Medicaid Provider Spending

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

STATESVILLE HMA LLC

NPI: 1154375178 · STATESVILLE, NC 28625 · General Acute Care Hospital · NPI assigned 05/22/2006

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

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

$3.63M
Total Medicaid Paid
128,526
Total Claims
109,039
Beneficiaries
65
Codes Billed
2018-01
First Month
2022-08
Last Month

Provider Details

Authorized OfficialLALOR, PAULA (DIRECTOR/DELEGATED OFFICIAL)
NPI Enumeration Date05/22/2006

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 27,650 $584K
2019 25,399 $625K
2020 18,204 $422K
2021 36,838 $1.18M
2022 20,435 $816K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 21,979 18,660 $1.19M
99284 Emergency department visit for the evaluation and management, high severity 7,583 6,418 $505K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 5,794 4,623 $268K
41899 Unlisted procedure, dentoalveolar structures 245 205 $254K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 8,752 7,102 $195K
87428 1,796 1,476 $120K
87650 4,573 3,995 $106K
96361 Intravenous infusion, hydration; each additional hour 713 579 $93K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 12,479 10,664 $92K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,227 1,024 $90K
71046 Radiologic examination, chest; 2 views 2,975 2,695 $86K
80053 Comprehensive metabolic panel 8,745 7,559 $84K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1,782 1,611 $51K
71045 Radiologic examination, chest; single view 2,106 1,753 $49K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,144 972 $43K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,269 1,147 $42K
84703 4,437 3,864 $36K
87400 2,870 2,616 $34K
J7030 Infusion, normal saline solution , 1000 cc 2,178 1,863 $34K
36415 Collection of venous blood by venipuncture 13,151 11,258 $24K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 2,124 1,810 $20K
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 209 199 $19K
81001 6,219 5,327 $19K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 317 91 $17K
87070 1,624 1,496 $17K
G0379 Direct admission of patient for hospital observation care 224 139 $15K
83690 2,120 1,852 $13K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 245 204 $13K
80048 Basic metabolic panel (calcium, ionized) 2,001 1,676 $12K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 380 306 $9K
G0378 Hospital observation service, per hour 434 182 $9K
70450 Computed tomography, head or brain; without contrast material 191 165 $7K
84484 860 707 $6K
87420 345 300 $5K
96375 Therapeutic injection; each additional sequential IV push 64 57 $5K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 61 52 $5K
74177 Computed tomography, abdomen and pelvis; with contrast material 32 25 $5K
87086 Culture, bacterial; quantitative colony count, urine 547 477 $4K
80061 Lipid panel 218 182 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 210 121 $3K
D1120 Prophylaxis - child 13 12 $3K
83036 Hemoglobin; glycosylated (A1C) 218 179 $3K
74176 Computed tomography, abdomen and pelvis; without contrast material 25 24 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 54 39 $2K
83735 275 229 $2K
81003 745 650 $1K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 319 234 $1K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 41 39 $954.10
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 41 39 $954.10
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 27 26 $828.86
82077 31 30 $801.95
84443 Thyroid stimulating hormone (TSH) 32 24 $439.92
D1206 Topical application of fluoride varnish 15 12 $372.28
G0463 Hospital outpatient clinic visit for assessment and management of a patient 41 26 $335.16
J2405 Injection, ondansetron hydrochloride, per 1 mg 832 692 $289.57
J1885 Injection, ketorolac tromethamine, per 15 mg 816 686 $274.84
J1020 Injection, methylprednisolone acetate, 20 mg 27 25 $240.83
J2704 Injection, propofol, 10 mg 316 251 $215.05
86592 28 27 $160.11
J2550 Injection, promethazine hcl, up to 50 mg 24 24 $105.45
J2270 Injection, morphine sulfate, up to 10 mg 34 29 $100.11
J3010 Injection, fentanyl citrate, 0.1 mg 305 249 $93.52
87210 13 13 $43.80
85378 13 12 $35.56
91301 18 16 $0.00