Medicaid Provider Spending

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

PRIME HEALTHCARE SERVICES BLUE SPRINGS, LLC

NPI: 1912303579 · BLUE SPRINGS, MO 64014 · General Acute Care Hospital · NPI assigned 11/10/2014

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

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

$10.51M
Total Medicaid Paid
82,074
Total Claims
69,191
Beneficiaries
49
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDOAN, CHRISTOPHER (MANAGING ASSOCIATE GENERAL COUNSEL)
NPI Enumeration Date11/10/2014

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 LOWER BUCKS LLC BRISTOL PA $8.71M
PRIME HEALTHCARE SERVICES - GARDEN GROVE LLC GARDEN GROVE CA $6.67M
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 5,918 $2.47M
2019 6,584 $2.36M
2020 9,765 $1.92M
2021 10,142 $266K
2022 16,963 $1.03M
2023 24,060 $1.64M
2024 8,642 $816K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 12,210 11,280 $1.86M
99284 Emergency department visit for the evaluation and management, high severity 6,210 5,694 $1.76M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 4,880 4,233 $1.49M
85025 Blood count; complete (CBC), automated, and automated differential WBC count 9,779 8,327 $1.06M
80053 Comprehensive metabolic panel 8,615 7,296 $978K
X4014 2,240 1,759 $748K
X4011 State-specific procedure code 1,618 1,378 $611K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,554 1,651 $521K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 3,230 2,641 $198K
71045 Radiologic examination, chest; single view 2,525 2,141 $190K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1,624 1,419 $145K
81025 2,040 1,843 $142K
83690 2,351 2,027 $106K
36415 Collection of venous blood by venipuncture 4,201 3,036 $95K
81001 1,846 1,615 $77K
81003 1,345 1,155 $76K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 352 327 $72K
87081 158 147 $54K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,921 1,692 $53K
84484 1,592 1,142 $44K
96361 Intravenous infusion, hydration; each additional hour 887 799 $37K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2,817 2,512 $34K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 728 537 $26K
80305 340 283 $22K
74176 Computed tomography, abdomen and pelvis; without contrast material 159 142 $17K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,551 1,373 $17K
87086 Culture, bacterial; quantitative colony count, urine 282 249 $13K
82550 135 104 $10K
96375 Therapeutic injection; each additional sequential IV push 295 259 $9K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 186 162 $7K
74177 Computed tomography, abdomen and pelvis; with contrast material 29 26 $6K
X4003 30 26 $6K
85730 44 36 $3K
85610 48 40 $3K
80048 Basic metabolic panel (calcium, ionized) 544 486 $3K
70450 Computed tomography, head or brain; without contrast material 56 51 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 14 12 $2K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 95 84 $2K
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 27 25 $2K
83735 140 114 $471.35
83880 16 14 $325.76
83605 58 42 $306.41
87807 28 28 $229.95
99281 Emergency department visit for the evaluation and management, self-limited or minor 17 12 $185.47
85027 82 67 $149.47
87077 16 13 $115.72
80076 17 16 $90.47
86140 23 17 $34.21
J3490 Unclassified drugs 1,119 859 $0.00