Medicaid Provider Spending

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

JACKSON TENNESSEE HOSPITAL COMPANY LLC

NPI: 1023089984 · JACKSON, TN 38305 · General Acute Care Hospital · NPI assigned 01/30/2006

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

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

$626K
Total Medicaid Paid
13,454
Total Claims
12,381
Beneficiaries
56
Codes Billed
2018-01
First Month
2018-05
Last Month

Provider Details

Authorized OfficialLALOR, PAULA (DIRECTOR/DELEGATED OFFICIAL)
NPI Enumeration Date01/30/2006

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 13,454 $626K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 2,041 1,935 $258K
99284 Emergency department visit for the evaluation and management, high severity 880 835 $134K
99282 Emergency department visit for the evaluation and management, low to moderate severity 746 721 $71K
99281 Emergency department visit for the evaluation and management, self-limited or minor 776 745 $57K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 92 66 $39K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 64 60 $14K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,145 1,066 $7K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 337 311 $6K
31622 16 15 $5K
87400 765 738 $4K
80053 Comprehensive metabolic panel 976 907 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 493 449 $4K
93458 15 14 $3K
87430 384 372 $3K
74177 Computed tomography, abdomen and pelvis; with contrast material 38 36 $2K
83690 384 365 $2K
70450 Computed tomography, head or brain; without contrast material 42 41 $2K
81025 389 367 $2K
84484 194 157 $2K
71045 Radiologic examination, chest; single view 557 524 $1K
96375 Therapeutic injection; each additional sequential IV push 143 116 $1K
81003 652 611 $842.74
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 305 248 $782.52
87420 38 36 $718.66
36415 Collection of venous blood by venipuncture 469 398 $532.38
82150 89 84 $481.93
71046 Radiologic examination, chest; 2 views 48 47 $362.72
83874 63 55 $278.58
80048 Basic metabolic panel (calcium, ionized) 110 93 $206.18
96361 Intravenous infusion, hydration; each additional hour 29 25 $181.44
94664 15 14 $179.41
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 29 26 $177.50
83880 12 12 $174.03
85027 87 66 $71.38
94760 22 13 $12.33
J2250 Injection, midazolam hydrochloride, per 1 mg 121 99 $0.00
87205 62 56 $0.00
C1769 Guide wire 47 45 $0.00
87206 109 55 $0.00
87015 61 55 $0.00
88305 Level IV - Surgical pathology, gross and microscopic examination 18 13 $0.00
87071 64 57 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 51 45 $0.00
85730 25 12 $0.00
82962 23 15 $0.00
87116 61 55 $0.00
G0378 Hospital observation service, per hour 20 13 $0.00
83735 22 13 $0.00
87102 61 55 $0.00
88112 14 13 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 15 13 $0.00
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 28 26 $0.00
C1780 Lens, intraocular (new technology) 95 69 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 47 45 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 48 46 $0.00
J2274 Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg 17 13 $0.00