Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Prime Healthcare Services - ST Michaels LLC

Prime Healthcare Services - ST Michaels LLC was paid $67.67M by Medicaid between Jan 2018 and Dec 2024, across 299 billing codes. Its largest line is 99283, emergency room visit (moderate) — 15% of everything it billed.

33Billing provider infoPRIME HEALTHCARE SERVICES - ST MICHAELS LLC
NEWARK, NJ 07102
33aNPI1568825545assigned 03/29/2016
28Total paid$67.67M
24GClaims1,460,408
24DCodes billed299
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other End-Stage Renal Disease (ESRD) Treatment Clinic/Center providers in New Jersey

Rank by total paid#1 of 192
Median peer was paid$1.42M
This provider vs. median48×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official DOAN, CHRISTOPHER controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$500K$1.0M$1.5M2018201920202021202220232024
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
2018207,622$13.57M
2019210,013$12.39M
2020150,603$6.45M
2021227,041$10.71M
2022232,354$9.01M
2023253,907$8.30M
2024incomplete178,868$7.23M
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 15% 50,749 43,683 $10.20M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 14% 38,228 35,162 $9.39M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 14% 32,461 29,404 $9.29M
74177 Computed tomography, abdomen and pelvis; with contrast material 4.0% 5,961 5,539 $2.67M
OP370 3.5% 11,778 10,200 $2.39M
OP272 3.0% 61,345 50,307 $2.04M
70450 Computed tomography, head or brain; without contrast material 2.4% 9,884 9,146 $1.65M
74176 Computed tomography, abdomen and pelvis; without contrast material 2.0% 3,540 3,275 $1.35M
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 2.0% 29,681 25,265 $1.33M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1.9% 2,795 2,510 $1.26M
96361 Intravenous infusion, hydration; each additional hour 1.4% 13,282 12,041 $946K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1.3% 22,542 18,951 $872K
287 more codes
OP271 1.2% 67,756 $811K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 1.1% 1,502 $774K
G0378 Hospital observation service, per hour 1.0% 2,981 $704K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 33,173 $654K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 3,780 $631K
71045 Radiologic examination, chest; single view <1% 20,215 $618K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 10,636 $616K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 1,864 $603K
93458 <1% 670 $587K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 8,748 $579K
71275 Computed tomographic angiography, chest, with contrast material <1% 1,903 $557K
77067 Screening mammography, bilateral, including computer-aided detection <1% 7,994 $515K
96375 Therapeutic injection; each additional sequential IV push <1% 13,398 $503K
80053 Comprehensive metabolic panel <1% 54,500 $474K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 20,013 $462K
72125 Computed tomography, cervical spine; without contrast material <1% 2,025 $451K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 1,428 $435K
71046 Radiologic examination, chest; 2 views <1% 10,869 $422K
OP250 <1% 128,850 $421K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 15,815 $417K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 972 $412K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 7,572 $408K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis <1% 715 $398K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 3,977 $387K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 4,780 $384K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 63,661 $360K
J1756 Injection, iron sucrose, 1 mg <1% 3,364 $328K
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% 6,261 $325K
77063 Screening digital breast tomosynthesis, bilateral <1% 6,594 $323K
73630 <1% 4,209 $289K
84484 <1% 24,272 $271K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 6,911 $256K
76830 Ultrasound, transvaginal <1% 2,076 $242K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 4,630 $226K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 13,046 $226K
73130 <1% 2,751 $210K
70486 <1% 1,147 $210K
73030 <1% 3,054 $209K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 1,776 $209K
72110 <1% 2,852 $203K
OP710 <1% 4,107 $196K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 1,827 $195K
83690 <1% 24,535 $186K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 1,374 $183K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 492 $181K
83880 <1% 6,925 $177K
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% 11,353 $169K
88342 <1% 3,266 $163K
36415 Collection of venous blood by venipuncture <1% 39,405 $156K
96367 <1% 2,194 $147K
90853 Group psychotherapy (other than of a multiple-family group) <1% 3,782 $147K
76642 <1% 1,443 $143K
73564 <1% 2,056 $140K
73610 <1% 2,822 $138K
93970 <1% 892 $135K
J3490 Unclassified drugs <1% 29,614 $134K
93017 <1% 850 $126K
81025 <1% 37,056 $124K
87186 <1% 3,400 $121K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 334 $112K
93971 <1% 1,173 $104K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 1,837 $104K
J2704 Injection, propofol, 10 mg <1% 10,323 $97K
87086 Culture, bacterial; quantitative colony count, urine <1% 12,624 $95K
77066 Tomosynthesis, mammo <1% 841 $90K
77065 Tomosynthesis, mammo <1% 1,049 $88K
J7030 Infusion, normal saline solution , 1000 cc <1% 30,591 $87K
C1769 Guide wire <1% 1,255 $87K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 1,834 $82K
71250 <1% 586 $81K
80320 <1% 4,811 $81K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 8,414 $79K
72131 <1% 353 $79K
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% 4,685 $79K
73110 <1% 1,099 $79K
77080 <1% 1,415 $78K
OP270 <1% 13,355 $78K
73562 <1% 1,953 $72K
84443 Thyroid stimulating hormone (TSH) <1% 3,609 $65K
82962 <1% 18,431 $65K
90714 <1% 2,079 $63K
87040 <1% 4,455 $61K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 22,881 $56K
V2632 Posterior chamber intraocular lens <1% 808 $55K
83605 <1% 5,386 $55K
C1760 Closure device, vascular (implantable/insertable) <1% 503 $55K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 381 $47K
96417 <1% 366 $47K
80048 Basic metabolic panel (calcium, ionized) <1% 7,219 $45K
73502 <1% 1,291 $43K
90837 Psychotherapy session, about an hour <1% 731 $43K
76801 <1% 375 $42K
87420 <1% 3,380 $41K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 170 $41K
72100 <1% 514 $40K
81001 <1% 22,333 $39K
99406 <1% 6,830 $39K
86900 <1% 3,104 $39K
72050 <1% 637 $38K
82550 <1% 7,146 $38K
76641 <1% 172 $37K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 374 $37K
77062 <1% 362 $35K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 3,734 $34K
C1887 Catheter, guiding (may include infusion/perfusion capability) <1% 949 $32K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 2,125 $32K
85379 <1% 3,615 $32K
86850 <1% 2,625 $32K
99214 Doctor's office visit, returning patient (more involved) <1% 2,090 $32K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 53 $30K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser <1% 1,044 $29K
83735 <1% 10,280 $29K
84702 <1% 2,994 $28K
82728 <1% 2,977 $28K
73590 <1% 429 $27K
OP278 <1% 182 $27K
99213 Doctor's office visit, returning patient (routine) <1% 1,881 $26K
87077 <1% 3,144 $25K
85610 <1% 9,101 $25K
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml <1% 1,738 $24K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 12,041 $24K
85730 <1% 8,008 $23K
87449 <1% 3,049 $23K
84100 <1% 9,457 $22K
80061 Lipid panel <1% 2,104 $22K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 6,073 $22K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 271 $22K
86901 <1% 3,153 $21K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 1,909 $21K
J7050 Infusion, normal saline solution, 250 cc <1% 5,731 $20K
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% 1,605 $20K
96376 <1% 1,035 $19K
J1644 Injection, heparin sodium, per 1000 units <1% 4,517 $18K
74018 <1% 442 $18K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 10,295 $18K
94762 <1% 755 $17K
81003 <1% 11,065 $16K
99203 Doctor's office visit, new patient (routine) <1% 596 $15K
84145 <1% 812 $15K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 3,501 $15K
73080 <1% 289 $14K
J1650 Injection, enoxaparin sodium, 10 mg <1% 1,864 $14K
71101 <1% 277 $13K
82607 <1% 1,586 $13K
71111 <1% 210 $13K
J2785 Injection, regadenoson, 0.1 mg <1% 73 $12K
82947 <1% 2,109 $12K
83036 Hemoglobin; glycosylated (A1C) <1% 2,206 $12K
83550 <1% 2,537 $11K
77336 <1% 204 $11K
80329 <1% 353 $11K
99204 Doctor's office visit, new patient (more involved) <1% 213 $10K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 1,701 $10K
C9113 Injection, pantoprazole sodium, per vial <1% 1,323 $10K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 8,230 $10K
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram <1% 780 $10K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose <1% 305 $10K
76536 <1% 90 $9K
OP259 <1% 289 $9K
83540 <1% 2,554 $9K
74022 <1% 146 $9K
95811 <1% 14 $9K
83615 <1% 3,342 $8K
J7060 5% dextrose/water (500 ml = 1 unit) <1% 5,708 $8K
96402 <1% 117 $8K
82746 <1% 767 $8K
J1815 Injection, insulin, per 5 units <1% 2,875 $7K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 3,716 $7K
86140 <1% 1,480 $7K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 638 $7K
J0690 Injection, cefazolin sodium, 500 mg <1% 1,728 $6K
73140 <1% 112 $6K
88300 <1% 905 $6K
96415 <1% 76 $6K
Q5106 Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units <1% 67 $6K
J0561 Injection, penicillin g benzathine, 100,000 units <1% 72 $6K
A4606 Oxygen probe for use with oximeter device, replacement <1% 498 $6K
77061 <1% 86 $6K
J3370 Injection, vancomycin hcl, 500 mg <1% 1,314 $5K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 140 $5K
86703 <1% 365 $5K
86300 <1% 309 $5K
J2270 Injection, morphine sulfate, up to 10 mg <1% 2,399 $5K
J3475 Injection, magnesium sulfate, per 500 mg <1% 804 $5K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 481 $4K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 159 $4K
88304 <1% 116 $4K
73090 <1% 55 $4K
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 5,237 $3K
12001 <1% 53 $3K
73560 <1% 51 $3K
80047 <1% 817 $3K
10060 <1% 37 $3K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 1,391 $3K
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 <1% 111 $3K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 104 $3K
J1170 Injection, hydromorphone, up to 4 mg <1% 994 $3K
80074 <1% 91 $3K
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) <1% 322 $3K
76775 <1% 24 $3K
M0239 Intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring <1% 19 $3K
97161 <1% 57 $3K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 50 $3K
82010 <1% 442 $3K
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 1,699 $2K
72040 <1% 63 $2K
J2916 Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg <1% 32 $2K
29125 <1% 39 $2K
85651 <1% 814 $2K
J2060 Injection, lorazepam, 2 mg <1% 334 $2K
77085 <1% 21 $1K
J2310 Injection, naloxone hydrochloride, per 1 mg <1% 43 $1K
85027 <1% 474 $1K
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 877 $1K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 361 $1K
J0360 Injection, hydralazine hcl, up to 20 mg <1% 283 $1K
36430 <1% 12 $1K
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% 1,810 $1K
J2795 Injection, ropivacaine hydrochloride, 1 mg <1% 204 $1K
P9016 Red blood cells, leukocytes reduced, each unit <1% 13 $1K
90791 Psychiatric diagnostic evaluation <1% 14 $975.00
76870 <1% 12 $968.40
A4223 Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) <1% 423 $961.66
71271 <1% 28 $952.35
85044 <1% 299 $842.33
81005 <1% 398 $809.50
A6531 Gradient compression stocking, below knee, 30-40 mmhg, used as a surgical dressing, each <1% 99 $795.20
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 631 $753.89
94760 <1% 62 $722.17
82378 <1% 75 $692.85
J2371 Injection, phenylephrine hydrochloride, 20 micrograms <1% 342 $686.28
84439 <1% 69 $659.43
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 232 $654.30
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 160 $643.65
J1097 Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml <1% 14 $619.49
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 222 $617.70
J2370 Injection, phenylephrine hcl, up to 1 ml <1% 78 $590.16
82805 <1% 73 $580.03
A6449 Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard <1% 334 $538.78
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml <1% 12 $532.09
OP274 <1% 260 $519.08
J0706 Injection, caffeine citrate, 5 mg <1% 30 $512.15
S0020 Injection, bupivicaine hydrochloride, 30 ml <1% 229 $499.16
73552 <1% 15 $468.69
J1580 Injection, garamycin, gentamicin, up to 80 mg <1% 683 $468.13
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 374 $461.93
90656 <1% 19 $459.08
J7120 Ringers lactate infusion, up to 1000 cc <1% 95 $419.19
83010 <1% 42 $403.49
72074 <1% 14 $355.40
A4556 Electrodes, (e.g., apnea monitor), per pair <1% 353 $353.09
82270 <1% 60 $343.77
J8540 Dexamethasone, oral, 0.25 mg <1% 189 $320.33
82784 <1% 21 $276.34
A4930 Gloves, sterile, per pair <1% 69 $257.20
87299 <1% 30 $257.14
80076 <1% 125 $236.53
A6402 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing <1% 127 $220.61
87070 <1% 16 $184.10
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg <1% 44 $174.70
85007 <1% 395 $162.72
A6450 Light compression bandage, elastic, knitted/woven, width greater than or equal to five inches, per yard <1% 118 $151.84
A4927 Gloves, non-sterile, per 100 <1% 54 $149.99
J7510 Prednisolone oral, per 5 mg <1% 55 $148.26
87340 <1% 15 $141.84
J2003 Injection, lidocaine hydrochloride, 1 mg <1% 180 $140.19
86803 <1% 12 $137.37
86706 <1% 14 $121.56
A6257 Transparent film, sterile, 16 sq. in. or less, each dressing <1% 104 $117.36
87205 <1% 18 $91.47
84550 <1% 15 $84.22
OP255 <1% 13 $78.65
OP258 <1% 14 $77.72
J7070 Infusion, d5w, 1000 cc <1% 32 $63.08
J1940 Injection, furosemide, up to 20 mg <1% 48 $60.16
J1630 Injection, haloperidol, up to 5 mg <1% 48 $56.63
J2470 Injection, pantoprazole sodium, 40 mg <1% 35 $50.37
A4928 Surgical mask, per 20 <1% 31 $40.77
A4452 Tape, waterproof, per 18 square inches <1% 13 $37.05
A4657 Syringe, with or without needle, each <1% 50 $34.88
86592 <1% 15 $28.80
A6216 Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing <1% 69 $24.76
A6443 Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to three inches and less than five inches, per yard <1% 24 $16.90
Q0244 Injection, casirivimab and imdevimab, 1200 mg <1% 23 $10.00
OP257 <1% 22 $8.06
99215 Doctor's office visit, returning patient (complex) 0% 130 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 0% 100 $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 officialDOAN, CHRISTOPHER (CHIEF COMPLIANCE COUNSEL)
Same official

Other billing entities under DOAN, CHRISTOPHER

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