Medicaid Provider Spending

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

PRIME HEALTHCARE SERVICES LOWER BUCKS LLC

NPI: 1528319621 · BRISTOL, PA 19007 · General Acute Care Hospital · NPI assigned 09/28/2012

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

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

$8.71M
Total Medicaid Paid
74,198
Total Claims
64,936
Beneficiaries
89
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDOAN, CHRISTOPHER (MANAGING ASSOCIATE GENERAL COUNSEL)
NPI Enumeration Date09/28/2012

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 - 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 27 $4K
2019 298 $20K
2020 7,403 $709K
2021 22,780 $2.37M
2022 12,188 $1.90M
2023 14,687 $2.09M
2024 16,815 $1.62M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 12,097 11,511 $2.84M
G0378 Hospital observation service, per hour 1,715 1,453 $2.38M
99284 Emergency department visit for the evaluation and management, high severity 8,279 7,846 $1.75M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 4,877 4,654 $803K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 2,925 2,712 $384K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,581 1,309 $214K
99281 Emergency department visit for the evaluation and management, self-limited or minor 512 495 $110K
96361 Intravenous infusion, hydration; each additional hour 874 811 $98K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 701 199 $12K
96375 Therapeutic injection; each additional sequential IV push 675 599 $10K
80053 Comprehensive metabolic panel 4,117 3,482 $10K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 806 215 $9K
99282 Emergency department visit for the evaluation and management, low to moderate severity 31 31 $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 449 399 $6K
77067 Screening mammography, bilateral, including computer-aided detection 79 79 $6K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 655 600 $6K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 42 41 $5K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 69 66 $5K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 4,253 3,674 $5K
74177 Computed tomography, abdomen and pelvis; with contrast material 104 99 $5K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1,998 1,766 $4K
70450 Computed tomography, head or brain; without contrast material 254 235 $3K
10060 12 12 $3K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 29 26 $2K
71046 Radiologic examination, chest; 2 views 247 238 $2K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,294 1,045 $2K
71045 Radiologic examination, chest; single view 794 729 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 327 317 $2K
OP250 292 226 $1K
84484 689 576 $1K
80048 Basic metabolic panel (calcium, ionized) 757 698 $1K
77063 Screening digital breast tomosynthesis, bilateral 54 54 $1K
74176 Computed tomography, abdomen and pelvis; without contrast material 25 25 $962.76
83690 1,028 957 $920.46
36415 Collection of venous blood by venipuncture 4,933 4,132 $878.07
80320 396 358 $797.72
73630 140 122 $770.09
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 14 14 $646.40
87086 Culture, bacterial; quantitative colony count, urine 503 465 $635.32
85027 476 425 $618.58
81025 861 820 $603.45
81003 1,053 983 $491.59
72110 26 26 $480.27
85730 425 380 $460.20
80329 329 221 $458.11
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 246 124 $423.72
81001 727 673 $376.12
72125 Computed tomography, cervical spine; without contrast material 30 26 $356.20
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 243 205 $336.38
85610 460 407 $318.64
83880 77 68 $303.52
84443 Thyroid stimulating hormone (TSH) 88 81 $258.33
85007 255 235 $210.79
73610 14 12 $204.78
83735 396 214 $196.53
J7030 Infusion, normal saline solution , 1000 cc 2,507 2,097 $174.14
J1885 Injection, ketorolac tromethamine, per 15 mg 1,741 1,403 $165.18
87040 36 26 $140.00
83605 52 48 $104.00
85379 44 39 $95.40
J2405 Injection, ondansetron hydrochloride, per 1 mg 1,103 972 $92.97
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 194 160 $87.50
J1100 Injection, dexamethasone sodium phosphate, 1 mg 593 503 $79.24
82550 98 86 $71.90
99406 20 19 $71.65
J3490 Unclassified drugs 1,408 793 $58.52
82962 221 150 $57.20
J2270 Injection, morphine sulfate, up to 10 mg 185 137 $39.36
80061 Lipid panel 59 50 $30.68
84100 245 119 $26.20
87186 12 12 $24.00
84703 14 13 $21.76
87077 12 12 $21.30
86900 29 24 $17.23
82947 51 42 $9.90
J3010 Injection, fentanyl citrate, 0.1 mg 46 37 $7.83
83036 Hemoglobin; glycosylated (A1C) 26 24 $7.00
80076 30 29 $6.54
J2060 Injection, lorazepam, 2 mg 153 128 $5.11
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 338 301 $3.78
J1200 Injection, diphenhydramine hcl, up to 50 mg 337 298 $1.76
J2250 Injection, midazolam hydrochloride, per 1 mg 22 12 $0.24
J0696 Injection, ceftriaxone sodium, per 250 mg 113 99 $0.00
J1170 Injection, hydromorphone, up to 4 mg 32 26 $0.00
OP257 52 25 $0.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 23 17 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 15 12 $0.00
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 25 25 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 29 28 $0.00