Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › KS › Leavenworth › NPI 1568705267
Hospital

Prime Healthcare Services - Saint John Leavenworth, LLC

Prime Healthcare Services - Saint John Leavenworth, LLC was paid $857K by Medicaid between Jan 2018 and Nov 2024, across 49 billing codes. Its largest line is 99283, emergency room visit (moderate) — 33% of everything it billed.

33Billing provider infoPRIME HEALTHCARE SERVICES - SAINT JOHN LEAVENWORTH, LLC
LEAVENWORTH, KS 66048
33aNPI1568705267assigned 04/01/2013
28Total paid$857K
24GClaims40,499
24DCodes billed49
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other General Acute Care Hospital providers in Kansas

Rank by total paid#21 of 48
Median peer was paid$461K
This provider vs. median1.9×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$10K$20K$30K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20184,304$124K
20193,230$74K
20203,463$57K
20215,757$112K
20228,938$188K
202310,020$190K
2024incomplete4,787$111K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 33% 6,166 5,674 $283K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 23% 4,192 3,855 $198K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 16% 3,035 2,660 $138K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 4.8% 722 652 $41K
80053 Comprehensive metabolic panel 3.2% 3,009 2,624 $27K
87428 3.0% 779 697 $25K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2.6% 4,661 4,082 $23K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1.9% 783 692 $16K
96361 Intravenous infusion, hydration; each additional hour 1.4% 686 590 $12K
81001 1.3% 2,966 2,679 $11K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1.3% 1,005 790 $11K
96375 Therapeutic injection; each additional sequential IV push 1.1% 339 296 $9K
37 more codes
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1.1% 553 $9K
71045 Radiologic examination, chest; single view <1% 658 $9K
80048 Basic metabolic panel (calcium, ionized) <1% 662 $8K
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% 133 $6K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 245 $4K
84484 <1% 477 $4K
81025 <1% 430 $4K
80076 <1% 311 $3K
36415 Collection of venous blood by venipuncture <1% 5,677 $2K
83690 <1% 342 $2K
70450 Computed tomography, head or brain; without contrast material <1% 12 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 133 $1K
71046 Radiologic examination, chest; 2 views <1% 63 $1K
87070 <1% 121 $1K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 83 $905.33
83735 <1% 132 $849.75
85610 <1% 156 $688.55
82550 <1% 94 $612.76
85730 <1% 123 $578.30
87086 Culture, bacterial; quantitative colony count, urine <1% 50 $525.62
83880 <1% 33 $513.72
84443 Thyroid stimulating hormone (TSH) <1% 35 $462.55
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% 31 $420.64
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 14 $311.45
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 18 $252.66
87420 <1% 14 $153.21
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% 133 $121.19
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 161 $120.15
85027 <1% 23 $94.64
83605 <1% 18 $85.31
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 51 $62.60
85007 <1% 37 $23.29
81003 <1% 14 $17.61
J7030 Infusion, normal saline solution , 1000 cc <1% 925 $12.72
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen <1% 102 $4.42
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 <1% 16 $0.26
J7120 Ringers lactate infusion, up to 1000 cc 0% 76 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialLEON, LUIS (PRESIDENT OF OPERATIONS II)