Medicaid Provider Spending

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

PRIME HEALTHCARE SERVICES-GADSDEN PHYSICIAN MANAGEMENT LLC

NPI: 1356731467 · GADSDEN, AL 35901 · Internal Medicine Physician · NPI assigned 01/27/2015

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

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

$85K
Total Medicaid Paid
18,593
Total Claims
14,461
Beneficiaries
30
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDOAN, CHRISTOPHER (MANAGING ASSOCIATE GENERAL COUNSEL)
NPI Enumeration Date01/27/2015

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 3,420 $11K
2019 2,813 $10K
2020 2,223 $10K
2021 1,783 $8K
2022 1,372 $9K
2023 4,198 $23K
2024 2,784 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 12,226 9,762 $51K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,709 1,412 $25K
99233 Prolong inpt eval add15 m 213 54 $4K
71045 Radiologic examination, chest; single view 545 429 $2K
70450 Computed tomography, head or brain; without contrast material 43 35 $673.54
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 18 17 $610.64
88305 Level IV - Surgical pathology, gross and microscopic examination 44 40 $602.32
74177 Computed tomography, abdomen and pelvis; with contrast material 12 12 $537.03
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 58 25 $479.56
99221 13 12 $343.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 18 17 $231.20
99307 300 112 $59.11
99490 Ccm add 20min 14 12 $52.06
36415 Collection of venous blood by venipuncture 791 716 $39.20
81003 888 808 $13.14
3078F 154 58 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 360 281 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 60 59 $0.00
1160F 348 153 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 60 53 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 13 12 $0.00
G8482 Influenza immunization administered or previously received 13 13 $0.00
82947 13 12 $0.00
3008F 337 148 $0.00
3074F 160 63 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 33 25 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 33 31 $0.00
G0008 Administration of influenza virus vaccine 15 14 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 87 64 $0.00
1036F 15 12 $0.00