Medicaid Provider Spending

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

JACKSON HMA LLC

NPI: 1033163092 · JACKSON, MS 39204 · General Acute Care Hospital · NPI assigned 05/22/2006

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

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

$30.94M
Total Medicaid Paid
829,165
Total Claims
602,682
Beneficiaries
270
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLALOR, PAULA (DIRECTOR/DELEGATED OFFICIAL)
NPI Enumeration Date05/22/2006

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 145,198 $5.89M
2019 135,487 $5.48M
2020 111,113 $3.74M
2021 131,619 $4.54M
2022 143,202 $4.47M
2023 101,446 $3.89M
2024 61,100 $2.94M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 59,478 46,145 $7.65M
99284 Emergency department visit for the evaluation and management, high severity 24,371 18,566 $4.09M
99282 Emergency department visit for the evaluation and management, low to moderate severity 19,092 15,902 $1.61M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 5,670 4,366 $1.19M
G0378 Hospital observation service, per hour 4,565 2,298 $1.12M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 13,459 9,976 $1.11M
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 24,120 17,355 $885K
99281 Emergency department visit for the evaluation and management, self-limited or minor 17,460 14,698 $840K
87428 11,925 9,821 $614K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 14,436 3,707 $530K
74177 Computed tomography, abdomen and pelvis; with contrast material 3,110 2,462 $511K
71045 Radiologic examination, chest; single view 13,668 10,224 $506K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 4,980 3,061 $493K
71046 Radiologic examination, chest; 2 views 10,905 8,829 $419K
15002 630 454 $396K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 16,733 12,316 $344K
93458 371 271 $336K
86900 5,604 4,321 $317K
74176 Computed tomography, abdomen and pelvis; without contrast material 2,640 2,131 $283K
86886 3,760 2,807 $266K
75625 312 272 $261K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2,970 2,290 $260K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 2,609 1,271 $254K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 8,063 6,737 $251K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 15,804 13,030 $247K
11043 1,550 865 $228K
70450 Computed tomography, head or brain; without contrast material 4,356 3,402 $219K
D2930 Prefabricated stainless steel crown - primary tooth 3,508 704 $213K
96375 Therapeutic injection; each additional sequential IV push 8,715 6,039 $207K
96361 Intravenous infusion, hydration; each additional hour 5,351 4,122 $204K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 36,861 25,803 $189K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,358 1,130 $188K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,932 1,523 $186K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 4,303 3,409 $171K
80053 Comprehensive metabolic panel 22,893 16,755 $155K
D7140 Extraction, erupted tooth or exposed root 389 127 $152K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,519 3,253 $148K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 11,264 9,585 $136K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 7,115 4,724 $132K
77067 Screening mammography, bilateral, including computer-aided detection 1,611 1,454 $129K
11044 325 187 $119K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6,076 4,471 $106K
15273 89 76 $101K
86901 5,594 4,311 $97K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,296 1,043 $93K
75716 131 117 $84K
80048 Basic metabolic panel (calcium, ionized) 14,222 10,389 $83K
73130 1,955 1,493 $83K
84703 14,627 11,902 $83K
72100 1,536 1,188 $79K
73562 1,916 1,553 $78K
36415 Collection of venous blood by venipuncture 36,549 24,607 $73K
73630 1,870 1,471 $73K
87086 Culture, bacterial; quantitative colony count, urine 12,161 9,681 $72K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 211 158 $70K
15004 469 352 $70K
74018 1,590 1,289 $68K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 1,016 795 $67K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 894 777 $66K
81001 28,589 22,197 $64K
73030 1,690 1,319 $63K
97165 1,761 1,240 $62K
84484 8,751 5,637 $61K
37229 14 14 $61K
76801 834 701 $58K
83880 2,801 1,995 $56K
73610 1,339 1,081 $55K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 3,477 1,000 $55K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 3,376 756 $53K
71275 Computed tomographic angiography, chest, with contrast material 690 535 $53K
97760 1,801 966 $51K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 6,716 3,911 $44K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 878 690 $43K
87081 7,355 6,311 $40K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,675 1,299 $39K
10060 408 310 $38K
97162 1,030 799 $35K
87186 4,563 3,718 $33K
84702 2,938 2,270 $32K
83690 6,905 5,325 $32K
90792 Psychiatric diagnostic evaluation with medical services 302 281 $32K
93976 473 377 $31K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 4,628 3,795 $31K
87077 4,463 3,626 $30K
80061 Lipid panel 2,768 2,171 $27K
84443 Thyroid stimulating hormone (TSH) 2,582 2,016 $27K
97116 1,976 786 $27K
59025 Fetal non-stress test 240 200 $26K
72040 711 535 $24K
72125 Computed tomography, cervical spine; without contrast material 537 401 $24K
85730 5,957 4,458 $22K
93017 337 263 $22K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 564 479 $21K
87807 1,932 1,639 $20K
15277 33 29 $19K
73110 479 371 $18K
85610 7,179 5,272 $18K
93971 474 340 $18K
82962 8,995 3,546 $16K
81025 2,604 2,035 $15K
87040 1,731 1,008 $14K
99232 Subsequent hospital care, per day, moderate complexity 374 152 $13K
D1120 Prophylaxis - child 617 493 $13K
82077 1,358 1,043 $13K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 429 374 $12K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 298 247 $12K
76830 Ultrasound, transvaginal 167 144 $12K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 378 289 $11K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 433 376 $10K
97161 286 209 $10K
97010 3,521 928 $10K
87070 1,529 1,236 $10K
83605 1,698 1,129 $10K
83036 Hemoglobin; glycosylated (A1C) 1,472 1,180 $10K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 58 53 $9K
94010 284 220 $9K
76819 Fetal biophysical profile; without non-stress testing 128 76 $8K
97530 Therapeutic activities, direct patient contact, each 15 minutes 848 336 $8K
94726 146 111 $8K
85027 1,873 1,313 $8K
93979 192 144 $7K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 7,828 5,975 $7K
87210 1,884 1,536 $7K
75710 18 15 $7K
83735 2,316 1,559 $7K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 477 345 $7K
12001 65 54 $6K
D2391 Resin-based composite - one surface, posterior, primary or permanent 32 26 $6K
70551 Magnetic resonance imaging, brain; without contrast material 80 66 $6K
86850 224 166 $6K
76705 Ultrasound, abdominal, real time with image documentation; limited 106 93 $6K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 53 50 $6K
17999 77 67 $6K
93970 93 65 $6K
73590 128 93 $6K
73140 144 112 $5K
84439 873 723 $5K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 551 434 $5K
73502 172 123 $5K
Q4116 Alloderm, per square centimeter (add-on, list separately in addition to primary procedure) 179 140 $5K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 101 26 $5K
J0696 Injection, ceftriaxone sodium, per 250 mg 7,688 6,009 $5K
71260 Computed tomography, thorax, diagnostic; with contrast material 47 38 $4K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 182 163 $4K
36830 12 12 $4K
73560 88 68 $4K
85652 851 643 $4K
86780 461 333 $4K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 48 40 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 49 37 $4K
86140 1,113 845 $4K
J2405 Injection, ondansetron hydrochloride, per 1 mg 11,457 8,403 $4K
93978 37 36 $3K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 8,370 6,478 $3K
12011 25 25 $3K
81003 2,733 1,861 $3K
82550 676 509 $3K
85379 467 350 $3K
16020 45 28 $3K
J1885 Injection, ketorolac tromethamine, per 15 mg 16,370 12,262 $3K
J0171 Injection, adrenalin, epinephrine, 0.1 mg 1,739 1,226 $2K
J0690 Injection, cefazolin sodium, 500 mg 5,003 3,348 $2K
93925 72 37 $2K
97163 53 42 $2K
72131 54 38 $2K
J3246 Injection, tirofiban hcl, 0.25 mg 141 104 $2K
J1170 Injection, hydromorphone, up to 4 mg 5,685 3,658 $2K
76642 49 39 $2K
82565 495 382 $2K
J7030 Infusion, normal saline solution , 1000 cc 10,468 7,477 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 63 40 $1K
12002 14 12 $1K
76818 16 12 $1K
84550 394 306 $1K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 44 40 $1K
C1769 Guide wire 2,266 1,770 $1K
C1760 Closure device, vascular (implantable/insertable) 1,406 1,107 $1K
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 1,152 918 $1K
J1650 Injection, enoxaparin sodium, 10 mg 1,567 593 $983.26
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 15 13 $839.41
80074 74 39 $838.50
73620 17 14 $829.14
96376 2,540 1,367 $756.72
J2270 Injection, morphine sulfate, up to 10 mg 7,541 4,892 $720.78
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 1,610 1,273 $710.86
70486 13 12 $686.76
97166 18 12 $645.50
99152 2,829 2,153 $607.54
87340 87 69 $581.10
82803 33 25 $561.19
J2919 Injection, methylprednisolone sodium succinate, 5 mg 193 114 $550.35
73090 14 14 $533.51
87806 32 29 $530.82
J2250 Injection, midazolam hydrochloride, per 1 mg 9,201 6,974 $521.95
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,666 1,189 $499.55
J1644 Injection, heparin sodium, per 1000 units 3,030 2,227 $471.36
73080 23 12 $430.21
J3010 Injection, fentanyl citrate, 0.1 mg 8,299 6,322 $413.39
80076 51 49 $382.34
C9113 Injection, pantoprazole sodium, per vial 322 178 $365.10
J7120 Ringers lactate infusion, up to 1000 cc 8,153 5,666 $345.60
87641 20 14 $312.78
J2704 Injection, propofol, 10 mg 5,712 4,430 $239.26
15005 20 16 $226.90
97014 25 12 $205.61
84100 133 96 $197.18
85384 30 16 $194.99
0479T 126 112 $191.98
0480T 77 64 $191.98
81000 74 58 $187.11
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 1,454 1,142 $185.82
81005 132 113 $166.72
D0150 Comprehensive oral evaluation - new or established patient 26 25 $147.64
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 128 97 $139.94
84525 30 29 $129.76
15003 172 132 $127.75
82607 18 12 $122.41
85362 26 14 $111.74
81002 33 28 $76.06
D0350 13 13 $73.58
82570 22 16 $69.87
J7050 Infusion, normal saline solution, 250 cc 1,083 746 $68.43
84156 23 16 $56.07
15278 16 13 $44.81
90714 786 665 $44.52
J0780 Injection, prochlorperazine, up to 10 mg 1,320 891 $43.71
90715 344 247 $22.50
J1200 Injection, diphenhydramine hcl, up to 50 mg 2,650 1,727 $21.42
99153 Mod sedat endo service >5yrs 1,846 1,458 $20.18
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 314 239 $17.15
J2550 Injection, promethazine hcl, up to 50 mg 2,756 1,737 $15.28
J2765 Injection, metoclopramide hcl, up to 10 mg 2,096 1,611 $5.71
J3370 Injection, vancomycin hcl, 500 mg 246 150 $5.22
G1002 Clinical decision support mechanism medcurrent, as defined by the medicare appropriate use criteria program 160 136 $0.00
J7510 Prednisolone oral, per 5 mg 1,200 1,011 $0.00
15274 73 59 $0.00
J0595 Injection, butorphanol tartrate, 1 mg 95 67 $0.00
94729 147 112 $0.00
C1762 Connective tissue, human (includes fascia lata) 112 89 $0.00
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen 72 65 $0.00
J1580 Injection, garamycin, gentamicin, up to 80 mg 17 12 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 171 131 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 513 445 $0.00
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 217 162 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 12 12 $0.00
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 60 50 $0.00
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 49 36 $0.00
76937 17 15 $0.00
Q0177 Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 24 14 $0.00
C1724 Catheter, transluminal atherectomy, rotational 15 15 $0.00
99157 14 12 $0.00
J1940 Injection, furosemide, up to 20 mg 163 77 $0.00
94760 1,039 709 $0.00
J2060 Injection, lorazepam, 2 mg 342 214 $0.00
J0360 Injection, hydralazine hcl, up to 20 mg 705 523 $0.00
99156 14 12 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 345 238 $0.00
Q4100 Skin substitute, not otherwise specified 629 457 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 32 24 $0.00
J2785 Injection, regadenoson, 0.1 mg 171 119 $0.00
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 143 53 $0.00
J2360 Injection, orphenadrine citrate, up to 60 mg 157 112 $0.00
C1768 Graft, vascular 14 14 $0.00
J3490 Unclassified drugs 144 49 $0.00
11045 14 12 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 227 185 $0.00
77001 17 15 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 35 29 $0.00
D0140 Limited oral evaluation - problem focused 48 25 $0.00
D4355 13 13 $0.00