Medicaid Provider Spending

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

AFFINITY HOSPITAL LLC

NPI: 1023061405 · BIRMINGHAM, AL 35243 · General Acute Care Hospital · NPI assigned 05/18/2006

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

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

$899K
Total Medicaid Paid
50,229
Total Claims
44,126
Beneficiaries
60
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLALOR, PAULA (DIRECTOR/DELEGATED OFFICIAL)
NPI Enumeration Date05/18/2006

Related Entities

Other providers sharing the same authorized official: LALOR, PAULA

ProviderCityStateTotal Paid
NORTHWEST HOSPITAL LLC TUCSON AZ $47.81M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 9,104 $129K
2019 9,019 $116K
2020 5,688 $66K
2021 6,438 $97K
2022 6,921 $124K
2023 6,996 $191K
2024 6,063 $176K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 7,061 6,252 $428K
99283 4,766 4,308 $178K
85025 11,323 9,784 $85K
80053 9,032 7,662 $82K
87591 1,061 1,016 $31K
87070 2,037 1,978 $23K
86780 855 818 $15K
99285 46 43 $11K
87086 758 648 $8K
87389 159 152 $3K
87804 167 151 $3K
84443 229 220 $3K
81001 758 650 $3K
86762 114 111 $2K
86592 376 350 $2K
80061 144 139 $1K
87340 113 110 $1K
86850 247 234 $1K
84439 213 206 $1K
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 28 27 $1K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 44 27 $1K
85027 391 283 $1K
93005 95 81 $916.26
71045 209 178 $898.11
0002A 28 27 $880.00
87081 77 77 $769.74
87502 17 17 $759.50
85014 265 246 $746.06
80164 69 67 $706.70
86787 40 40 $698.36
87428 15 15 $679.00
82105 29 27 $586.36
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 35 30 $514.10
82947 126 111 $453.00
86900 143 138 $417.67
86901 143 138 $402.39
0001A 12 12 $360.00
80305 39 36 $342.93
83036 48 46 $254.52
84484 47 38 $253.78
87661 13 12 $234.24
87430 21 16 $224.56
82607 14 14 $219.90
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 13 13 $192.50
83020 13 13 $189.90
J2405 Injection, ondansetron hydrochloride, per 1 mg 46 38 $184.64
81025 46 39 $175.32
83690 43 37 $171.65
83655 15 12 $168.20
81003 82 79 $131.60
82306 14 14 $107.76
82247 17 17 $102.40
85018 26 25 $86.75
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 26 12 $65.00
J1885 Injection, ketorolac tromethamine, per 15 mg 71 65 $44.45
87491 1,072 1,029 $37.03
36415 6,506 5,396 $20.16
G0475 Hiv antigen/antibody, combination assay, screening 674 655 $0.00
0241U 112 103 $0.00
91300 46 44 $0.00