Medicaid Provider Spending

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

PRIME HEALTHCARE SERVICES - GADSDEN LLC

NPI: 1992103857 · GADSDEN, AL 35901 · General Acute Care Hospital · NPI assigned 12/09/2014

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

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

$3.90M
Total Medicaid Paid
124,656
Total Claims
102,948
Beneficiaries
75
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDOAN, CHRISTOPHER (MANAGING ASSOCIATE GENERAL COUNSEL)
NPI Enumeration Date12/09/2014

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 BLUE SPRINGS, LLC BLUE SPRINGS MO $10.51M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 22,351 $627K
2019 21,012 $581K
2020 10,863 $296K
2021 14,009 $360K
2022 18,446 $549K
2023 22,676 $844K
2024 15,299 $644K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 9,761 8,220 $2.02M
99284 Emergency department visit for the evaluation and management, high severity 12,978 11,401 $700K
99283 Emergency department visit for the evaluation and management, moderate severity 14,066 12,472 $511K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 14,041 11,648 $96K
80053 Comprehensive metabolic panel 10,637 8,942 $91K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 289 248 $63K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 5,923 4,867 $50K
87428 968 774 $46K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,537 1,671 $36K
70450 Computed tomography, head or brain; without contrast material 431 351 $30K
84484 3,636 2,592 $25K
71045 Radiologic examination, chest; single view 5,031 4,218 $22K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,359 1,271 $19K
83690 2,704 2,306 $17K
81001 5,032 4,325 $17K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 413 351 $16K
93458 53 39 $13K
99281 Emergency department visit for the evaluation and management, self-limited or minor 331 295 $13K
74176 Computed tomography, abdomen and pelvis; without contrast material 159 132 $11K
80048 Basic metabolic panel (calcium, ionized) 1,572 1,224 $11K
87486 301 260 $10K
87581 299 258 $10K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 301 260 $10K
81025 3,106 2,636 $10K
87070 820 754 $9K
74177 Computed tomography, abdomen and pelvis; with contrast material 47 40 $8K
87086 Culture, bacterial; quantitative colony count, urine 836 711 $7K
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 134 131 $7K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 189 173 $5K
J7030 Infusion, normal saline solution , 1000 cc 2,525 2,003 $4K
81003 1,137 982 $3K
J1885 Injection, ketorolac tromethamine, per 15 mg 3,026 2,364 $2K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 472 353 $2K
83880 88 76 $2K
85610 446 384 $1K
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 66 65 $962.50
87081 97 92 $869.46
71046 Radiologic examination, chest; 2 views 109 89 $794.95
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 67 57 $566.16
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 5,245 3,818 $564.47
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 3,978 3,366 $486.76
82553 31 29 $417.05
80061 Lipid panel 46 24 $352.45
82550 31 29 $235.37
J1100 Injection, dexamethasone sodium phosphate, 1 mg 434 328 $190.18
85379 25 25 $189.99
85027 94 77 $185.60
85730 196 147 $169.36
J0696 Injection, ceftriaxone sodium, per 250 mg 105 86 $166.74
84443 Thyroid stimulating hormone (TSH) 14 12 $148.72
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 18 12 $131.05
83036 Hemoglobin; glycosylated (A1C) 14 12 $127.26
83735 17 14 $115.40
83605 14 13 $78.47
82565 55 41 $60.48
80076 13 12 $50.16
J2405 Injection, ondansetron hydrochloride, per 1 mg 818 664 $44.02
J1170 Injection, hydromorphone, up to 4 mg 16 15 $37.18
36415 Collection of venous blood by venipuncture 2,368 1,898 $18.53
96361 Intravenous infusion, hydration; each additional hour 875 729 $18.00
J3010 Injection, fentanyl citrate, 0.1 mg 85 74 $17.65
J1644 Injection, heparin sodium, per 1000 units 396 210 $14.14
96375 Therapeutic injection; each additional sequential IV push 986 817 $0.00
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 55 50 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 217 169 $0.00
J2704 Injection, propofol, 10 mg 226 144 $0.00
99406 29 24 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 151 117 $0.00
0202U Oncology (prostate), multianalyte, gene expression profiling 189 176 $0.00
99152 212 169 $0.00
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 255 238 $0.00
C1760 Closure device, vascular (implantable/insertable) 264 218 $0.00
J7510 Prednisolone oral, per 5 mg 16 15 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 169 129 $0.00
A4221 Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) 12 12 $0.00