Medicaid Provider Spending

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

SAINT MARYS MEDICAL GROUP INC.

NPI: 1538424239 · RENO, NV 89503 · Critical Care Medicine (Internal Medicine) Physician · NPI assigned 07/09/2012

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

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

$3.11M
Total Medicaid Paid
86,736
Total Claims
55,071
Beneficiaries
51
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDOAN, CHRISTOPHER (LEGAL COUNSEL)
NPI Enumeration Date07/09/2012

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 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 1,859 $49K
2019 13,255 $591K
2020 15,196 $825K
2021 14,236 $716K
2022 17,759 $683K
2023 13,439 $141K
2024 10,992 $105K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 21,164 7,599 $610K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 4,721 1,330 $590K
99233 Prolong inpt eval add15 m 11,890 4,916 $561K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,182 9,390 $516K
99223 Prolong inpt eval add15 m 3,839 3,316 $338K
99239 Hospital discharge day management, more than 30 minutes 3,233 2,674 $156K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 4,827 4,381 $152K
97597 1,073 506 $40K
99245 288 246 $24K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 479 412 $19K
99222 Initial hospital care, per day, moderate complexity 317 274 $15K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 169 140 $14K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 3,050 2,394 $12K
99215 Prolong outpt/office vis 241 197 $12K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 167 139 $11K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 263 221 $11K
99231 Subsequent hospital care, per day, straightforward or low complexity 372 183 $5K
99284 Emergency department visit for the evaluation and management, high severity 108 86 $5K
99238 Hospital discharge day management, 30 minutes or less 73 54 $2K
94060 67 55 $2K
71046 Radiologic examination, chest; 2 views 123 105 $2K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 36 27 $1K
94729 45 43 $1K
93000 177 145 $1K
94726 45 43 $1K
99307 189 77 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 163 141 $1K
99205 Prolong outpt/office vis 17 14 $975.66
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 165 141 $830.76
99244 Office or other outpatient consultation, moderate to high complexity 19 12 $821.88
93016 76 63 $760.40
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 43 39 $729.89
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 33 24 $655.50
96127 165 148 $639.38
99283 Emergency department visit for the evaluation and management, moderate severity 15 13 $395.37
93018 62 51 $382.24
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 108 92 $369.42
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) 475 430 $219.74
94618 14 14 $203.80
99490 Ccm add 20min 67 51 $160.57
3074F 2,516 2,221 $130.48
99441 13 13 $55.80
3078F 1,621 1,454 $50.00
36415 Collection of venous blood by venipuncture 13 12 $3.98
3008F 5,589 4,754 $0.00
3079F 396 362 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 17 15 $0.00
1160F 6,007 5,181 $0.00
3288F 375 348 $0.00
3725F 587 485 $0.00
3077F 42 40 $0.00