Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Campbell County Hma LLC

Campbell County Hma LLC was paid $55K by Medicaid between Sep 2022 and Nov 2024, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 81% of everything it billed.

33Billing provider infoCAMPBELL COUNTY HMA LLC
CARYVILLE, TN 37714
33aNPI1023613361assigned 12/03/2020
28Total paid$55K
24GClaims9,256
24DCodes billed20
24AFirst – last monthSep 2022 – Nov 2024
Compared with peers

Next to other Rural Health Clinic/Center providers in Tennessee

Rank by total paid#61 of 96
Median peer was paid$127K
This provider vs. median0.4×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official LALOR, PAULA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K$6.0K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2022617$3K
20234,425$20K
2024incomplete4,214$33K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 81% 1,264 934 $44K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17% 289 223 $9K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1.4% 18 13 $771.21
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis <1% 19 13 $428.85
96127 <1% 16 14 $41.66
36415 Collection of venous blood by venipuncture <1% 678 541 $7.85
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 18 12 $0.00
3288F 0% 977 738 $0.00
3078F 0% 754 613 $0.00
3077F 0% 48 39 $0.00
3725F 0% 199 178 $0.00
3074F 0% 836 681 $0.00
8 more codes
3079F 0% 300 $0.00
1036F 0% 839 $0.00
1034F 0% 364 $0.00
3008F 0% 1,384 $0.00
3075F 0% 116 $0.00
1125F 0% 339 $0.00
1126F 0% 777 $0.00
3080F 0% 21 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialLALOR, PAULA (DIRECTOR /DELEGATED OFFICIAL)
Same official

Other billing entities under LALOR, PAULA

Full network →
ProviderLocationPaid
Roswell Hospital CorporationRoswell, NM$41.27M
Wesley Health System LLCHattiesburg, MS$37.82M
Metro Knoxville Hma LLCPowell, TN$28.70M
Bullhead City Hospital CorporationBullhead City, AZ$28.54M
Iom Health System LPFort Wayne, IN$27.50M
ST. Joseph Health System, LLCFort Wayne, IN$25.43M
Laredo Texas Hospital Company LPLaredo, TX$19.46M
Oak Hill Hospital CorporationOak Hill, WV$18.77M
Cocke County Hma, LLCNewport, TN$18.34M
Cleveland Tennessee Hospital Company LLCCleveland, TN$16.31M
Jefferson County Hma LLCJefferson City, TN$14.31M
Northwest Arkansas Hospitals, LLCSpringdale, AR$11.46M
Petersburg Hospital Company LLCPetersburg, VA$11.20M
Campbell County Hma, LLCLafollette, TN$10.07M
Warsaw Health System LLCWarsaw, IN$9.95M
Longview Medical Center LPLongview, TX$9.29M
Moberly Hospital Company LLCMoberly, MO$8.61M
Crestview Hospital Company, LLCCrestview, FL$8.15M
Kirksville Missouri Hospital Company, LLCKirksville, MO$7.98M
Victoria of Texas LPVictoria, TX$7.74M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.