Medicaid Provider Spending

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

FOLEY HOSPITAL COMPANY LLC

NPI: 1053382655 · FOLEY, AL 36535 · Ambulatory Surgical Clinic/Center · NPI assigned 01/31/2006

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

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

$4.48M
Total Medicaid Paid
153,631
Total Claims
130,435
Beneficiaries
68
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLALOR, PAULA (DIRECTOR/DELEGATED OFFICIAL)
NPI Enumeration Date01/31/2006

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 17,135 $306K
2019 17,980 $424K
2020 19,173 $481K
2021 24,617 $677K
2022 28,314 $890K
2023 29,431 $1.06M
2024 16,981 $638K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 29,091 25,236 $1.30M
99284 Emergency department visit for the evaluation and management, high severity 18,811 15,877 $1.29M
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 9,938 9,199 $435K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 10,896 10,049 $269K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 880 719 $175K
80053 Comprehensive metabolic panel 14,579 11,953 $141K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 8,032 7,382 $128K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 16,451 13,381 $122K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 5,477 5,242 $93K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,965 1,773 $91K
70450 Computed tomography, head or brain; without contrast material 703 620 $58K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1,349 1,178 $53K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1,085 693 $47K
71045 Radiologic examination, chest; single view 4,423 3,786 $36K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 2,467 1,961 $31K
71046 Radiologic examination, chest; 2 views 1,933 1,714 $29K
81001 7,823 6,217 $26K
74177 Computed tomography, abdomen and pelvis; with contrast material 179 160 $26K
84703 3,118 2,686 $18K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 600 443 $13K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 1,037 154 $11K
87807 752 703 $11K
87086 Culture, bacterial; quantitative colony count, urine 699 628 $8K
83690 1,007 880 $7K
84484 899 606 $6K
82553 559 411 $5K
82550 953 667 $5K
42820 Tonsillectomy and adenoidectomy; younger than age 12 12 12 $5K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,048 521 $5K
81003 1,424 1,301 $4K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 37 24 $4K
74176 Computed tomography, abdomen and pelvis; without contrast material 41 38 $4K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 347 274 $4K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 69 59 $3K
83735 345 287 $2K
83704 95 51 $2K
85610 391 326 $1K
84443 Thyroid stimulating hormone (TSH) 128 75 $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 18 17 $1K
82172 95 51 $1K
80061 Lipid panel 109 64 $1K
85027 224 180 $1K
85007 211 168 $862.65
72125 Computed tomography, cervical spine; without contrast material 14 12 $673.44
83695 95 51 $671.60
J1885 Injection, ketorolac tromethamine, per 15 mg 744 632 $631.85
J2405 Injection, ondansetron hydrochloride, per 1 mg 1,276 1,054 $571.93
82247 190 155 $541.30
85730 192 163 $369.05
85651 133 77 $365.40
J0696 Injection, ceftriaxone sodium, per 250 mg 57 52 $205.69
73630 13 12 $200.10
J2270 Injection, morphine sulfate, up to 10 mg 73 53 $170.61
83036 Hemoglobin; glycosylated (A1C) 13 12 $169.68
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 13 12 $161.76
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 12 12 $131.37
J7030 Infusion, normal saline solution , 1000 cc 60 44 $95.00
J2550 Injection, promethazine hcl, up to 50 mg 36 30 $66.77
J1170 Injection, hydromorphone, up to 4 mg 19 13 $52.16
86900 16 12 $29.61
86901 16 12 $29.34
J1100 Injection, dexamethasone sodium phosphate, 1 mg 42 38 $27.72
86140 12 12 $24.42
J2274 Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg 67 49 $10.59
87077 38 25 $0.00
88305 Level IV - Surgical pathology, gross and microscopic examination 147 85 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 39 38 $0.00
J2704 Injection, propofol, 10 mg 14 14 $0.00