Medicaid Provider Spending

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

PRIME HEALTHCARE PHYSICIAN SERVICES - PROVIDENCE INC

NPI: 1356683213 · SHAWNEE, KS 66217 · Oral & Maxillofacial Surgery (D.M.D.) · NPI assigned 03/19/2013

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

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

$1.44M
Total Medicaid Paid
94,790
Total Claims
80,328
Beneficiaries
59
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDOAN, CHRISTOPHER (MANAGING ASSOCIATE GENERAL COUNSEL)
Parent OrganizationPRIME HEALTHCARE SERVICES, INC
NPI Enumeration Date03/19/2013

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-LEHIGH ACRES LLC LEHIGH ACRES FL $5.64M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12,215 $280K
2019 10,868 $215K
2020 5,375 $124K
2021 4,832 $118K
2022 10,726 $202K
2023 32,585 $306K
2024 18,189 $195K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 21,826 19,672 $785K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,904 8,101 $233K
99233 Prolong inpt eval add15 m 6,466 2,203 $114K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 10,946 9,225 $51K
99223 Prolong inpt eval add15 m 868 738 $38K
99283 Emergency department visit for the evaluation and management, moderate severity 1,119 1,074 $31K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,484 1,367 $30K
99232 Subsequent hospital care, per day, moderate complexity 1,847 698 $29K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 500 477 $26K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 344 322 $20K
99239 Hospital discharge day management, more than 30 minutes 687 554 $19K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1,452 678 $10K
99284 Emergency department visit for the evaluation and management, high severity 165 158 $7K
99336 761 269 $7K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 343 151 $7K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 477 455 $6K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 123 119 $5K
90686 355 344 $3K
99308 Subsequent nursing facility care, per day, straightforward 489 351 $3K
99307 437 298 $2K
99222 Initial hospital care, per day, moderate complexity 54 50 $2K
87428 55 55 $2K
99215 Prolong outpt/office vis 28 26 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 29 29 $2K
20610 47 41 $1K
99335 71 39 $747.24
93296 58 49 $687.14
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 79 78 $350.50
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 489 455 $308.09
90460 Immunization administration through 18 years of age via any route, first or only component 13 13 $267.48
99305 15 15 $247.02
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 13 13 $224.30
90658 39 38 $204.80
87807 17 17 $128.91
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 13 13 $100.39
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 46 36 $4.97
1126F 1,065 1,024 $0.00
3008F 6,922 6,487 $0.00
3075F 305 294 $0.00
3074F 4,292 4,057 $0.00
36415 Collection of venous blood by venipuncture 196 188 $0.00
1125F 427 398 $0.00
99000 204 190 $0.00
3079F 1,134 1,085 $0.00
1036F 406 381 $0.00
1170F 15 14 $0.00
3080F 101 95 $0.00
G0008 Administration of influenza virus vaccine 13 12 $0.00
3044F 12 12 $0.00
1160F 9,374 8,747 $0.00
G9920 Screening performed and negative 1,579 1,497 $0.00
3725F 2,437 2,281 $0.00
3078F 4,165 3,947 $0.00
3077F 545 519 $0.00
3288F 473 457 $0.00
G9919 Screening performed and positive and provision of recommendations 355 318 $0.00
1159F 72 68 $0.00
4013F 12 12 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 27 24 $0.00