Medicaid Provider Spending

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

HERNANDO HMA LLC

NPI: 1003847047 · SPRING HILL, FL 34609 · General Acute Care Hospital · NPI assigned 07/06/2006

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

Authorized official LALOR, PAULA controls 20+ related entities in our dataset. Read more

$5.85M
Total Medicaid Paid
261,070
Total Claims
217,921
Beneficiaries
138
Codes Billed
2018-01
First Month
2023-10
Last Month

Provider Details

Authorized OfficialLALOR, PAULA (DIRECTOR/DELEGATED OFFICIAL)
NPI Enumeration Date07/06/2006

Related Entities

Other providers sharing the same authorized official: LALOR, PAULA

ProviderCityStateTotal Paid
ROSWELL HOSPITAL CORPORATION ROSWELL NM $41.27M
WESLEY HEALTH SYSTEM LLC HATTIESBURG MS $37.82M
METRO KNOXVILLE HMA LLC POWELL TN $28.70M
BULLHEAD CITY HOSPITAL CORPORATION BULLHEAD CITY AZ $28.54M
IOM HEALTH SYSTEM LP FORT WAYNE IN $27.50M
ST. JOSEPH HEALTH SYSTEM, LLC FORT WAYNE IN $25.43M
LAREDO TEXAS HOSPITAL COMPANY LP LAREDO TX $19.46M
OAK HILL HOSPITAL CORPORATION OAK HILL WV $18.77M
COCKE COUNTY HMA, LLC NEWPORT TN $18.34M
CLEVELAND TENNESSEE HOSPITAL COMPANY LLC CLEVELAND TN $16.31M
JEFFERSON COUNTY HMA LLC JEFFERSON CITY TN $14.31M
NORTHWEST ARKANSAS HOSPITALS, LLC SPRINGDALE AR $11.46M
PETERSBURG HOSPITAL COMPANY LLC PETERSBURG VA $11.20M
CAMPBELL COUNTY HMA, LLC LAFOLLETTE TN $10.07M
WARSAW HEALTH SYSTEM LLC WARSAW IN $9.95M
LONGVIEW MEDICAL CENTER LP LONGVIEW TX $9.29M
MOBERLY HOSPITAL COMPANY LLC MOBERLY MO $8.61M
CRESTVIEW HOSPITAL COMPANY, LLC CRESTVIEW FL $8.15M
KIRKSVILLE MISSOURI HOSPITAL COMPANY, LLC KIRKSVILLE MO $7.98M
VICTORIA OF TEXAS LP VICTORIA TX $7.74M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 14,607 $289K
2019 54,744 $812K
2020 45,649 $612K
2021 56,535 $1.31M
2022 60,529 $1.89M
2023 29,006 $939K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 17,884 16,183 $1.37M
99284 Emergency department visit for the evaluation and management, high severity 12,658 11,117 $816K
74177 Computed tomography, abdomen and pelvis; with contrast material 2,481 2,236 $549K
99282 Emergency department visit for the evaluation and management, low to moderate severity 5,370 4,948 $485K
70450 Computed tomography, head or brain; without contrast material 2,935 2,504 $363K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,510 1,350 $280K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 3,879 3,297 $247K
96361 Intravenous infusion, hydration; each additional hour 4,694 4,021 $229K
99281 Emergency department visit for the evaluation and management, self-limited or minor 2,713 2,519 $190K
36415 Collection of venous blood by venipuncture 18,720 13,269 $178K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 3,359 3,024 $138K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 3,803 3,325 $71K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 3,184 2,807 $63K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2,465 1,977 $57K
80053 Comprehensive metabolic panel 14,799 11,780 $56K
72125 Computed tomography, cervical spine; without contrast material 808 668 $50K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,583 1,197 $45K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 6,071 5,136 $41K
71275 Computed tomographic angiography, chest, with contrast material 204 180 $35K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,349 1,226 $34K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 415 301 $30K
G0378 Hospital observation service, per hour 1,586 1,165 $29K
87086 Culture, bacterial; quantitative colony count, urine 4,163 3,606 $27K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,443 3,226 $23K
81001 8,749 7,529 $22K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 499 308 $22K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 417 338 $20K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 540 405 $19K
73630 691 629 $16K
85610 4,810 4,034 $15K
73610 592 544 $15K
86850 407 360 $14K
71045 Radiologic examination, chest; single view 5,219 4,542 $13K
71046 Radiologic examination, chest; 2 views 2,476 2,282 $13K
73130 390 364 $12K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 4,056 3,410 $12K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 291 259 $12K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 494 397 $12K
81003 2,562 2,294 $11K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 382 341 $11K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 3,972 3,637 $11K
J7030 Infusion, normal saline solution , 1000 cc 4,257 3,253 $10K
86900 994 861 $10K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 15,002 11,728 $9K
73564 305 261 $9K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 5,476 4,448 $8K
73110 260 237 $8K
76818 90 62 $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 694 605 $7K
87070 247 201 $7K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 184 173 $6K
84484 3,913 2,691 $6K
59025 Fetal non-stress test 262 180 $6K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,574 1,391 $5K
76705 Ultrasound, abdominal, real time with image documentation; limited 265 236 $5K
96375 Therapeutic injection; each additional sequential IV push 4,791 3,945 $5K
87807 1,656 1,576 $5K
82962 1,111 510 $5K
84703 1,131 1,034 $4K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 61 56 $4K
85730 4,645 3,932 $4K
87186 1,049 907 $4K
76819 Fetal biophysical profile; without non-stress testing 64 47 $4K
J2405 Injection, ondansetron hydrochloride, per 1 mg 3,790 3,033 $4K
83735 5,298 4,127 $3K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 6,663 5,737 $3K
83690 4,736 4,134 $3K
73030 178 154 $3K
80048 Basic metabolic panel (calcium, ionized) 1,245 891 $3K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 86 77 $3K
74018 180 165 $2K
J1885 Injection, ketorolac tromethamine, per 15 mg 4,216 3,452 $2K
76830 Ultrasound, transvaginal 159 147 $2K
J2270 Injection, morphine sulfate, up to 10 mg 1,186 781 $2K
93971 138 122 $2K
86901 1,039 904 $2K
76801 209 170 $1K
83880 1,143 958 $1K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 319 283 $1K
87428 1,438 1,360 $1K
87210 236 208 $984.60
85379 1,266 1,111 $915.96
72131 29 27 $851.99
94760 859 753 $761.53
87077 740 640 $750.61
87040 1,077 798 $670.57
70486 12 12 $666.98
J0696 Injection, ceftriaxone sodium, per 250 mg 1,691 1,262 $662.64
84702 1,235 982 $604.99
85027 1,485 1,187 $601.65
82550 1,187 924 $518.70
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 154 130 $474.37
96376 710 366 $445.27
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 320 284 $418.42
82077 381 324 $400.15
93975 13 12 $307.34
73080 15 13 $305.34
J3475 Injection, magnesium sulfate, per 500 mg 67 53 $227.94
82553 485 408 $195.79
81025 2,514 2,211 $166.26
J1200 Injection, diphenhydramine hcl, up to 50 mg 414 334 $164.48
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,076 918 $155.55
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 753 620 $153.47
94664 77 68 $143.50
87081 2,020 1,887 $104.99
87430 2,350 2,203 $104.92
83605 232 202 $95.30
84112 15 12 $81.08
80143 126 111 $78.53
80179 85 75 $78.53
86140 379 322 $66.83
90714 14 13 $65.35
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 26 25 $65.35
72110 13 12 $60.64
84443 Thyroid stimulating hormone (TSH) 344 300 $37.35
J1170 Injection, hydromorphone, up to 4 mg 86 40 $21.02
85651 72 62 $8.76
J7120 Ringers lactate infusion, up to 1000 cc 450 333 $0.00
C9113 Injection, pantoprazole sodium, per vial 119 104 $0.00
82570 30 25 $0.00
84156 29 24 $0.00
29125 13 12 $0.00
00170 Anesthesia for intraoral procedures, including biopsy 17 15 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 16 12 $0.00
82150 95 88 $0.00
73090 13 12 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 322 247 $0.00
J0690 Injection, cefazolin sodium, 500 mg 16 12 $0.00
J2704 Injection, propofol, 10 mg 258 199 $0.00
J2060 Injection, lorazepam, 2 mg 46 39 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 119 94 $0.00
88305 Level IV - Surgical pathology, gross and microscopic examination 15 13 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 127 105 $0.00
86308 14 13 $0.00
J7050 Infusion, normal saline solution, 250 cc 57 27 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 43 38 $0.00
88304 16 16 $0.00
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 20 20 $0.00