Medicaid Provider Spending

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

MARSHALL COUNTY HMA LLC

NPI: 1063910925 · DURANT, OK 74701 · Rural Health Clinic/Center · NPI assigned 01/25/2018

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

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

$3.84M
Total Medicaid Paid
27,730
Total Claims
25,325
Beneficiaries
30
Codes Billed
2018-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLALOR, PAULA (DIRECTOR)
NPI Enumeration Date01/25/2018

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 155 $4K
2019 382 $12K
2020 713 $26K
2021 1,322 $53K
2022 6,006 $895K
2023 11,931 $1.84M
2024 7,221 $1.01M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,714 10,573 $1.89M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,854 9,806 $1.51M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,000 965 $198K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 583 583 $116K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 224 224 $40K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 1,251 1,155 $33K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 109 106 $20K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 92 92 $18K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 27 27 $5K
99406 47 45 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 15 15 $3K
99215 Prolong outpt/office vis 13 13 $605.50
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 288 288 $18.34
90472 Immunization administration, each additional vaccine (list separately) 178 178 $18.34
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 251 245 $2.16
J1100 Injection, dexamethasone sodium phosphate, 1 mg 145 144 $0.00
90697 76 76 $0.00
90680 62 62 $0.00
1036F 116 92 $0.00
J1040 Injection, methylprednisolone acetate, 80 mg 80 80 $0.00
3079F 43 39 $0.00
3008F 154 128 $0.00
90474 62 62 $0.00
3074F 87 74 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 51 51 $0.00
90710 15 15 $0.00
90670 92 92 $0.00
90671 43 43 $0.00
90633 20 20 $0.00
3078F 38 32 $0.00