NP / PA
Hma Fentress County General Hospital LLC
Hma Fentress County General Hospital LLC was paid $215K by Medicaid between Jan 2018 and May 2018, across 34 billing codes. Its largest line is 99283, emergency room visit (moderate) — 34% of everything it billed.
33Billing provider infoHMA FENTRESS COUNTY GENERAL HOSPITAL LLC
JAMESTOWN, TN 38556
JAMESTOWN, TN 38556
33aNPI1093760712assigned 05/23/2006
33bProvider typeCertified Registered Nurse Anesthetist
28Total paid$215K
24GClaims6,343
24DCodes billed34
24AFirst – last monthJan 2018 – May 2018
Compared with peers
Next to other Certified Registered Nurse Anesthetist providers in Tennessee
Rank by total paid#13 of 93
Median peer was paid$11K
This provider vs. median20×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 6,343 | $215K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 34% | 682 | 628 | $74K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 30% | 498 | 459 | $65K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 9.9% | 187 | 171 | $21K |
| G0378 | Hospital observation service, per hour | 5.7% | 123 | 106 | $12K |
| G0379 | Direct admission of patient for hospital observation care | 4.8% | 20 | 18 | $10K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.4% | 908 | 700 | $5K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 2.2% | 88 | 44 | $5K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.5% | 302 | 272 | $3K |
| 80053 | Comprehensive metabolic panel | 1.2% | 490 | 430 | $3K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 254 | 219 | $2K |
| 84484 | <1% | 169 | 141 | $2K | |
| 87400 | <1% | 235 | 216 | $2K |
22 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 1,139 | $2K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 105 | $1K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 16 | $1K |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 79 | $853.72 |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 176 | $786.78 |
| 71045 | Radiologic examination, chest; single view | <1% | 87 | $778.57 |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 12 | $732.46 |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 15 | $610.20 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 107 | $594.89 |
| 87070 | <1% | 70 | $559.57 | |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 52 | $513.29 |
| 81001 | <1% | 154 | $511.67 | |
| 87450 | <1% | 91 | $481.54 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 37 | $314.51 |
| 86738 | <1% | 14 | $122.94 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 44 | $92.49 |
| 81003 | <1% | 14 | $10.88 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 29 | $0.00 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 21 | $0.00 |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 0% | 36 | $0.00 |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 0% | 14 | $0.00 |
| J7030 | Infusion, normal saline solution , 1000 cc | 0% | 75 | $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)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.