Oatmeal Healthoatmealhealth.com · public-data estimate, October 2026

Prospect Medical Holdings

Lung screening gap across 10 counties in California, Connecticut, Pennsylvania and Rhode Island

620,000to1.2Madults in its service area qualify for lung cancer screening and are not being screened

About 10,000 people here are diagnosed with lung cancer each year, and 63% are found at a late stage, when it is hardest to treat.

Explore the screening network
CAAZ
10 counties12 acute care hospitalsService areaShowing the California region; all regions are mapped below.
750,000 to 1.5Madults likely qualify under USPSTF 2021 criteria (estimate)
5,900lung cancer deaths a year in these counties, 2020 to 2024
18.4%of eligible adults screened in these states, vs 18.2% nationally

Estimates from public data only; no patient information. Sources and method below.

Where the eligible adults live

The counties where most of Prospect Medical Holdings's Medicare inpatients live. Darker areas hold more adults who likely qualify, which is where outreach would start. Hover or tap any area for its estimate.

California

Connecticut and Rhode Island

Pennsylvania

Adults likely eligible, per county

0+15,000+47,200+61,500+63,400+202,700+208,800+

Acute care hospital in this system

Counties in the service area

CountyStateAdults likely eligibleLung cancer deaths per 100kMedicare screens billed locally, 2024
Los Angeles CountyCalifornia341,600 to 644,90019.75,864
San Diego CountyCalifornia99,700 to 208,80021.62,544
Orange CountyCalifornia96,000 to 202,70020.21,029
Riverside CountyCalifornia89,200 to 152,70023.8181
Hartford CountyConnecticut33,200 to 63,40026.11,302
New Haven CountyConnecticut32,200 to 61,50028.71,487
Delaware CountyPennsylvania23,900 to 48,00031.0648
Providence CountyRhode Island26,000 to 47,20030.91,098
Litchfield CountyConnecticut7,800 to 15,00029.393
Tolland CountyConnecticut5,200 to 10,00026.9None billed locally

1 of the 10 counties had no Medicare lung screening reads billed from a local address in 2024. County names link to their Missing Millions page.

What closing the gap would mean

If screening in these counties rose from 18.4% to 23.4%, five points above today, about 37,700 to 72,700 more people would be screened each year.

In the National Lung Screening Trial, low-dose CT screening lowered lung cancer deaths by 20% compared with chest X-ray. Today about 63% of lung cancers here are found at a late stage.

Illustrative estimate: eligible adults (range) times the change in screening rate. Not a forecast or a guarantee.

Each year in these counties

10,000new lung cancers
6,300found at a late stage
5,900lung cancer deaths

NCI and CDC State Cancer Profiles, annual averages.

Screening at Prospect Medical Holdings today

Clinicians at Prospect Medical Holdings locations billed 295 low-dose CT lung screening reads to Medicare fee-for-service in 2024. Including Medicare Advantage and other insurers, we estimate about 600 to 1,700 screenings a year.

Most adults who qualify see a primary care clinician every year. We count 953 primary care clinicians, 24 pulmonologists and 2 thoracic surgeons practicing at Prospect Medical Holdings locations. A 20 pack-year smoking history is often missing from structured EHR fields, so many eligible patients are never flagged.

CMS Medicare Physician and Other Practitioners 2024 (CPT 71271); clinicians matched to Prospect Medical Holdings by practice address using the AHRQ Compendium of U.S. Health Systems 2023, so reads billed by outside radiology groups are not included. The all-payer estimate scales Medicare fee-for-service by the local Medicare Advantage share (51%, CMS) and, at the high end, by the share of eligible adults under 65 (66%).

12 acute care hospitals

  • So Calif Hospital at HollywoodLos Angeles, CA
  • Crozer Chester Medical CenterUpland, PA
  • Waterbury HospitalWaterbury, CT
  • Our Lady of Fatima HospitalNorth Providence, RI
  • Los Angeles Community HospitalLos Angeles, CA
  • Roger Williams Medical CenterProvidence, RI
  • Manchester Memorial HospitalManchester, CT
  • Foothill Reg Medical CenterTustin, CA
  • Rockville General Hospital Inc.Vernon, CT
  • Delaware County Memorial HospitalDrexel Hill, PA
  • Hollywood Community Hospital at Brotman Med CtrCulver City, CA
  • Southern California HospitalCulver City, CA

Find them, reach them, give radiologists a second opinion

LungIQ Find

Reads clinical notes, diagnoses and medications in the EHR and returns a ranked list of patients likely eligible, including those whose pack-year history is missing. Start with a CSV export refreshed every 1, 3 or 6 months, or connect through FHIR or HL7.

LungNAV Reach

An AI patient navigator that texts and calls patients in 70+ languages, answers questions about the scan, and hands each patient to your scheduling team or nurse navigators with a call summary.

LungAI Second opinion

Gives radiologists a malignancy risk score for each nodule, factoring in change since the prior scan, inside the PACS and CADe software they already use. The radiologist makes the final call.

LungAI is an investigational medical device and has not been cleared by FDA. It is not commercially available in the United States.

How we estimate the gap

Modeled estimates from public data. They are not a count of Prospect Medical Holdings patients and contain no patient information.

  • Service area: CMS Hospital Service Area File 2025 (counties within 120 miles of a system hospital holding 80% of its Medicare inpatients, plus any county with at least 1%); hospitals from the AHRQ Compendium of U.S. Health Systems, 2023.
  • Eligible adults, low estimate: Oatmeal Health Missing Millions (Census 2025 population, CDC PLACES smoking, USPSTF 2021).
  • Eligible adults, high estimate: University of Minnesota National Lung Cancer Screening Estimates (Haynes 2026), which also counts former smokers.
  • Screening rate: American Lung Association, State of Lung Cancer 2025.
  • Lung cancer cases and deaths: NCI and CDC State Cancer Profiles (incidence 2019 to 2023, deaths 2020 to 2024).
  • Screening volume: CMS Medicare Physician and Other Practitioners, 2024; CMS Medicare Advantage State/County Penetration, September 2026.

LungAI is an investigational medical device and has not been cleared by FDA. Oatmeal Health is preparing a 510(k) premarket notification. LungAI is not commercially available in the United States.

See Prospect Medical Holdings's own numbers

In a 30 minute review we replace these public estimates with counts from your own records and agree on what a first program would look like.