Medicaid Provider Spending

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

BRANDON HMA LLC

NPI: 1205882669 · BRANDON, MS 39042 · General Acute Care Hospital · NPI assigned 05/26/2006

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

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

$10.08M
Total Medicaid Paid
253,005
Total Claims
180,807
Beneficiaries
131
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLALOR, PAULA (DIRECTOR/DELEGATED OFFICIAL)
NPI Enumeration Date05/26/2006

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 40,975 $1.90M
2019 34,928 $1.47M
2020 27,960 $1.01M
2021 36,584 $1.29M
2022 49,394 $1.64M
2023 42,200 $1.45M
2024 20,964 $1.32M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 21,072 16,328 $2.68M
D7140 Extraction, erupted tooth or exposed root 3,746 1,161 $1.50M
99284 Emergency department visit for the evaluation and management, high severity 7,664 5,895 $1.23M
D2930 Prefabricated stainless steel crown - primary tooth 9,282 1,882 $747K
99282 Emergency department visit for the evaluation and management, low to moderate severity 5,854 4,675 $470K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 1,915 1,514 $365K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 3,876 2,904 $293K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 7,776 5,676 $261K
99281 Emergency department visit for the evaluation and management, self-limited or minor 4,558 3,677 $211K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 5,380 4,504 $202K
71045 Radiologic examination, chest; single view 5,989 4,562 $199K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,679 1,265 $159K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 2,517 830 $135K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 5,281 3,859 $109K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,238 760 $100K
70450 Computed tomography, head or brain; without contrast material 2,026 1,554 $98K
87428 2,179 1,758 $97K
87430 8,322 6,876 $97K
D2391 Resin-based composite - one surface, posterior, primary or permanent 2,484 778 $93K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 5,892 4,833 $91K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 946 491 $75K
87276 6,535 5,393 $73K
G0378 Hospital observation service, per hour 283 186 $71K
71046 Radiologic examination, chest; 2 views 1,871 1,478 $66K
87275 6,535 5,393 $61K
96361 Intravenous infusion, hydration; each additional hour 1,783 1,304 $58K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 12,337 8,648 $56K
96375 Therapeutic injection; each additional sequential IV push 2,501 1,801 $54K
80053 Comprehensive metabolic panel 8,835 6,407 $53K
87070 5,092 4,233 $34K
81025 3,670 2,946 $21K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 437 369 $20K
80048 Basic metabolic panel (calcium, ionized) 3,883 2,698 $19K
87641 974 762 $18K
73560 571 410 $18K
74177 Computed tomography, abdomen and pelvis; with contrast material 92 80 $16K
D2150 Silver amalgam - two surfaces, primary or permanent 53 41 $14K
36415 Collection of venous blood by venipuncture 7,658 4,428 $14K
84484 2,326 1,504 $14K
73630 350 272 $14K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 166 124 $14K
81001 6,408 4,981 $13K
87086 Culture, bacterial; quantitative colony count, urine 2,333 1,835 $12K
73610 215 171 $10K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 97 84 $9K
87640 593 465 $8K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 263 51 $8K
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 138 120 $8K
D2140 33 26 $8K
83690 1,623 1,236 $7K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 357 304 $7K
72100 126 82 $6K
41899 Unlisted procedure, dentoalveolar structures 33 25 $5K
85610 2,358 1,412 $5K
74018 124 104 $4K
85730 1,595 1,146 $4K
82962 2,203 974 $4K
87077 726 560 $4K
73130 69 51 $3K
72125 Computed tomography, cervical spine; without contrast material 85 56 $2K
83880 157 97 $2K
87186 472 358 $2K
73110 43 39 $2K
77067 Screening mammography, bilateral, including computer-aided detection 30 28 $2K
80061 Lipid panel 295 222 $2K
87420 173 150 $2K
84443 Thyroid stimulating hormone (TSH) 193 146 $2K
D0350 185 158 $2K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 14 12 $2K
J1170 Injection, hydromorphone, up to 4 mg 1,775 1,065 $2K
U0005 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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 74 69 $1K
73030 35 24 $1K
D0140 Limited oral evaluation - problem focused 187 154 $726.70
82553 88 63 $713.58
97161 16 13 $671.37
82550 121 94 $636.08
81003 556 423 $620.49
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 30 26 $569.76
83874 55 40 $552.11
86900 16 12 $525.88
83735 147 94 $524.44
93971 14 12 $437.58
87040 30 24 $418.84
D1351 Sealant - per tooth 13 13 $370.75
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 947 791 $319.69
87807 35 28 $295.71
J7030 Infusion, normal saline solution , 1000 cc 3,259 2,346 $240.35
83605 51 38 $208.90
85027 46 39 $191.67
97116 20 13 $183.38
86901 16 12 $158.96
D0150 Comprehensive oral evaluation - new or established patient 60 56 $137.18
83036 Hemoglobin; glycosylated (A1C) 45 26 $125.45
J2704 Injection, propofol, 10 mg 5,224 3,927 $120.14
J3010 Injection, fentanyl citrate, 0.1 mg 4,642 3,422 $110.17
85378 15 13 $105.27
82150 13 13 $93.88
J2175 Injection, meperidine hydrochloride, per 100 mg 107 96 $72.88
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 1,252 934 $67.75
J7120 Ringers lactate infusion, up to 1000 cc 3,452 2,538 $40.75
J2405 Injection, ondansetron hydrochloride, per 1 mg 6,964 5,139 $28.90
J1885 Injection, ketorolac tromethamine, per 15 mg 4,368 3,210 $28.89
J0696 Injection, ceftriaxone sodium, per 250 mg 2,163 1,651 $26.11
85652 15 12 $25.66
J1100 Injection, dexamethasone sodium phosphate, 1 mg 6,894 5,307 $25.65
J2250 Injection, midazolam hydrochloride, per 1 mg 2,675 1,918 $0.32
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 364 293 $0.23
J7510 Prednisolone oral, per 5 mg 32 28 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 1,469 997 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 409 297 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 53 40 $0.00
C1758 Catheter, ureteral 482 340 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 276 240 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 214 130 $0.00
90714 77 39 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 84 64 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 238 166 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 35 27 $0.00
G1002 Clinical decision support mechanism medcurrent, as defined by the medicare appropriate use criteria program 65 51 $0.00
C1762 Connective tissue, human (includes fascia lata) 27 24 $0.00
C9113 Injection, pantoprazole sodium, per vial 25 12 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 22 15 $0.00
J0690 Injection, cefazolin sodium, 500 mg 2,034 1,408 $0.00
J7121 5% dextrose in lactated ringers infusion, up to 1000 cc 2,966 2,304 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 1,685 1,257 $0.00
94760 202 127 $0.00
J8540 Dexamethasone, oral, 0.25 mg 14 13 $0.00
J2360 Injection, orphenadrine citrate, up to 60 mg 81 54 $0.00
96376 60 36 $0.00
J3490 Unclassified drugs 90 26 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 12 12 $0.00