80164 <1% 84 $535.30
0011A <1% 31 $516.35
80178 <1% 140 $488.81
86769 <1% 14 $485.86
85379 <1% 1,173 $376.46
86800 <1% 39 $334.03
77063 Screening digital breast tomosynthesis, bilateral <1% 27 $327.05
83605 <1% 3,431 $277.01
73090 <1% 78 $274.44
87040 <1% 2,989 $260.57
74022 <1% 341 $249.38
86665 <1% 23 $239.65
72110 <1% 12 $238.56
84402 <1% 13 $218.66
70486 <1% 14 $178.92
86364 <1% 18 $167.40
82962 <1% 3,223 $153.09
82533 <1% 16 $144.38
87205 <1% 88 $141.54
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 553 $138.66
84146 <1% 13 $136.04
82150 <1% 128 $129.69
82247 <1% 40 $119.55
86850 <1% 333 $97.68
73590 <1% 30 $96.66
86231 <1% 12 $91.66
88304 <1% 14 $58.41
71101 <1% 13 $57.30
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 4,230 $40.56
86901 <1% 537 $38.66
86431 <1% 12 $27.80
84145 <1% 263 $17.93
J7030 Infusion, normal saline solution , 1000 cc <1% 12,192 $3.85
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 313 $3.56
J2270 Injection, morphine sulfate, up to 10 mg <1% 2,212 $3.17
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 10,015 $2.28
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 1,644 $1.13
J3490 Unclassified drugs <1% 7,594 $0.90
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 7,052 $0.36
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 1,605 $0.25
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 1,190 $0.22
J7120 Ringers lactate infusion, up to 1000 cc 0% 2,105 $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 0% 86 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 0% 871 $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 0% 175 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 0% 770 $0.00
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 0% 25 $0.00
J1644 Injection, heparin sodium, per 1000 units 0% 329 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 0% 73 $0.00
29125 0% 107 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 0% 49 $0.00
90715 0% 214 $0.00
C9113 Injection, pantoprazole sodium, per vial 0% 96 $0.00
12011 0% 12 $0.00
J7510 Prednisolone oral, per 5 mg 0% 13 $0.00
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 0% 27 $0.00
A4223 Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) 0% 76 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 0% 16 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 0% 59 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 73 $0.00
A6402 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 0% 20 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 0% 4,050 $0.00
J1170 Injection, hydromorphone, up to 4 mg 0% 2,212 $0.00
J2360 Injection, orphenadrine citrate, up to 60 mg 0% 740 $0.00
J2704 Injection, propofol, 10 mg 0% 3,754 $0.00
J8540 Dexamethasone, oral, 0.25 mg 0% 893 $0.00
J2060 Injection, lorazepam, 2 mg 0% 364 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 0% 1,488 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 0% 1,204 $0.00
J0690 Injection, cefazolin sodium, 500 mg 0% 203 $0.00
J7060 5% dextrose/water (500 ml = 1 unit) 0% 267 $0.00
J7050 Infusion, normal saline solution, 250 cc 0% 245 $0.00
96376 0% 885 $0.00
94760 0% 307 $0.00
A4615 Cannula, nasal 0% 12 $0.00
80320 0% 219 $0.00
J0500 Injection, dicyclomine hcl, up to 20 mg 0% 15 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 0% 25 $0.00
A6449 Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard 0% 101 $0.00
87808 0% 32 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 0% 157 $0.00
12001 0% 202 $0.00
J1815 Injection, insulin, per 5 units 0% 23 $0.00
91301 0% 60 $0.00
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 0% 12 $0.00
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 0% 27 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 0% 101 $0.00
87807 0% 12 $0.00
A4556 Electrodes, (e.g., apnea monitor), per pair 0% 13 $0.00
A4215 Needle, sterile, any size, each 0% 12 $0.00
J3360 Injection, diazepam, up to 5 mg 0% 28 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialSMITH, REBEKAH (PRESIDENT AND CEO)