Medicaid Provider Spending

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

HMA FENTRESS COUNTY GENERAL HOSPITAL LLC

NPI: 1093760712 · JAMESTOWN, TN 38556 · Certified Registered Nurse Anesthetist · NPI assigned 05/23/2006

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

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

$215K
Total Medicaid Paid
6,343
Total Claims
5,338
Beneficiaries
34
Codes Billed
2018-01
First Month
2018-05
Last Month

Provider Details

Authorized OfficialLALOR, PAULA (DIRECTOR/DELEGATED OFFICIAL)
NPI Enumeration Date05/23/2006

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 6,343 $215K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 682 628 $74K
99284 Emergency department visit for the evaluation and management, high severity 498 459 $65K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 187 171 $21K
G0378 Hospital observation service, per hour 123 106 $12K
G0379 Direct admission of patient for hospital observation care 20 18 $10K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 908 700 $5K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 88 44 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 302 272 $3K
80053 Comprehensive metabolic panel 490 430 $3K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 254 219 $2K
84484 169 141 $2K
87400 235 216 $2K
36415 Collection of venous blood by venipuncture 1,139 839 $2K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 105 96 $1K
99282 Emergency department visit for the evaluation and management, low to moderate severity 16 16 $1K
96375 Therapeutic injection; each additional sequential IV push 79 74 $853.72
80048 Basic metabolic panel (calcium, ionized) 176 117 $786.78
71045 Radiologic examination, chest; single view 87 77 $778.57
99281 Emergency department visit for the evaluation and management, self-limited or minor 12 12 $732.46
70450 Computed tomography, head or brain; without contrast material 15 14 $610.20
71046 Radiologic examination, chest; 2 views 107 96 $594.89
87070 70 70 $559.57
96361 Intravenous infusion, hydration; each additional hour 52 47 $513.29
81001 154 142 $511.67
87450 91 90 $481.54
J2405 Injection, ondansetron hydrochloride, per 1 mg 37 37 $314.51
86738 14 12 $122.94
J1100 Injection, dexamethasone sodium phosphate, 1 mg 44 40 $92.49
81003 14 14 $10.88
J1885 Injection, ketorolac tromethamine, per 15 mg 29 29 $0.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 21 13 $0.00
G0463 Hospital outpatient clinic visit for assessment and management of a patient 36 26 $0.00
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 14 12 $0.00
J7030 Infusion, normal saline solution , 1000 cc 75 61 $0.00