Medicaid Provider Spending

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

NAVARRO HOSPITAL LP

NPI: 1144274226 · CORSICANA, TX 75110 · Ambulatory Surgical Clinic/Center · NPI assigned 05/21/2006

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

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

$7.32M
Total Medicaid Paid
103,220
Total Claims
95,758
Beneficiaries
80
Codes Billed
2020-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLALOR, PAULA (DIRECTOR, DELEGATED OFFICIAL)
NPI Enumeration Date05/21/2006

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
2020 1,394 $95K
2021 21,607 $1.23M
2022 31,270 $2.14M
2023 30,960 $2.61M
2024 17,989 $1.25M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 10,468 10,022 $2.68M
99284 Emergency department visit for the evaluation and management, high severity 4,978 4,668 $1.59M
99281 Emergency department visit for the evaluation and management, self-limited or minor 2,481 2,380 $479K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 8,099 7,789 $425K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 1,162 1,076 $360K
87430 11,821 11,473 $323K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 5,164 4,939 $309K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,226 1,181 $231K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1,638 1,370 $92K
87428 4,440 4,309 $88K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,107 1,077 $71K
71045 Radiologic examination, chest; single view 1,567 1,406 $68K
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 422 413 $65K
80053 Comprehensive metabolic panel 7,118 6,386 $61K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 8,154 7,157 $53K
J2405 Injection, ondansetron hydrochloride, per 1 mg 773 684 $48K
87807 1,810 1,764 $47K
71046 Radiologic examination, chest; 2 views 722 693 $42K
J0696 Injection, ceftriaxone sodium, per 250 mg 252 228 $37K
70450 Computed tomography, head or brain; without contrast material 732 675 $35K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 621 574 $31K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 3,522 3,401 $25K
74177 Computed tomography, abdomen and pelvis; with contrast material 42 41 $16K
81001 4,957 4,594 $13K
84443 Thyroid stimulating hormone (TSH) 1,182 1,156 $12K
80061 Lipid panel 1,352 1,330 $12K
84484 1,799 980 $11K
83036 Hemoglobin; glycosylated (A1C) 1,431 1,402 $10K
83880 457 412 $8K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 122 117 $8K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 598 588 $8K
84703 977 905 $8K
77067 Screening mammography, bilateral, including computer-aided detection 114 114 $7K
85027 476 459 $5K
80048 Basic metabolic panel (calcium, ionized) 895 802 $5K
87086 Culture, bacterial; quantitative colony count, urine 971 893 $5K
83690 929 846 $4K
77063 Screening digital breast tomosynthesis, bilateral 114 114 $4K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 55 45 $4K
74176 Computed tomography, abdomen and pelvis; without contrast material 27 27 $3K
83735 670 601 $2K
82550 662 606 $2K
J2270 Injection, morphine sulfate, up to 10 mg 44 38 $2K
83655 71 71 $2K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 21 21 $2K
82607 158 157 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg 131 122 $1K
83605 267 193 $1K
82728 126 124 $1K
85610 591 544 $1K
84439 53 53 $960.55
85730 368 345 $960.44
72125 Computed tomography, cervical spine; without contrast material 40 39 $871.67
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 40 39 $762.97
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 364 317 $721.97
88305 Level IV - Surgical pathology, gross and microscopic examination 71 42 $677.15
83550 97 95 $595.48
96361 Intravenous infusion, hydration; each additional hour 99 93 $554.18
87040 145 76 $503.65
87186 204 184 $495.96
83540 105 101 $458.52
87088 153 141 $358.54
87081 38 37 $219.77
86901 61 53 $151.16
86900 61 53 $151.15
82043 38 38 $122.22
94664 27 27 $108.72
59025 Fetal non-stress test 12 12 $84.19
J3010 Injection, fentanyl citrate, 0.1 mg 15 12 $67.30
85379 13 12 $26.94
80164 12 12 $24.72
36415 Collection of venous blood by venipuncture 2,296 1,978 $6.89
S3620 Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) 28 26 $0.02
J2704 Injection, propofol, 10 mg 220 211 $0.00
82962 740 413 $0.00
96375 Therapeutic injection; each additional sequential IV push 92 85 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 107 102 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 12 12 $0.00
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 176 171 $0.00
74018 17 12 $0.00