Medicaid Provider Spending

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

PRIME HEALTHCARE PARADISE VALLEY LLC

NPI: 1356410351 · NATIONAL CITY, CA 91950 · General Acute Care Hospital · NPI assigned 11/06/2006

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

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

$12.56M
Total Medicaid Paid
486,701
Total Claims
402,440
Beneficiaries
183
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDOAN, CHRISTOPHER (MANAGING ASSOCIATE GENERAL COUNSEL)
NPI Enumeration Date11/06/2006

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
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 103,854 $2.91M
2019 81,356 $2.33M
2020 53,538 $1.39M
2021 64,171 $1.57M
2022 68,779 $1.66M
2023 62,982 $1.54M
2024 52,021 $1.17M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0450 Emergency room services 28,388 25,376 $1.46M
99283 Emergency department visit for the evaluation and management, moderate severity 22,100 20,096 $1.25M
0915 1,511 224 $1.04M
99499 7,946 6,626 $705K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 8,024 7,492 $487K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 7,086 5,880 $442K
70450 Computed tomography, head or brain; without contrast material 3,703 3,555 $392K
Z7502 9,954 9,713 $368K
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 5,948 5,520 $356K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 3,450 3,212 $351K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,480 1,435 $339K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 13,125 11,790 $303K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 8,306 7,942 $278K
80053 Comprehensive metabolic panel 27,728 25,342 $272K
96375 Therapeutic injection; each additional sequential IV push 5,532 5,145 $237K
99284 Emergency department visit for the evaluation and management, high severity 3,343 3,073 $225K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 32,509 29,377 $215K
90853 Group psychotherapy (other than of a multiple-family group) 12,929 2,354 $207K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 7,060 6,667 $198K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,708 1,660 $195K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2,048 1,978 $162K
96361 Intravenous infusion, hydration; each additional hour 5,566 5,189 $143K
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 1,549 1,508 $126K
71045 Radiologic examination, chest; single view 10,505 9,991 $114K
72125 Computed tomography, cervical spine; without contrast material 735 706 $109K
G0481 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; 8-14 drug class(es), including metabolite(s) if performed 880 772 $106K
0914 161 91 $88K
J7030 Infusion, normal saline solution , 1000 cc 8,744 7,645 $88K
83880 4,539 4,308 $87K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 5,149 1,786 $87K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,342 1,297 $81K
J1885 Injection, ketorolac tromethamine, per 15 mg 7,605 7,172 $79K
84484 9,748 8,342 $78K
31623 901 878 $76K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 3,432 2,936 $76K
0762 93 35 $74K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 2,079 790 $63K
Z7610 5,956 3,404 $60K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 7,275 4,553 $58K
83690 8,678 8,108 $56K
36415 Collection of venous blood by venipuncture 15,656 12,894 $55K
J2405 Injection, ondansetron hydrochloride, per 1 mg 5,127 4,714 $52K
0250 7,351 5,082 $49K
90715 1,161 1,145 $49K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 2,383 1,914 $44K
0760 334 225 $41K
84702 4,928 4,620 $39K
99406 2,967 2,783 $35K
0270 4,177 2,299 $35K
81001 9,542 9,084 $31K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 1,700 599 $30K
88108 645 620 $30K
71046 Radiologic examination, chest; 2 views 1,571 1,510 $30K
87800 1,636 1,613 $30K
99199 Unlisted special service, procedure or report 542 498 $30K
0710 809 797 $26K
87086 Culture, bacterial; quantitative colony count, urine 3,651 3,527 $26K
82962 9,627 7,641 $26K
31624 872 857 $25K
80048 Basic metabolic panel (calcium, ionized) 3,761 3,472 $25K
J0696 Injection, ceftriaxone sodium, per 250 mg 1,551 1,511 $23K
73630 879 832 $22K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 177 177 $22K
0510 1,333 1,032 $22K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 239 228 $21K
73562 894 831 $21K
88312 688 661 $20K
73610 701 663 $20K
87070 1,735 891 $20K
82550 3,483 3,307 $19K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 873 844 $18K
83605 1,823 1,529 $17K
76801 235 215 $17K
J3490 Unclassified drugs 39,346 22,428 $15K
87430 1,463 1,434 $15K
73130 526 510 $15K
87186 2,116 2,018 $15K
87015 1,726 890 $14K
87101 1,312 651 $14K
J2270 Injection, morphine sulfate, up to 10 mg 1,545 1,348 $13K
87040 1,262 661 $12K
87206 1,556 784 $12K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 169 155 $12K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,045 997 $12K
73030 481 449 $12K
90832 Psychotherapy, 30 minutes with patient 509 425 $11K
84703 2,986 2,852 $11K
85730 2,481 2,328 $11K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 237 218 $11K
87220 1,751 891 $10K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 316 293 $10K
85610 3,205 3,023 $9K
A9575 Injection, gadoterate meglumine, 0.1 ml 106 87 $8K
81003 3,530 3,405 $8K
J7050 Infusion, normal saline solution, 250 cc 1,494 1,360 $8K
76700 Ultrasound, abdominal, real time with image documentation; complete 106 100 $8K
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,178 1,098 $7K
29125 195 190 $7K
84443 Thyroid stimulating hormone (TSH) 1,182 1,155 $7K
81025 1,342 1,288 $7K
J2250 Injection, midazolam hydrochloride, per 1 mg 831 799 $7K
87077 1,159 1,084 $7K
88184 145 141 $7K
76705 Ultrasound, abdominal, real time with image documentation; limited 89 88 $7K
87205 946 496 $6K
72100 211 208 $6K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 2,746 2,534 $6K
97530 Therapeutic activities, direct patient contact, each 15 minutes 514 255 $6K
J3010 Injection, fentanyl citrate, 0.1 mg 1,092 1,034 $6K
94644 239 221 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,338 1,284 $5K
83735 1,370 1,311 $5K
93971 41 40 $5K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 92 91 $5K
J2060 Injection, lorazepam, 2 mg 713 651 $4K
70486 38 37 $4K
99281 Emergency department visit for the evaluation and management, self-limited or minor 185 169 $4K
85379 423 408 $4K
90834 Psychotherapy, 45 minutes with patient 150 86 $3K
88185 144 140 $3K
82553 318 303 $3K
97750 53 53 $3K
73110 89 83 $3K
97116 215 98 $3K
80076 359 347 $3K
J1815 Injection, insulin, per 5 units 99 88 $2K
80164 222 209 $2K
J2765 Injection, metoclopramide hcl, up to 10 mg 371 354 $2K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 93 39 $2K
99282 Emergency department visit for the evaluation and management, low to moderate severity 77 74 $2K
12001 41 39 $2K
59025 Fetal non-stress test 86 63 $2K
86901 562 530 $2K
88305 Level IV - Surgical pathology, gross and microscopic examination 133 133 $1K
29505 27 27 $1K
80061 Lipid panel 1,032 1,011 $1K
76770 15 13 $1K
12002 15 15 $1K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 353 349 $1K
51701 13 12 $1K
84439 510 499 $1K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 173 127 $970.92
87420 86 81 $944.24
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 12 12 $933.74
74022 27 27 $880.56
88112 68 67 $876.72
81002 402 361 $872.77
83036 Hemoglobin; glycosylated (A1C) 862 844 $785.49
72040 28 26 $703.73
10060 15 15 $671.81
0324 13 13 $671.56
J3535 Drug administered through a metered dose inhaler 17 15 $645.71
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 58 58 $606.95
82948 231 177 $599.20
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 57 57 $597.79
90840 21 12 $541.51
J1170 Injection, hydromorphone, up to 4 mg 54 45 $454.26
73080 12 12 $390.57
82150 50 50 $384.92
J1644 Injection, heparin sodium, per 1000 units 39 25 $271.15
94645 12 12 $205.14
S0020 Injection, bupivicaine hydrochloride, 30 ml 26 26 $201.15
84100 54 51 $176.79
J1630 Injection, haloperidol, up to 5 mg 28 27 $168.07
86850 41 40 $153.56
86900 53 52 $126.43
J2704 Injection, propofol, 10 mg 13 13 $99.92
J2919 Injection, methylprednisolone sodium succinate, 5 mg 16 16 $98.09
97161 12 12 $97.20
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg 200 164 $96.10
90839 13 12 $95.51
Q3014 Telehealth originating site facility fee 17 15 $68.35
96376 25 25 $67.20
J7060 5% dextrose/water (500 ml = 1 unit) 14 13 $59.28
87147 12 12 $46.17
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 604 561 $43.36
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 76 73 $8.41
82947 15 15 $4.28
G0410 Group psychotherapy other than of a multiple-family group, in a partial hospitalization or intensive outpatient setting, approximately 45 to 50 minutes 992 177 $0.00
0258 29 27 $0.00
G0008 Administration of influenza virus vaccine 12 12 $0.00
0370 19 12 $0.00
82570 13 12 $0.00