Medicaid Provider Spending

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

PRIME HEALTHCARE SERVICES-PROVIDENCE, LLC

NPI: 1528301900 · KANSAS CITY, KS 66112 · General Acute Care Hospital · NPI assigned 04/03/2013

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

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

$2.14M
Total Medicaid Paid
99,389
Total Claims
84,921
Beneficiaries
94
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDOAN, CHRISTOPHER (MANAGING ASSOCIATE GENERAL COUNSEL)
NPI Enumeration Date04/03/2013

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 18,592 $524K
2019 14,692 $330K
2020 9,618 $182K
2021 8,027 $147K
2022 13,917 $278K
2023 23,920 $421K
2024 10,623 $255K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 12,388 11,476 $582K
99284 Emergency department visit for the evaluation and management, high severity 9,495 8,567 $475K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 7,444 6,494 $371K
87428 1,998 1,810 $75K
80053 Comprehensive metabolic panel 7,258 6,137 $75K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 2,703 2,270 $59K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 9,934 8,415 $54K
81001 7,116 6,326 $41K
81025 3,326 2,903 $34K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 2,457 2,013 $31K
71045 Radiologic examination, chest; single view 2,124 1,828 $31K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,754 849 $30K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 334 137 $30K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 415 377 $24K
96375 Therapeutic injection; each additional sequential IV push 978 802 $24K
96361 Intravenous infusion, hydration; each additional hour 1,039 872 $20K
70450 Computed tomography, head or brain; without contrast material 268 241 $19K
87086 Culture, bacterial; quantitative colony count, urine 1,836 1,612 $16K
74177 Computed tomography, abdomen and pelvis; with contrast material 137 122 $11K
84484 1,733 1,177 $11K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 747 589 $10K
83690 1,839 1,566 $9K
G0378 Hospital observation service, per hour 383 261 $9K
36415 Collection of venous blood by venipuncture 10,355 8,713 $8K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 204 64 $7K
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 137 128 $7K
71046 Radiologic examination, chest; 2 views 318 304 $6K
80048 Basic metabolic panel (calcium, ionized) 694 598 $6K
99282 Emergency department visit for the evaluation and management, low to moderate severity 96 95 $4K
99281 Emergency department visit for the evaluation and management, self-limited or minor 124 119 $4K
62323 27 24 $3K
83735 439 381 $3K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 64 64 $3K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 64 64 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 298 292 $3K
85610 525 434 $3K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 56 54 $3K
74176 Computed tomography, abdomen and pelvis; without contrast material 48 42 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 74 71 $2K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 36 32 $2K
80076 70 67 $2K
87070 191 190 $2K
76801 30 28 $2K
83880 127 112 $2K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 28 28 $2K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 93 29 $2K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 27 25 $2K
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 88 86 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 131 107 $1K
85730 365 297 $1K
97597 19 12 $994.49
72125 Computed tomography, cervical spine; without contrast material 12 12 $986.07
97162 16 16 $766.98
82553 57 51 $714.44
87420 55 55 $663.91
73610 26 25 $514.75
87807 34 33 $497.72
87186 37 34 $456.30
77067 Screening mammography, bilateral, including computer-aided detection 29 27 $427.17
81003 415 369 $415.02
73630 18 17 $414.53
J1040 Injection, methylprednisolone acetate, 80 mg 275 216 $406.08
G0379 Direct admission of patient for hospital observation care 313 242 $391.23
87077 42 39 $360.32
96376 28 26 $355.50
J1885 Injection, ketorolac tromethamine, per 15 mg 544 436 $292.27
84702 26 25 $274.90
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 72 66 $274.71
G0463 Hospital outpatient clinic visit for assessment and management of a patient 455 339 $256.03
87081 36 33 $224.86
Q0111 Wet mounts, including preparations of vaginal, cervical or skin specimens 40 40 $197.78
84443 Thyroid stimulating hormone (TSH) 17 17 $181.13
83605 35 24 $171.82
J1030 Injection, methylprednisolone acetate, 40 mg 218 165 $168.74
82962 47 29 $163.87
85379 16 14 $142.95
J1010 Injection, methylprednisolone acetate, 1 mg 214 97 $128.91
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 26 25 $100.02
J2405 Injection, ondansetron hydrochloride, per 1 mg 414 365 $97.41
86901 14 12 $73.40
J7030 Infusion, normal saline solution , 1000 cc 1,988 1,689 $62.08
J1100 Injection, dexamethasone sodium phosphate, 1 mg 89 64 $47.34
J3010 Injection, fentanyl citrate, 0.1 mg 138 114 $45.46
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 28 25 $35.16
J0696 Injection, ceftriaxone sodium, per 250 mg 60 47 $27.12
J8540 Dexamethasone, oral, 0.25 mg 140 125 $8.57
J1200 Injection, diphenhydramine hcl, up to 50 mg 26 25 $5.99
85007 33 33 $5.28
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 16 15 $2.44
Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml 426 236 $1.91
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 29 14 $1.25
J2704 Injection, propofol, 10 mg 149 116 $0.00
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 289 252 $0.00
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 13 13 $0.00