Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MI › PORT HURON › PRIME HEALTHCARE SERVICES-PORT HURON LLC

PRIME HEALTHCARE SERVICES-PORT HURON LLC

NPI: 1306227764 · PORT HURON, MI 48060 · General Acute Care Hospital · NPI assigned 06/11/2015

$15.15M
Total Medicaid Paid
574,617
Total Claims
504,143
Beneficiaries
245
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSMITH, REBEKAH (PRESIDENT AND CEO)
NPI Enumeration Date06/11/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 53,013 $1.71M
2019 80,307 $2.00M
2020 64,423 $1.61M
2021 78,818 $2.18M
2022 104,390 $2.70M
2023 108,906 $2.68M
2024 84,760 $2.27M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 11,483 10,752 $3.48M
99284 Emergency department visit for the evaluation and management, high severity 17,160 16,301 $3.21M
99283 Emergency department visit for the evaluation and management, moderate severity 20,649 19,589 $2.57M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 9,713 9,025 $902K
74177 Computed tomography, abdomen and pelvis; with contrast material 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 5,764 5,505 $274K
96361 Intravenous infusion, hydration; each additional hour 8,023 7,376 $238K
70450 Computed tomography, head or brain; without contrast material 2,910 2,800 $232K
96375 Therapeutic injection; each additional sequential IV push 7,180 6,497 $231K
74176 Computed tomography, abdomen and pelvis; without contrast material 2,217 2,158 $226K
71045 Radiologic examination, chest; single view 5,979 5,685 $215K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 9,723 2,600 $208K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 2,125 2,068 $204K
97530 Therapeutic activities, direct patient contact, each 15 minutes 5,620 1,905 $169K
71046 Radiologic examination, chest; 2 views 4,457 4,350 $167K
80061 Lipid panel 10,229 10,151 $162K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,895 1,639 $159K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 9,262 9,196 $159K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 3,807 1,191 $147K
84443 Thyroid stimulating hormone (TSH) 14,130 13,911 $125K
G0378 Hospital observation service, per hour 959 589 $107K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 4,215 4,109 $107K
80053 Comprehensive metabolic panel 28,163 26,490 $99K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 7,259 2,002 $96K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 34,796 31,426 $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 3,929 3,774 $63K
77067 Screening mammography, bilateral, including computer-aided detection 1,263 1,259 $61K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 883 668 $52K
84439 9,399 9,280 $47K
83036 Hemoglobin; glycosylated (A1C) 8,029 7,941 $43K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 2,677 2,618 $43K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 2,584 2,527 $41K
99281 Emergency department visit for the evaluation and management, self-limited or minor 861 843 $34K
88142 2,698 2,625 $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 3,130 2,792 $27K
86003 498 318 $26K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 69 69 $26K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 1,320 1,275 $24K
88305 Level IV - Surgical pathology, gross and microscopic examination 2,799 2,014 $24K
82607 2,744 2,716 $23K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 1,213 397 $22K
83970 882 864 $21K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 10,196 5,115 $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 6,119 5,863 $21K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 26 26 $19K
87081 6,127 6,023 $19K
82728 2,332 2,295 $18K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 1,628 1,595 $18K
80048 Basic metabolic panel (calcium, ionized) 8,498 7,809 $17K
87086 Culture, bacterial; quantitative colony count, urine 7,507 7,149 $15K
97162 281 277 $14K
88342 727 675 $14K
74018 583 571 $13K
82947 586 486 $13K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 50 50 $12K
83550 2,356 2,326 $12K
83735 5,087 4,704 $12K
45380 Colonoscopy, flexible; with biopsy, single or multiple 25 25 $11K
73610 1,353 1,307 $11K
71275 Computed tomographic angiography, chest, with contrast material 130 123 $11K
73630 1,615 1,528 $10K
36415 Collection of venous blood by venipuncture 27,885 24,429 $10K
76536 184 182 $10K
83540 2,486 2,452 $9K
86140 3,873 3,752 $9K
85027 3,494 3,310 $9K
86803 1,021 1,015 $9K
84153 791 787 $8K
72100 345 342 $8K
87186 3,192 2,857 $8K
85651 3,854 3,757 $8K
87420 1,708 1,687 $8K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 74 64 $8K
87070 1,963 1,877 $8K
84460 2,414 2,387 $7K
73130 1,439 1,374 $7K
84450 2,383 2,353 $7K
76700 Ultrasound, abdominal, real time with image documentation; complete 77 76 $7K
73562 1,009 930 $7K
73030 660 629 $7K
94762 303 266 $6K
76705 Ultrasound, abdominal, real time with image documentation; limited 111 110 $6K
81001 11,887 11,252 $6K
72125 Computed tomography, cervical spine; without contrast material 569 565 $6K
76830 Ultrasound, transvaginal 102 101 $6K
84481 642 629 $6K
87077 2,034 1,875 $6K
84550 2,246 2,221 $6K
82570 1,875 1,764 $6K
82043 1,655 1,638 $6K
82550 3,564 3,410 $6K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 2,271 1,795 $5K
84403 318 312 $5K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,456 1,368 $5K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 6,474 5,784 $5K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 13 13 $5K
87340 782 778 $5K
76770 79 78 $4K
73110 622 591 $4K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 210 133 $4K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 83 82 $4K
80074 157 152 $4K
72131 64 63 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,427 2,375 $3K
80076 1,740 1,667 $3K
97035 590 172 $3K
84702 796 730 $3K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 14 14 $3K
97116 204 77 $3K
83880 1,395 1,300 $3K
85613 474 474 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 7,642 5,986 $3K
82746 311 311 $3K
83001 210 209 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 268 256 $2K
10060 26 24 $2K
83690 9,214 8,522 $2K
93971 42 41 $2K
84100 858 818 $2K
85610 6,209 5,712 $2K
99282 Emergency department visit for the evaluation and management, low to moderate severity 25 25 $2K
76801 27 27 $2K
82565 703 682 $2K
86038 238 235 $2K
82785 177 172 $2K
70551 Magnetic resonance imaging, brain; without contrast material 16 15 $2K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 58 52 $2K
86160 208 103 $1K
82784 155 132 $1K
73502 115 103 $1K
85007 1,112 1,049 $1K
74019 177 173 $1K
85730 5,606 5,189 $1K
84520 575 558 $1K
87486 50 50 $1K
87581 50 50 $1K
29515 13 13 $1K
81003 4,908 4,699 $992.13
72148 Magnetic resonance imaging, lumbar spine; without contrast material 13 13 $946.00
84484 5,444 4,177 $936.84
G0103 Prostate cancer screening; prostate specific antigen test (psa) 76 76 $884.45
81025 7,823 7,374 $832.35
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 16 14 $831.86
0012A 27 27 $821.79
76641 14 14 $775.32
82248 244 196 $745.64
86900 537 517 $722.41
71250 13 13 $720.84
86376 99 92 $715.34
84144 58 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 1,985 1,944 $689.33
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 56 56 $658.45
83002 58 58 $632.45
84156 273 255 $536.17
80164 84 81 $535.30
0011A 31 31 $516.35
80178 140 136 $488.81
86769 14 14 $485.86
85379 1,173 1,113 $376.46
86800 39 39 $334.03
77063 Screening digital breast tomosynthesis, bilateral 27 27 $327.05
83605 3,431 3,003 $277.01
73090 78 76 $274.44
87040 2,989 1,596 $260.57
74022 341 332 $249.38
86665 23 12 $239.65
72110 12 12 $238.56
84402 13 13 $218.66
70486 14 14 $178.92
86364 18 13 $167.40
82962 3,223 1,771 $153.09
82533 16 14 $144.38
87205 88 83 $141.54
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 553 542 $138.66
84146 13 13 $136.04
82150 128 123 $129.69
82247 40 24 $119.55
86850 333 324 $97.68
73590 30 27 $96.66
86231 12 12 $91.66
88304 14 14 $58.41
71101 13 13 $57.30
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 4,230 3,655 $40.56
86901 537 517 $38.66
86431 12 12 $27.80
84145 263 250 $17.93
J7030 Infusion, normal saline solution , 1000 cc 12,192 10,649 $3.85
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 313 262 $3.56
J2270 Injection, morphine sulfate, up to 10 mg 2,212 1,945 $3.17
J1885 Injection, ketorolac tromethamine, per 15 mg 10,015 8,398 $2.28
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,644 1,488 $1.13
J3490 Unclassified drugs 7,594 5,053 $0.90
J2405 Injection, ondansetron hydrochloride, per 1 mg 7,052 6,203 $0.36
J2250 Injection, midazolam hydrochloride, per 1 mg 1,605 1,353 $0.25
J0696 Injection, ceftriaxone sodium, per 250 mg 1,190 1,019 $0.22
J7120 Ringers lactate infusion, up to 1000 cc 2,105 1,806 $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 86 64 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 871 767 $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 175 165 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 770 699 $0.00
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 25 25 $0.00
J1644 Injection, heparin sodium, per 1000 units 329 210 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 73 67 $0.00
29125 107 105 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 49 27 $0.00
90715 214 214 $0.00
C9113 Injection, pantoprazole sodium, per vial 96 68 $0.00
12011 12 12 $0.00
J7510 Prednisolone oral, per 5 mg 13 13 $0.00
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 27 27 $0.00
A4223 Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) 76 72 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 16 14 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 59 44 $0.00
J1171 Injection, hydromorphone, 0.1 mg 73 60 $0.00
A6402 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 20 15 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 4,050 3,354 $0.00
J1170 Injection, hydromorphone, up to 4 mg 2,212 1,654 $0.00
J2360 Injection, orphenadrine citrate, up to 60 mg 740 716 $0.00
J2704 Injection, propofol, 10 mg 3,754 2,225 $0.00
J8540 Dexamethasone, oral, 0.25 mg 893 674 $0.00
J2060 Injection, lorazepam, 2 mg 364 296 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 1,488 1,257 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 1,204 1,116 $0.00
J0690 Injection, cefazolin sodium, 500 mg 203 192 $0.00
J7060 5% dextrose/water (500 ml = 1 unit) 267 231 $0.00
J7050 Infusion, normal saline solution, 250 cc 245 170 $0.00
96376 885 719 $0.00
94760 307 223 $0.00
A4615 Cannula, nasal 12 12 $0.00
80320 219 191 $0.00
J0500 Injection, dicyclomine hcl, up to 20 mg 15 13 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 25 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 101 98 $0.00
87808 32 30 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 157 152 $0.00
12001 202 201 $0.00
J1815 Injection, insulin, per 5 units 23 13 $0.00
91301 60 60 $0.00
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 12 12 $0.00
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 27 27 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 101 61 $0.00
87807 12 12 $0.00
A4556 Electrodes, (e.g., apnea monitor), per pair 13 12 $0.00
A4215 Needle, sterile, any size, each 12 12 $0.00
J3360 Injection, diazepam, up to 5 mg 28 15 $0.00