Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

Warsaw Health System LLC

Warsaw Health System LLC was paid $9.95M by Medicaid between Jan 2018 and Nov 2024, across 100 billing codes. Its largest line is 99284, emergency room visit (serious) — 24% of everything it billed.

33Billing provider infoWARSAW HEALTH SYSTEM LLC
WARSAW, IN 46580
33aNPI1164475711assigned 05/17/2006
28Total paid$9.95M
24GClaims228,889
24DCodes billed100
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other General Acute Care Hospital providers in Indiana

Rank by total paid#34 of 69
Median peer was paid$9.76M
This provider vs. median1.0×

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

$0$100K$200K$300K2018201920202021202220232024
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
YearClaimsPaid
201821,672$312K
201920,509$641K
202019,949$838K
202134,615$1.65M
202250,076$2.43M
202348,963$2.36M
2024incomplete33,105$1.73M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 24% 16,389 12,336 $2.42M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 22% 14,624 11,924 $2.19M
71045 Radiologic examination, chest; single view 8.9% 7,078 5,231 $889K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 7.4% 5,780 4,234 $735K
74177 Computed tomography, abdomen and pelvis; with contrast material 7.3% 1,863 1,311 $722K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 4.7% 9,245 5,986 $470K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 3.3% 5,677 4,443 $331K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 2.6% 3,483 2,552 $258K
70450 Computed tomography, head or brain; without contrast material 2.3% 2,476 1,797 $232K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1.8% 7,362 5,806 $182K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1.4% 152 110 $143K
74176 Computed tomography, abdomen and pelvis; without contrast material 1.2% 763 542 $117K
88 more codes
80053 Comprehensive metabolic panel 1.2% 20,248 $115K
96361 Intravenous infusion, hydration; each additional hour 1.1% 4,207 $108K
80050 General health panel 1.0% 968 $104K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.0% 1,027 $100K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 8,066 $97K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 24,116 $94K
71046 Radiologic examination, chest; 2 views <1% 820 $74K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 5,260 $63K
84484 <1% 7,605 $43K
36415 Collection of venous blood by venipuncture <1% 21,774 $39K
72125 Computed tomography, cervical spine; without contrast material <1% 221 $33K
29581 <1% 739 $33K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 951 $30K
71275 Computed tomographic angiography, chest, with contrast material <1% 76 $26K
29580 <1% 661 $23K
96375 Therapeutic injection; each additional sequential IV push <1% 2,497 $23K
87430 <1% 1,545 $18K
83690 <1% 5,622 $17K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 858 $16K
81001 <1% 7,612 $13K
80061 Lipid panel <1% 1,619 $12K
83605 <1% 1,995 $12K
80048 Basic metabolic panel (calcium, ionized) <1% 3,451 $11K
99221 <1% 38 $10K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 254 $10K
84443 Thyroid stimulating hormone (TSH) <1% 923 $9K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 257 $8K
87040 <1% 1,720 $8K
83036 Hemoglobin; glycosylated (A1C) <1% 1,409 $7K
72131 <1% 35 $6K
87081 <1% 1,130 $6K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 406 $6K
83880 <1% 300 $5K
99238 Hospital discharge day management, 30 minutes or less <1% 21 $5K
81003 <1% 4,083 $5K
82607 <1% 432 $4K
95816 <1% 13 $4K
85379 <1% 677 $4K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 138 $4K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 140 $4K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 140 $4K
74018 <1% 31 $4K
85730 <1% 1,367 $4K
99218 <1% 19 $4K
85610 <1% 1,675 $3K
84703 <1% 635 $3K
73630 <1% 120 $3K
82077 <1% 221 $3K
87807 <1% 246 $3K
83735 <1% 880 $3K
99214 Doctor's office visit, returning patient (more involved) <1% 18 $2K
80076 <1% 1,207 $2K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 27 $2K
84145 <1% 88 $2K
84450 <1% 488 $2K
87400 <1% 118 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 86 $1K
87086 Culture, bacterial; quantitative colony count, urine <1% 228 $879.51
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 17 $847.63
81025 <1% 160 $811.72
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 175 $801.68
86803 <1% 63 $682.55
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 14 $500.78
99213 Doctor's office visit, returning patient (routine) <1% 19 $446.59
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 48 $444.82
85027 <1% 82 $362.62
84439 <1% 91 $362.02
82378 <1% 14 $151.68
83615 <1% 49 $147.07
82746 <1% 17 $145.54
80069 <1% 36 $104.16
86850 <1% 28 $102.25
87077 <1% 14 $88.88
83550 <1% 13 $78.66
84550 <1% 31 $78.42
83540 <1% 13 $58.23
J7030 Infusion, normal saline solution , 1000 cc <1% 5,173 $53.67
86900 <1% 28 $50.83
86901 <1% 28 $50.83
82043 <1% 17 $18.69
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 3,946 $0.50
J2270 Injection, morphine sulfate, up to 10 mg 0% 63 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 0% 17 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 0% 1,061 $0.00
J2704 Injection, propofol, 10 mg 0% 708 $0.00
J1170 Injection, hydromorphone, up to 4 mg 0% 181 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 0% 369 $0.00
J0690 Injection, cefazolin sodium, 500 mg 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)
Same official

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.