Medicaid Provider Spending

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

PRIME HEALTHCARE SERVICES - GARDEN GROVE LLC

NPI: 1659538858 · GARDEN GROVE, CA 92843 · General Acute Care Hospital · NPI assigned 05/16/2008

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

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

$6.67M
Total Medicaid Paid
612,766
Total Claims
467,895
Beneficiaries
190
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDOAN, CHRISTOPHER (MANAGING ASSOCIATE GENERAL COUNSEL)
NPI Enumeration Date05/16/2008

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-LEHIGH ACRES LLC LEHIGH ACRES FL $5.64M
PRIME HEALTHCARE SERVICES-SUBURBAN HOSPITAL LLC EAST NORRITON PA $4.49M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 108,529 $901K
2019 106,001 $1.14M
2020 87,030 $980K
2021 85,759 $738K
2022 101,268 $947K
2023 81,772 $1.21M
2024 42,407 $758K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0450 Emergency room services 64,028 54,789 $554K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 13,825 10,898 $481K
A0429 Ambulance service, basic life support, emergency transport (bls-emergency) 12,451 8,572 $464K
74177 Computed tomography, abdomen and pelvis; with contrast material 2,823 2,277 $395K
Z7502 9,376 9,198 $352K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 7,125 5,863 $274K
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 5,210 4,099 $233K
70450 Computed tomography, head or brain; without contrast material 5,451 4,784 $226K
96375 Therapeutic injection; each additional sequential IV push 9,411 7,230 $198K
74176 Computed tomography, abdomen and pelvis; without contrast material 2,622 2,185 $189K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 16,615 13,508 $180K
J3490 Unclassified drugs 34,281 15,709 $163K
80053 Comprehensive metabolic panel 29,737 24,468 $159K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 4,023 3,167 $154K
87428 3,472 3,087 $153K
96361 Intravenous infusion, hydration; each additional hour 10,215 7,939 $149K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 34,851 28,788 $140K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 9,747 6,988 $138K
Z7500 2,969 2,231 $101K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 3,141 2,552 $99K
J7030 Infusion, normal saline solution , 1000 cc 16,682 12,820 $94K
71045 Radiologic examination, chest; single view 12,237 10,454 $87K
99199 Unlisted special service, procedure or report 1,675 1,615 $85K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 1,995 1,875 $68K
83690 18,480 15,211 $63K
72125 Computed tomography, cervical spine; without contrast material 1,133 1,021 $62K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2,749 2,325 $61K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1,527 1,267 $59K
Z7610 5,275 3,397 $57K
99284 Emergency department visit for the evaluation and management, high severity 1,841 1,731 $56K
81025 21,125 18,041 $53K
99283 Emergency department visit for the evaluation and management, moderate severity 4,557 4,144 $52K
76705 Ultrasound, abdominal, real time with image documentation; limited 1,513 1,247 $48K
84484 10,592 8,368 $46K
J1885 Injection, ketorolac tromethamine, per 15 mg 10,701 7,524 $43K
90715 1,800 1,529 $39K
83880 2,708 2,293 $37K
0270 41,715 21,178 $35K
81001 21,864 18,317 $32K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 4,730 3,237 $31K
59025 Fetal non-stress test 1,694 591 $31K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2,253 1,830 $31K
J2405 Injection, ondansetron hydrochloride, per 1 mg 8,425 6,519 $31K
71046 Radiologic examination, chest; 2 views 2,356 2,123 $29K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 2,640 1,908 $28K
87086 Culture, bacterial; quantitative colony count, urine 7,441 6,254 $28K
76700 Ultrasound, abdominal, real time with image documentation; complete 661 552 $28K
76801 666 546 $25K
87040 5,844 2,480 $24K
76830 Ultrasound, transvaginal 478 386 $20K
94762 808 736 $19K
83605 4,038 2,921 $18K
J2270 Injection, morphine sulfate, up to 10 mg 3,326 2,613 $18K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 288 252 $17K
J0696 Injection, ceftriaxone sodium, per 250 mg 3,612 2,785 $17K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 569 423 $17K
73610 1,143 1,058 $16K
73630 1,156 1,063 $15K
80048 Basic metabolic panel (calcium, ionized) 3,300 2,834 $14K
84443 Thyroid stimulating hormone (TSH) 1,607 1,348 $13K
73562 980 859 $12K
73130 883 804 $12K
93971 149 136 $11K
87186 2,768 2,253 $11K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 701 587 $11K
85730 3,861 3,135 $11K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 689 575 $11K
J1200 Injection, diphenhydramine hcl, up to 50 mg 2,432 1,878 $10K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,288 1,367 $10K
84145 991 790 $10K
85610 5,444 4,495 $10K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,312 1,575 $9K
73030 727 659 $9K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 561 428 $9K
71275 Computed tomographic angiography, chest, with contrast material 49 40 $9K
82962 6,672 4,455 $8K
70486 172 147 $8K
84702 1,496 1,265 $8K
85379 1,513 1,223 $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 290 223 $8K
J2704 Injection, propofol, 10 mg 1,813 798 $7K
J7060 5% dextrose/water (500 ml = 1 unit) 1,789 1,314 $7K
J2765 Injection, metoclopramide hcl, up to 10 mg 1,415 1,101 $7K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 1,726 1,466 $6K
72131 103 87 $6K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 194 151 $6K
83735 1,608 1,253 $5K
J2060 Injection, lorazepam, 2 mg 1,363 1,010 $5K
73110 352 336 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,398 1,257 $4K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 213 168 $4K
88305 Level IV - Surgical pathology, gross and microscopic examination 542 393 $4K
87070 1,735 1,456 $4K
87088 1,012 853 $4K
86901 2,211 1,854 $3K
93970 31 26 $3K
86900 2,210 1,855 $3K
82550 1,152 920 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 711 641 $3K
73080 174 167 $3K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 284 246 $3K
0250 6,066 3,976 $2K
12001 211 203 $2K
0012A 41 41 $2K
29125 488 459 $2K
0001A 35 35 $1K
86141 216 179 $1K
82947 360 327 $1K
86850 640 522 $988.37
0002A 24 24 $960.00
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 12 12 $855.67
J1170 Injection, hydromorphone, up to 4 mg 177 137 $836.94
0011A 20 20 $800.00
74018 108 102 $687.23
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 15 15 $603.69
96376 669 527 $600.40
36415 Collection of venous blood by venipuncture 10,835 9,041 $577.59
0272 3,455 3,221 $577.52
88312 91 77 $557.90
81005 870 737 $541.18
J2250 Injection, midazolam hydrochloride, per 1 mg 125 95 $540.82
73090 53 50 $536.88
71010 54 52 $536.04
73140 59 57 $532.96
29515 104 101 $523.65
76770 12 12 $518.70
12002 43 38 $514.31
S0164 Injection, pantoprazole sodium, 40 mg 70 53 $505.19
87184 196 164 $487.50
J3010 Injection, fentanyl citrate, 0.1 mg 107 83 $456.23
72100 29 24 $452.50
J1815 Injection, insulin, per 5 units 91 50 $422.30
73590 42 37 $414.03
99281 Emergency department visit for the evaluation and management, self-limited or minor 273 158 $346.20
73502 16 12 $336.63
10060 39 38 $315.00
J7050 Infusion, normal saline solution, 250 cc 95 84 $290.31
82009 130 106 $279.59
85027 1,119 924 $270.76
87077 85 73 $265.08
80076 82 62 $240.06
96368 17 13 $226.35
84439 60 48 $215.43
87420 149 138 $212.32
29505 52 51 $189.04
J7120 Ringers lactate infusion, up to 1000 cc 40 26 $177.49
71020 15 15 $174.79
12011 26 25 $165.60
J0690 Injection, cefazolin sodium, 500 mg 37 36 $150.00
Q4051 Splint supplies, miscellaneous (includes thermoplastics, strapping, fasteners, padding and other supplies) 37 13 $148.82
87081 25 25 $145.06
A4217 Sterile water/saline, 500 ml 35 29 $142.80
0636 782 606 $135.35
0762 234 185 $116.94
82150 39 32 $113.55
85651 53 42 $98.08
S0020 Injection, bupivicaine hydrochloride, 30 ml 12 12 $87.97
29130 27 25 $79.20
87205 21 16 $51.60
84100 18 14 $26.90
0710 709 623 $26.13
36600 14 12 $25.20
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 12 12 $20.18
A4606 Oxygen probe for use with oximeter device, replacement 28 24 $20.05
85652 12 12 $16.14
82270 12 12 $14.99
81003 337 327 $11.46
J1630 Injection, haloperidol, up to 5 mg 17 12 $5.89
0271 366 282 $2.39
85007 13 13 $1.26
85008 66 60 $0.98
A6402 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 13 12 $0.91
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 262 197 $0.01
0760 611 407 $0.00
0402 108 74 $0.00
0360 118 81 $0.00
0320 91 67 $0.00
0302 78 43 $0.00
0351 71 63 $0.00
0160 18 16 $0.00
0305 395 261 $0.00
0370 152 151 $0.00
A4615 Cannula, nasal 47 39 $0.00
G0379 Direct admission of patient for hospital observation care 30 24 $0.00
0761 2,390 1,717 $0.00
0301 809 274 $0.00
0324 109 105 $0.00
0352 74 65 $0.00
0307 145 138 $0.00
0306 232 99 $0.00