Medicaid Provider Spending

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

PRIME HEALTHCARE ANAHEIM, LLC

NPI: 1871501916 · ANAHEIM, CA 92804 · General Acute Care Hospital · NPI assigned 08/04/2006

$8.85M
Total Medicaid Paid
761,922
Total Claims
557,073
Beneficiaries
177
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSCHELL, TROY (SECRETARY / GENERAL COUNSEL)
NPI Enumeration Date08/04/2006

Related Entities

Other providers sharing the same authorized official: SCHELL, TROY

ProviderCityStateTotal Paid
PRIME HEALTHCARE SERVICES - ST. MARY'S PASSAIC LLC PASSAIC NJ $56.16M
PRIME HEALTHCARE SERVICES - ST. MARY'S PASSAIC, LLC PASSAIC NJ $7.25M
PRIME HEALTHCARE SERVICES ENCINO LLC ENCINO CA $1.52M
PRIME HEALTHCARE SERVICES - ST. MARY'S PASSAIC, LLC PASSAIC NJ $342K
PRIME HEALTHCARE SERVICES - ST. MARY'S PASSAIC, LLC PASSAIC NJ $9K
PRIME HEALTHCARE CENTINELA LLC INGLEWOOD CA $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 110,896 $995K
2019 109,686 $1.25M
2020 103,731 $1.23M
2021 119,066 $1.16M
2022 138,486 $1.45M
2023 112,674 $1.64M
2024 67,383 $1.12M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0450 Emergency room services 73,247 60,671 $833K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 17,420 13,703 $628K
74176 Computed tomography, abdomen and pelvis; without contrast material 7,820 6,545 $571K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 11,476 9,393 $441K
70450 Computed tomography, head or brain; without contrast material 9,241 8,093 $417K
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 8,779 6,854 $396K
A0429 Ambulance service, basic life support, emergency transport (bls-emergency) 10,566 7,622 $394K
Z7502 9,396 9,177 $355K
96375 Therapeutic injection; each additional sequential IV push 12,529 9,466 $284K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,877 1,563 $278K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 22,044 17,583 $264K
96361 Intravenous infusion, hydration; each additional hour 13,795 10,641 $236K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 5,413 4,246 $220K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 45,491 37,087 $193K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 12,003 8,219 $175K
72125 Computed tomography, cervical spine; without contrast material 2,504 2,258 $174K
80053 Comprehensive metabolic panel 30,236 24,358 $166K
J3490 Unclassified drugs 30,636 15,134 $152K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 4,313 3,458 $145K
71045 Radiologic examination, chest; single view 17,113 14,665 $123K
J7030 Infusion, normal saline solution , 1000 cc 20,039 14,934 $115K
71275 Computed tomographic angiography, chest, with contrast material 738 573 $106K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 4,500 3,713 $98K
99199 Unlisted special service, procedure or report 1,761 1,646 $93K
84484 14,191 10,805 $69K
83690 18,078 14,706 $66K
80048 Basic metabolic panel (calcium, ionized) 13,309 11,515 $64K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 14,978 6,805 $63K
72131 959 813 $62K
76700 Ultrasound, abdominal, real time with image documentation; complete 1,588 1,295 $62K
99283 Emergency department visit for the evaluation and management, moderate severity 5,262 4,394 $62K
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 1,076 858 $60K
0270 58,839 25,872 $60K
J1885 Injection, ketorolac tromethamine, per 15 mg 14,713 7,649 $59K
Z7610 5,123 3,033 $58K
90715 2,493 2,027 $55K
93971 714 637 $55K
83880 3,564 3,091 $55K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,091 1,976 $52K
81001 32,863 27,288 $51K
81025 18,767 15,898 $50K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1,329 1,161 $50K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 3,816 2,788 $44K
90853 Group psychotherapy (other than of a multiple-family group) 13,449 1,320 $43K
99284 Emergency department visit for the evaluation and management, high severity 2,048 1,898 $41K
70486 599 542 $37K
J2405 Injection, ondansetron hydrochloride, per 1 mg 9,650 7,232 $37K
87086 Culture, bacterial; quantitative colony count, urine 9,002 7,492 $36K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1,508 1,110 $34K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 5,385 3,233 $33K
72193 268 212 $32K
71250 584 526 $31K
J0696 Injection, ceftriaxone sodium, per 250 mg 5,474 3,988 $27K
87040 6,279 2,759 $26K
J2270 Injection, morphine sulfate, up to 10 mg 4,209 3,129 $23K
87428 464 446 $21K
73562 1,614 1,413 $21K
73610 1,394 1,304 $19K
73630 1,392 1,288 $19K
83605 4,028 3,017 $18K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,243 1,022 $18K
76801 422 340 $18K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,247 1,024 $18K
73030 1,337 1,179 $17K
73130 1,128 1,031 $16K
J1200 Injection, diphenhydramine hcl, up to 50 mg 3,651 2,752 $15K
87186 3,440 2,811 $15K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 942 779 $15K
71046 Radiologic examination, chest; 2 views 1,322 1,246 $14K
85379 2,584 2,218 $13K
J1170 Injection, hydromorphone, up to 4 mg 2,247 1,598 $13K
J2060 Injection, lorazepam, 2 mg 3,062 2,273 $13K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 3,227 2,634 $12K
84443 Thyroid stimulating hormone (TSH) 1,354 1,171 $11K
J2765 Injection, metoclopramide hcl, up to 10 mg 2,452 1,943 $11K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,689 1,676 $11K
85610 5,222 4,451 $9K
76830 Ultrasound, transvaginal 243 222 $9K
87088 2,060 1,741 $8K
82962 5,007 3,123 $7K
73110 489 462 $6K
0250 7,100 4,345 $6K
70496 33 26 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,840 1,639 $6K
84702 1,029 844 $6K
J7060 5% dextrose/water (500 ml = 1 unit) 1,210 845 $5K
87077 1,229 1,030 $5K
85730 1,820 1,570 $5K
87070 2,135 1,798 $5K
10060 355 314 $4K
96376 2,128 1,559 $4K
99281 Emergency department visit for the evaluation and management, self-limited or minor 424 288 $4K
73080 264 242 $4K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 422 346 $3K
70498 33 26 $3K
0011A 77 77 $3K
0012A 76 76 $3K
12001 342 326 $3K
87420 1,696 1,600 $3K
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 90 88 $3K
0272 4,459 4,044 $3K
83735 879 732 $3K
29125 787 742 $2K
0160 266 155 $2K
82805 201 168 $2K
84145 188 159 $2K
96367 105 79 $2K
80076 373 363 $2K
86901 1,120 951 $2K
36415 Collection of venous blood by venipuncture 13,805 11,324 $2K
86900 1,116 949 $2K
J3370 Injection, vancomycin hcl, 500 mg 249 202 $2K
S0164 Injection, pantoprazole sodium, 40 mg 252 180 $2K
74018 192 172 $2K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 30 27 $2K
76705 Ultrasound, abdominal, real time with image documentation; limited 46 39 $1K
93970 16 12 $1K
71260 Computed tomography, thorax, diagnostic; with contrast material 12 12 $1K
J1815 Injection, insulin, per 5 units 261 168 $1K
29515 310 293 $1K
99070 269 171 $1K
73090 96 87 $957.41
12011 97 94 $894.35
85651 665 582 $833.79
82947 286 173 $814.68
73590 65 51 $742.76
85027 2,015 1,674 $702.40
J1630 Injection, haloperidol, up to 5 mg 700 467 $650.36
J7050 Infusion, normal saline solution, 250 cc 166 143 $528.61
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 14 14 $460.77
94762 61 53 $429.02
J3475 Injection, magnesium sulfate, per 500 mg 103 78 $428.72
87205 184 129 $334.26
72100 13 13 $313.44
73620 26 24 $303.96
29505 74 70 $283.32
J0171 Injection, adrenalin, epinephrine, 0.1 mg 51 28 $269.69
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 13 13 $266.73
73140 29 28 $214.64
J1953 Injection, levetiracetam, 10 mg 21 12 $206.27
86850 144 117 $201.15
J3010 Injection, fentanyl citrate, 0.1 mg 65 53 $198.73
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 513 429 $192.24
0301 1,060 355 $191.85
71101 15 13 $175.84
87210 64 51 $155.30
87299 20 19 $149.15
87184 64 52 $132.32
0271 65 64 $111.53
82550 37 30 $95.67
S0020 Injection, bupivicaine hydrochloride, 30 ml 16 12 $91.24
J2704 Injection, propofol, 10 mg 24 12 $77.77
12002 12 12 $75.84
0636 716 527 $75.17
J3480 Injection, potassium chloride, per 2 meq 19 15 $62.97
J0690 Injection, cefazolin sodium, 500 mg 16 12 $53.65
81005 144 140 $52.95
81003 593 572 $51.71
A4217 Sterile water/saline, 500 ml 15 15 $36.00
82803 17 13 $23.93
85008 292 241 $8.16
A6402 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 40 39 $1.82
90834 Psychotherapy, 45 minutes with patient 540 114 $0.00
0305 493 332 $0.00
G0411 Interactive group psychotherapy, in a partial hospitalization or intensive outpatient setting, approximately 45 to 50 minutes 2,968 183 $0.00
0307 117 111 $0.00
0306 346 153 $0.00
0352 140 114 $0.00
0324 177 173 $0.00
0710 17 12 $0.00
90832 Psychotherapy, 30 minutes with patient 696 127 $0.00
G0176 Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more) 824 150 $0.00
0402 74 47 $0.00
0320 120 100 $0.00
0351 71 69 $0.00
G0479 Drug test(s), presumptive, any number of drug classes; any number of devices or procedures by instrumented chemistry analyzers utilizing immunoassay, enzyme assay, tof, maldi, ldtd, desi, dart, ghpc, gc mass spectrometry), includes sample validation when performed, per date of service 52 50 $0.00
0300 13 13 $0.00