Medicaid Provider Spending

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

PRIME HEALTHCARE SERVICES - KANSAS CITY, LLC

NPI: 1528463080 · KANSAS CITY, MO 64114 · General Acute Care Hospital · NPI assigned 10/27/2014

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

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

$4.44M
Total Medicaid Paid
55,298
Total Claims
43,837
Beneficiaries
41
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDOAN, CHRISTOPHER (MANAGING ASSOCIATE GENERAL COUNSEL)
NPI Enumeration Date10/27/2014

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 3,240 $909K
2019 3,755 $801K
2020 3,448 $419K
2021 2,735 $103K
2022 15,467 $697K
2023 21,580 $1.13M
2024 5,073 $386K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 4,882 3,941 $1.06M
99284 Emergency department visit for the evaluation and management, high severity 3,979 3,436 $671K
X4011 State-specific procedure code 1,561 1,314 $511K
99283 Emergency department visit for the evaluation and management, moderate severity 4,050 3,585 $490K
X4014 1,708 1,324 $440K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 9,285 7,608 $382K
80048 Basic metabolic panel (calcium, ionized) 2,165 1,869 $160K
80053 Comprehensive metabolic panel 5,048 4,013 $149K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1,399 1,112 $120K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 3,196 2,419 $97K
71045 Radiologic examination, chest; single view 2,066 1,610 $71K
81025 348 310 $40K
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 1,205 921 $40K
84484 1,363 918 $24K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1,056 764 $24K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,507 1,149 $16K
96361 Intravenous infusion, hydration; each additional hour 466 356 $13K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,102 458 $12K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 532 412 $12K
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 1,139 841 $12K
X4003 51 45 $12K
81003 285 238 $11K
36415 Collection of venous blood by venipuncture 3,386 2,452 $9K
83690 1,124 861 $9K
96375 Therapeutic injection; each additional sequential IV push 267 197 $9K
80076 79 71 $7K
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 148 118 $7K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 213 151 $6K
70450 Computed tomography, head or brain; without contrast material 109 92 $5K
83605 12 12 $5K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 160 116 $4K
81001 714 583 $4K
85027 17 16 $3K
J3490 Unclassified drugs 193 149 $909.15
87634 14 12 $703.11
85610 196 150 $302.88
85730 129 100 $295.58
83880 16 14 $223.28
82550 93 72 $215.14
87086 Culture, bacterial; quantitative colony count, urine 19 16 $94.96
82962 16 12 $88.11