Hospital
Punta Gorda Hma LLC
Punta Gorda Hma LLC was paid $1.79M by Medicaid between Jan 2018 and Sep 2024, across 79 billing codes. Its largest line is 99283, emergency room visit (moderate) — 27% of everything it billed.
33Billing provider infoPUNTA GORDA HMA LLC
PUNTA GORDA, FL 33950
PUNTA GORDA, FL 33950
33aNPI1104870245assigned 05/22/2006
33bProvider typeGeneral Acute Care Hospital
28Total paid$1.79M
24GClaims98,394
24DCodes billed79
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other General Acute Care Hospital providers in Florida
Rank by total paid#123 of 163
Median peer was paid$4.77M
This provider vs. median0.4×
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 | 6,851 | $61K | |
| 2019 | 22,530 | $307K | |
| 2020 | 21,036 | $234K | |
| 2021 | 23,453 | $422K | |
| 2022 | 16,485 | $476K | |
| 2023 | 6,501 | $226K | |
| 2024incomplete | 1,538 | $65K |
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 | 27% | 7,894 | 6,686 | $489K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 16% | 5,602 | 4,584 | $284K |
| 36415 | Collection of venous blood by venipuncture | 11% | 7,910 | 5,403 | $190K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | 8.0% | 928 | 742 | $143K |
| 70450 | Computed tomography, head or brain; without contrast material | 5.7% | 1,246 | 981 | $102K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 5.3% | 1,342 | 1,193 | $96K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 5.2% | 2,269 | 1,796 | $93K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | 3.0% | 852 | 777 | $54K |
| 96361 | Intravenous infusion, hydration; each additional hour | 2.3% | 1,634 | 1,299 | $41K |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 1.9% | 946 | 785 | $34K |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 1.8% | 338 | 269 | $32K |
| 87070 | 1.4% | 1,517 | 1,339 | $25K |
67 more codes
| 84703 | 1.1% | 1,423 | $20K | |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 1.1% | 587 | $20K |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 2,081 | $14K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 125 | $12K |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 2,491 | $10K |
| 85610 | <1% | 1,754 | $10K | |
| G0378 | Hospital observation service, per hour | <1% | 600 | $9K |
| 81003 | <1% | 3,467 | $9K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 341 | $8K |
| 80053 | Comprehensive metabolic panel | <1% | 5,934 | $8K |
| 87430 | <1% | 1,966 | $8K | |
| 71045 | Radiologic examination, chest; single view | <1% | 2,142 | $6K |
| 82962 | <1% | 424 | $6K | |
| 85027 | <1% | 706 | $6K | |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 59 | $6K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 1,220 | $5K |
| 85730 | <1% | 1,469 | $4K | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 2,469 | $4K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 6,750 | $3K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 2,757 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,845 | $3K |
| 87077 | <1% | 904 | $3K | |
| 84484 | <1% | 1,886 | $3K | |
| 87186 | <1% | 518 | $3K | |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 2,311 | $2K |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 2,193 | $2K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 250 | $2K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 3,094 | $2K |
| 83735 | <1% | 1,681 | $2K | |
| 80306 | <1% | 383 | $1K | |
| 73130 | <1% | 13 | $1K | |
| 87040 | <1% | 92 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,552 | $1K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 772 | $988.51 |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 589 | $902.53 |
| 73630 | <1% | 13 | $783.23 | |
| 83880 | <1% | 485 | $679.71 | |
| 83690 | <1% | 1,704 | $661.60 | |
| 82553 | <1% | 32 | $609.08 | |
| 82550 | <1% | 34 | $609.08 | |
| 96366 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour | <1% | 34 | $605.18 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 114 | $450.21 |
| 96360 | Intravenous infusion, hydration; initial, 31 minutes to 1 hour | <1% | 129 | $361.44 |
| J1170 | Injection, hydromorphone, up to 4 mg | <1% | 735 | $344.94 |
| 82150 | <1% | 1,063 | $283.90 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 1,289 | $271.28 |
| J2270 | Injection, morphine sulfate, up to 10 mg | <1% | 533 | $200.73 |
| J2060 | Injection, lorazepam, 2 mg | <1% | 42 | $144.60 |
| 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 | <1% | 31 | $142.88 |
| J7120 | Ringers lactate infusion, up to 1000 cc | <1% | 30 | $120.50 |
| J2704 | Injection, propofol, 10 mg | <1% | 29 | $120.50 |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | <1% | 15 | $120.50 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 44 | $103.61 |
| 81001 | <1% | 1,227 | $78.06 | |
| J2360 | Injection, orphenadrine citrate, up to 60 mg | <1% | 316 | $69.31 |
| C9113 | Injection, pantoprazole sodium, per vial | <1% | 228 | $60.03 |
| 96376 | <1% | 220 | $60.03 | |
| 82077 | <1% | 115 | $8.63 | |
| 86900 | <1% | 27 | $2.76 | |
| 86850 | <1% | 27 | $1.38 | |
| 86901 | <1% | 29 | $1.38 | |
| 81025 | 0% | 348 | $0.00 | |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | 0% | 105 | $0.00 |
| 82248 | 0% | 13 | $0.00 | |
| 84439 | 0% | 21 | $0.00 | |
| J7050 | Infusion, normal saline solution, 250 cc | 0% | 22 | $0.00 |
| 85379 | 0% | 14 | $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.