Medicaid Provider Spending

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

PRIME HEALTHCARE SERVICES - SAINT CLARE'S LLC

NPI: 1598144362 · DENVILLE, NJ 07834 · 282N00000X

$90.22M
Total Medicaid Paid
991,910
Total Claims
769,369
Beneficiaries
282
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 158,621 $13.71M
2019 141,298 $12.64M
2020 122,266 $11.74M
2021 150,648 $14.76M
2022 168,493 $14.99M
2023 153,584 $13.08M
2024 97,000 $9.30M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A0427 Als1-emergency 12,188 11,208 $10.77M
99284 25,380 22,922 $8.82M
A0429 Bls-emergency 35,943 29,947 $7.66M
99283 23,487 21,718 $6.61M
99285 16,104 14,589 $6.47M
H0035 Mh partial hosp tx under 24h 33,399 3,832 $5.85M
90834 37,370 24,107 $4.18M
A0428 Bls 14,133 11,695 $3.92M
S9480 Intensive outpatient psychia 4,433 3,991 $3.47M
90791 19,150 16,453 $2.50M
G0378 Hospital observation per hr 7,217 5,182 $2.24M
A0425 Ground mileage 60,671 47,513 $1.71M
99214 21,379 18,501 $1.54M
OP272 21,590 17,586 $1.22M
90837 10,664 6,973 $1.16M
96374 9,469 8,480 $1.11M
99213 14,224 13,213 $1.07M
T2034 Crisis interven waiver/diem 1,282 1,127 $1.02M
99291 1,974 1,773 $936K
90792 6,410 5,609 $821K
90832 12,081 8,235 $775K
74177 2,762 2,574 $614K
A0998 Ambulance response/treatment 403 395 $611K
96372 11,785 9,222 $516K
80307 12,172 8,313 $513K
93005 12,761 11,346 $455K
A0434 Specialty care transport 466 443 $446K
90853 12,595 3,689 $445K
G0463 Hospital outpt clinic visit 14,160 9,299 $442K
71045 9,507 8,559 $399K
96360 3,024 2,808 $397K
U0003 Cov-19 amp prb hgh thruput 6,236 5,697 $384K
G0480 Drug test def 1-7 classes 7,535 4,676 $377K
96361 6,984 6,099 $363K
OP710 2,037 1,611 $361K
96365 2,825 2,279 $340K
74176 2,402 2,183 $339K
77067 3,178 3,127 $328K
99281 2,416 2,339 $325K
70450 4,634 4,227 $302K
94640 2,459 1,918 $297K
87426 10,785 9,432 $279K
97110 10,380 2,346 $273K
OP370 2,217 1,868 $249K
OP250 46,166 24,955 $230K
76816 2,435 2,118 $224K
Q9967 Locm 300-399mg/ml iodine,1ml 4,780 3,786 $223K
99282 1,204 1,170 $215K
85025 26,822 22,524 $215K
93306 685 685 $209K
A0433 Als 2 137 133 $193K
96375 5,327 4,667 $187K
76700 2,221 2,066 $171K
99211 2,160 1,936 $166K
71046 4,820 4,556 $165K
97112 6,649 1,674 $157K
11042 850 335 $144K
76641 1,510 1,484 $131K
80320 4,262 3,753 $131K
C9803 Hopd covid-19 spec collect 8,121 7,132 $128K
76819 1,318 1,193 $128K
OP271 11,067 9,463 $120K
80048 14,909 13,023 $116K
76811 548 541 $106K
80053 12,317 10,443 $105K
36415 31,464 25,674 $105K
G0379 Direct refer hospital observ 199 177 $91K
U0005 Infec agen detec ampli probe 4,670 4,229 $88K
90715 1,587 1,506 $88K
OP259 9,401 7,942 $88K
87804 6,202 4,233 $85K
76856 1,132 1,082 $82K
80306 3,670 1,476 $80K
73130 1,776 1,644 $77K
73630 1,967 1,794 $76K
99241 3,246 2,910 $75K
90833 1,434 829 $72K
80305 3,422 3,030 $71K
J3490 Drugs unclassified injection 6,619 3,426 $69K
93975 545 527 $63K
94664 754 677 $63K
74018 1,389 1,260 $60K
73610 1,521 1,409 $60K
78452 159 159 $58K
93017 323 319 $55K
84484 7,454 5,988 $55K
93976 501 458 $52K
OP270 5,549 4,869 $51K
73030 1,319 1,196 $51K
86900 1,888 1,737 $51K
72125 855 748 $50K
84443 3,030 2,860 $49K
77063 1,978 1,926 $47K
90471 1,364 1,216 $46K
81025 13,447 12,276 $45K
73562 1,202 1,073 $45K
87491 1,347 1,314 $44K
59025 336 233 $44K
76830 528 519 $43K
U0002 Covid-19 lab test non-cdc 1,128 1,037 $42K
97140 1,018 303 $41K
72100 644 607 $39K
87591 1,334 1,301 $38K
87633 117 116 $37K
J7030 Normal saline solution infus 9,640 7,912 $37K
83690 7,712 6,913 $37K
87070 4,733 4,554 $34K
76801 418 367 $32K
96376 700 577 $32K
87086 6,390 5,713 $31K
82306 1,027 1,022 $29K
82962 6,234 4,206 $29K
97161 448 442 $28K
87880 2,564 2,455 $28K
82550 4,952 4,349 $28K
93970 232 222 $27K
83880 1,215 1,104 $27K
Q0162 Ondansetron oral 1,888 1,625 $27K
96366 372 290 $26K
71275 187 180 $26K
80076 4,455 4,065 $26K
90847 461 369 $26K
J1885 Ketorolac tromethamine inj 6,182 5,207 $26K
80061 2,004 1,899 $25K
99215 Prolong outpt/office vis 329 291 $24K
A9270 Non-covered item or service 637 523 $24K
82075 3,143 2,626 $24K
99242 209 160 $23K
73110 570 530 $23K
88305 461 389 $21K
81001 10,256 9,185 $21K
85730 5,296 4,828 $20K
0202U 193 165 $20K
87502 284 272 $20K
87661 909 882 $20K
85610 5,706 5,161 $19K
86850 1,707 1,540 $19K
87186 1,257 1,111 $18K
J2704 Inj, propofol, 10 mg 2,534 1,882 $18K
76817 215 175 $18K
87798 446 428 $16K
76813 159 157 $16K
85027 3,710 3,305 $15K
87088 3,033 2,890 $14K
87275 1,478 1,466 $13K
86901 1,757 1,574 $13K
83735 2,734 2,243 $13K
77080 251 231 $13K
97010 2,303 635 $13K
81003 6,868 6,358 $13K
87040 1,432 1,093 $13K
29125 84 80 $13K
84439 1,443 1,388 $12K
87077 1,603 1,463 $12K
82553 1,528 1,401 $12K
87806 501 481 $12K
83605 1,393 1,180 $12K
87081 1,660 1,645 $12K
J2060 Lorazepam injection 2,342 1,704 $11K
J0696 Ceftriaxone sodium injection 904 655 $11K
87420 1,031 1,005 $11K
J2405 Ondansetron hcl injection 6,277 4,905 $11K
74019 132 127 $11K
OP720 64 48 $10K
87276 1,479 1,467 $10K
12001 61 55 $9K
73502 276 254 $9K
84702 728 633 $9K
97530 382 188 $9K
80164 348 299 $9K
87389 332 328 $8K
OP279 707 692 $8K
OP258 775 665 $8K
83036 1,591 1,512 $8K
J7120 Ringers lactate infusion 1,648 1,265 $7K
72110 120 116 $7K
73560 235 203 $7K
51798 146 137 $7K
77065 Tomosynthesis, mammo 68 64 $7K
J1170 Hydromorphone injection 1,546 1,076 $6K
85379 1,405 1,283 $6K
82150 1,132 1,094 $5K
81220 12 12 $5K
J3010 Fentanyl citrate injection 1,741 1,402 $4K
82947 1,175 929 $4K
76770 67 66 $4K
73080 114 105 $4K
76536 53 53 $4K
J7060 5% dextrose/water 1,929 915 $4K
J0690 Cefazolin sodium injection 567 395 $4K
J7040 Normal saline solution infus 1,125 996 $3K
85378 530 521 $3K
97116 112 61 $3K
J1200 Diphenhydramine hcl injectio 1,386 1,112 $3K
87486 114 113 $3K
87581 113 112 $3K
80329 40 26 $3K
J1100 Dexamethasone sodium phos 2,654 1,418 $3K
10060 12 12 $3K
85007 1,202 1,091 $3K
83655 279 278 $3K
84703 294 275 $2K
80354 80 45 $2K
93880 41 41 $2K
87635 236 209 $2K
J0131 Inj, acetaminophen (nos) 393 280 $2K
12011 12 12 $2K
M0222 Bebtelovimab injection 19 17 $2K
97597 25 12 $2K
J2250 Inj midazolam hydrochloride 882 689 $2K
87205 363 354 $2K
72050 42 42 $2K
J2543 Piperacillin/tazobactam 86 26 $2K
97162 27 24 $2K
74021 26 25 $2K
76815 15 13 $1K
72040 42 38 $1K
80074 56 53 $1K
87299 109 104 $1K
J2270 Morphine sulfate injection 544 345 $1K
86592 441 411 $1K
J2765 Metoclopramide hcl injection 731 579 $955.27
J7512 Prednisone ir or dr oral 1mg 932 784 $855.17
87340 184 181 $844.45
G0008 Admin influenza virus vac 41 40 $795.38
29130 14 12 $764.53
J1630 Haloperidol injection 509 332 $760.17
82950 125 111 $724.37
J2930 Methylprednisolone injection 153 121 $681.71
83020 113 111 $679.39
93225 12 12 $671.73
76818 12 12 $647.80
71100 27 25 $622.61
82465 184 184 $618.84
36600 13 12 $600.59
80178 19 17 $550.97
76705 12 12 $543.53
86618 29 29 $531.74
A4606 Oxygen probe used w oximeter 17 15 $502.88
88304 15 13 $484.38
A9575 Inj gadoterate meglumi 0.1ml 17 12 $484.04
82248 95 76 $444.01
84480 30 30 $436.50
93296 13 12 $435.03
84100 152 111 $427.79
J3411 Thiamine hcl 100 mg 146 128 $417.34
J0665 Inj, bupivacaine, nos, 0.5mg 173 119 $400.19
90686 14 14 $383.28
Q0163 Diphenhydramine hcl 50mg 682 515 $362.57
A9500 Tc99m sestamibi 26 26 $361.81
83021 16 16 $344.00
82247 119 89 $337.30
82105 24 24 $272.90
86762 98 96 $272.42
J2001 Lidocaine injection 549 283 $263.43
87147 24 24 $252.30
36416 133 104 $220.80
94760 27 21 $159.18
A6449 Lt compres band >=3" <5"/yd 90 76 $137.86
J1650 Inj enoxaparin sodium 40 13 $113.86
85652 79 78 $100.99
J0780 Prochlorperazine injection 31 30 $95.85
S0020 Injection, bupivicaine hydro 14 13 $81.65
J2470 Inj pantoprazole sodium 40mg 19 14 $76.06
A4930 Sterile, gloves per pair 22 20 $76.04
85660 16 16 $48.00
A6402 Sterile gauze <= 16 sq in 42 37 $46.11
82805 13 12 $43.38
J1171 Inj, hydromorphone, 0.1 mg 15 12 $39.27
A4657 Syringe w/wo needle 35 31 $39.14
A4223 Infusion supplies w/o pump 29 24 $38.35
J7510 Prednisolone oral per 5 mg 18 15 $28.59
81002 41 41 $23.55
P9603 One-way allow prorated miles 66 55 $23.00
OP255 13 13 $21.19
J2003 Inj, lidocaine hcl, 1 mg 41 26 $16.67
Q0245 Bamlanivimab and etesevima 12 12 $12.41
J1815 Insulin injection 21 12 $5.69
Q0222 Bebtelovimab 175 mg 20 17 $5.47
84132 12 12 $1.00
G8978 Mobility current status 26 25 $0.00
G8979 Mobility goal status 27 26 $0.00