Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › SAN DIMAS › PRIME HEALTHCARE SERVICES - SAN DIMAS LLC

PRIME HEALTHCARE SERVICES - SAN DIMAS LLC

NPI: 1740447945 · SAN DIMAS, CA 91773 · 282N00000X

$2.92M
Total Medicaid Paid
162,472
Total Claims
149,200
Beneficiaries
120
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 26,678 $420K
2019 24,026 $430K
2020 17,579 $318K
2021 20,727 $377K
2022 24,347 $466K
2023 25,774 $491K
2024 23,341 $413K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0450 26,446 24,063 $980K
70450 1,983 1,935 $191K
74176 2,073 2,015 $175K
96374 3,746 3,541 $151K
99281 2,988 2,683 $107K
93005 5,020 4,727 $91K
99199 2,604 2,375 $88K
80053 9,010 8,422 $73K
96372 4,759 4,524 $72K
87426 3,081 2,933 $71K
99283 1,330 1,263 $66K
71045 5,729 5,493 $65K
85025 11,226 10,451 $58K
96375 3,056 2,824 $56K
80307 1,481 1,431 $52K
96365 952 910 $48K
99284 441 422 $41K
99285 271 254 $40K
Z7502 898 876 $34K
96361 2,538 2,371 $32K
U0003 Cov-19 amp prb hgh thruput 480 449 $24K
84484 3,528 3,266 $24K
G0482 Drug test def 15-21 classes 263 240 $22K
83880 1,125 1,087 $20K
83690 3,923 3,695 $18K
J3490 Drugs unclassified injection 4,351 2,925 $18K
81025 4,357 4,141 $17K
83605 2,358 2,033 $17K
J1885 Ketorolac tromethamine inj 4,535 4,319 $17K
87086 2,354 2,272 $12K
J7030 Normal saline solution infus 2,573 2,419 $12K
0250 3,476 2,607 $12K
94640 954 900 $12K
0270 2,734 1,984 $12K
87040 1,410 1,144 $11K
87804 1,930 1,432 $11K
80048 1,767 1,686 $11K
99070 381 201 $11K
J2270 Morphine sulfate injection 2,019 1,761 $10K
86710 947 875 $8K
96360 202 198 $8K
85730 2,020 1,970 $8K
81000 3,470 3,313 $8K
85610 2,587 2,511 $7K
J2405 Ondansetron hcl injection 2,203 2,069 $6K
J0696 Ceftriaxone sodium injection 838 800 $5K
70140 31 26 $5K
80076 928 893 $5K
82150 964 940 $4K
82397 411 403 $4K
0011A 101 98 $4K
C9803 Hopd covid-19 spec collect 201 188 $3K
82550 598 586 $3K
81003 2,112 2,044 $3K
87081 697 679 $3K
86403 361 354 $2K
81001 1,195 1,151 $2K
0012A 61 60 $2K
86140 625 602 $2K
Z9725 74 74 $2K
74177 12 12 $2K
74018 121 116 $2K
J1200 Diphenhydramine hcl injectio 613 561 $2K
84702 255 234 $2K
73030 94 90 $2K
J2001 Lidocaine injection 742 721 $2K
73610 96 93 $2K
90715 53 53 $2K
84703 346 336 $2K
73630 62 61 $1K
81002 573 542 $1K
0360 204 197 $1K
73564 51 51 $989.95
85379 139 133 $904.99
87186 165 161 $895.38
J2060 Lorazepam injection 213 190 $822.27
0300 12 12 $796.92
72100 26 25 $768.89
99499 15 12 $744.00
71046 39 38 $610.30
87420 120 115 $596.57
0320 44 41 $550.26
82962 287 263 $529.35
73130 26 25 $516.41
36415 475 442 $499.19
82009 124 118 $375.72
J1100 Dexamethasone sodium phos 126 121 $371.94
0636 87 79 $369.35
88305 207 203 $361.71
90471 99 98 $324.86
J2250 Inj midazolam hydrochloride 514 480 $310.52
76376 536 498 $300.63
82948 138 130 $296.17
J2930 Methylprednisolone injection 38 38 $266.11
86901 78 76 $223.13
J2175 Meperidine hydrochl /100 mg 170 168 $199.96
G0480 Drug test def 1-7 classes 17 16 $191.85
87591 13 12 $191.40
87491 13 12 $190.41
85027 37 36 $158.42
A4649 Surgical supplies 40 29 $147.15
81015 189 186 $130.19
96376 16 12 $105.75
86900 27 26 $81.25
J0780 Prochlorperazine injection 14 12 $78.13
85651 25 24 $63.44
85007 24 24 $50.46
29125 12 12 $50.00
80061 47 46 $47.10
J2765 Metoclopramide hcl injection 13 12 $28.78
J2003 Inj, lidocaine hcl, 1 mg 14 14 $27.95
J3010 Fentanyl citrate injection 29 29 $11.09
45385 16 16 $10.50
83036 13 12 $10.00
Q9967 Locm 300-399mg/ml iodine,1ml 90 88 $8.78
J7613 Albuterol non-comp unit 97 92 $3.66
Q0162 Ondansetron oral 14 13 $0.83
88313 12 12 $0.00
43239 12 12 $0.00
88312 12 12 $0.00