Medicaid Provider Spending

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

PRIME HEALTHCARE SERVICES - MONTCLAIR, LLC

NPI: 1992721161 · MONTCLAIR, CA 91763 · General Acute Care Hospital · NPI assigned 07/14/2006

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

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

$11.26M
Total Medicaid Paid
473,403
Total Claims
422,302
Beneficiaries
158
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDOAN, CHRISTOPHER (CHIEF COMPLINANCE COUNSEL)
NPI Enumeration Date07/14/2006

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 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
PRIME HEALTHCARE SERVICES-SUBURBAN HOSPITAL LLC EAST NORRITON PA $4.49M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 54,904 $1.17M
2019 66,655 $1.42M
2020 53,506 $1.29M
2021 66,231 $1.62M
2022 77,569 $1.88M
2023 79,031 $2.01M
2024 75,507 $1.88M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0450 Emergency room services 61,568 54,810 $2.77M
99283 Emergency department visit for the evaluation and management, moderate severity 25,461 22,901 $1.50M
70450 Computed tomography, head or brain; without contrast material 3,267 3,176 $501K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 8,532 7,889 $494K
74176 Computed tomography, abdomen and pelvis; without contrast material 3,562 3,455 $383K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 17,367 15,833 $382K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 9,308 8,975 $336K
Z7502 8,240 8,131 $309K
80053 Comprehensive metabolic panel 17,496 16,124 $284K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 10,357 9,640 $267K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 24,005 21,838 $250K
99499 2,917 2,529 $217K
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 2,539 2,387 $205K
G0482 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; 15-21 drug class(es), including metabolite(s) if performed 1,451 1,376 $181K
96375 Therapeutic injection; each additional sequential IV push 6,481 5,814 $163K
0762 943 583 $163K
74177 Computed tomography, abdomen and pelvis; with contrast material 707 697 $148K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2,146 2,058 $148K
71045 Radiologic examination, chest; single view 12,073 11,515 $147K
96361 Intravenous infusion, hydration; each additional hour 6,638 5,993 $120K
81025 17,624 16,257 $119K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 10,627 8,061 $87K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,462 1,430 $86K
99070 23,178 14,803 $85K
83690 8,776 8,205 $84K
99199 Unlisted special service, procedure or report 1,847 1,690 $80K
76705 Ultrasound, abdominal, real time with image documentation; limited 1,394 1,350 $80K
84484 6,264 5,559 $78K
80048 Basic metabolic panel (calcium, ionized) 5,276 4,972 $68K
J3490 Unclassified drugs 14,317 8,980 $59K
87086 Culture, bacterial; quantitative colony count, urine 6,585 6,290 $56K
81002 13,131 12,501 $55K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 2,763 2,526 $53K
83880 2,275 2,170 $53K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1,329 1,215 $49K
81001 9,118 8,664 $46K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 315 308 $46K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 892 867 $42K
73610 1,512 1,469 $41K
99284 Emergency department visit for the evaluation and management, high severity 490 464 $36K
73630 1,398 1,338 $35K
J1885 Injection, ketorolac tromethamine, per 15 mg 16,785 15,496 $34K
84702 2,074 1,843 $33K
0370 257 182 $32K
73130 1,127 1,089 $30K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 1,108 1,071 $30K
90715 911 892 $29K
87040 2,272 1,780 $29K
88305 Level IV - Surgical pathology, gross and microscopic examination 994 962 $27K
J7030 Infusion, normal saline solution , 1000 cc 7,001 6,294 $25K
80076 1,930 1,855 $24K
83605 1,759 1,595 $23K
Z9725 778 775 $23K
73110 840 807 $23K
G0378 Hospital observation service, per hour 352 242 $23K
73030 885 840 $23K
80305 2,074 1,989 $23K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 394 371 $22K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 344 342 $21K
J2270 Injection, morphine sulfate, up to 10 mg 4,839 3,916 $21K
74018 1,136 1,104 $20K
A4217 Sterile water/saline, 500 ml 3,122 2,976 $20K
87070 1,580 1,547 $19K
82948 2,401 2,114 $19K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 837 812 $17K
87081 2,073 2,010 $17K
71046 Radiologic examination, chest; 2 views 686 661 $16K
72125 Computed tomography, cervical spine; without contrast material 80 80 $15K
87420 1,109 1,081 $15K
85730 2,081 1,986 $14K
0250 2,596 1,803 $13K
85610 2,430 2,319 $12K
0270 3,131 2,070 $12K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 561 531 $12K
86901 2,074 1,967 $11K
73564 355 349 $11K
84443 Thyroid stimulating hormone (TSH) 453 439 $10K
73562 406 395 $10K
85379 635 613 $9K
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 3,740 3,600 $9K
0710 353 335 $9K
87186 760 719 $9K
29125 839 815 $8K
99221 45 45 $8K
86900 2,023 1,925 $8K
93971 64 63 $7K
83735 788 699 $6K
0259 1,116 969 $6K
Z7610 377 322 $6K
J2405 Injection, ondansetron hydrochloride, per 1 mg 5,266 4,753 $5K
J3010 Injection, fentanyl citrate, 0.1 mg 3,873 3,639 $5K
82150 553 524 $5K
86886 636 622 $5K
76801 92 85 $5K
J0696 Injection, ceftriaxone sodium, per 250 mg 2,452 2,307 $5K
Q0092 Set-up portable x-ray equipment 541 523 $5K
73080 163 154 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,084 1,055 $5K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 94 86 $4K
88313 244 224 $4K
73140 218 213 $4K
J1200 Injection, diphenhydramine hcl, up to 50 mg 2,131 1,898 $4K
93976 14 14 $4K
82550 409 387 $3K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 150 141 $3K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 44 40 $3K
88342 64 64 $3K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 3,192 2,928 $3K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,404 2,301 $3K
12001 171 170 $2K
0011A 67 65 $2K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 12 12 $2K
J2060 Injection, lorazepam, 2 mg 999 892 $2K
99238 Hospital discharge day management, 30 minutes or less 54 54 $2K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 242 221 $2K
71101 39 38 $2K
J2765 Injection, metoclopramide hcl, up to 10 mg 767 719 $1K
88312 90 89 $1K
0012A 32 32 $1K
72100 38 38 $1K
29515 105 104 $1K
J2250 Injection, midazolam hydrochloride, per 1 mg 2,641 2,314 $1K
10060 62 62 $999.20
73090 48 44 $990.46
S0077 Injection, clindamycin phosphate, 300 mg 102 89 $960.04
12011 25 24 $954.31
J7510 Prednisolone oral, per 5 mg 1,199 1,153 $907.42
76830 Ultrasound, transvaginal 14 13 $905.52
59025 Fetal non-stress test 60 52 $764.14
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,078 1,065 $755.84
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 41 34 $738.89
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 12 12 $570.36
74022 12 12 $515.75
12002 26 26 $455.29
43235 27 24 $441.75
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 24 24 $415.25
36415 Collection of venous blood by venipuncture 298 247 $400.63
0301 12 12 $398.46
29130 52 52 $386.04
73502 13 13 $385.81
J0780 Injection, prochlorperazine, up to 10 mg 74 72 $345.36
73590 13 12 $321.63
81003 82 81 $272.80
87210 40 40 $247.42
J1630 Injection, haloperidol, up to 5 mg 84 63 $244.38
81000 43 37 $206.03
87077 24 17 $179.88
84100 29 28 $165.85
82553 15 12 $165.64
45380 Colonoscopy, flexible; with biopsy, single or multiple 16 14 $140.00
J2550 Injection, promethazine hcl, up to 50 mg 43 42 $133.48
S0020 Injection, bupivicaine hydrochloride, 30 ml 28 25 $92.17
J2704 Injection, propofol, 10 mg 296 258 $84.35
86140 14 13 $81.13
J1170 Injection, hydromorphone, up to 4 mg 15 13 $68.02
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen 258 245 $57.98
J7060 5% dextrose/water (500 ml = 1 unit) 12 12 $27.28
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 125 121 $17.62