Medicaid Provider Spending

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

NAPLES HMA LLC

NPI: 1215003348 · NAPLES, FL 34114 · General Acute Care Hospital · NPI assigned 11/28/2006

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

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

$2.95M
Total Medicaid Paid
131,680
Total Claims
107,891
Beneficiaries
97
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLALOR, PAULA (DIRECTOR)
NPI Enumeration Date11/28/2006

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 5,531 $73K
2019 21,746 $358K
2020 21,095 $261K
2021 34,783 $758K
2022 35,904 $1.01M
2023 11,195 $357K
2024 1,426 $139K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 8,696 7,864 $568K
99284 Emergency department visit for the evaluation and management, high severity 6,430 5,600 $412K
41899 Unlisted procedure, dentoalveolar structures 925 899 $382K
36415 Collection of venous blood by venipuncture 9,049 6,403 $334K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,027 939 $194K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,003 892 $168K
96361 Intravenous infusion, hydration; each additional hour 2,936 2,389 $142K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,573 2,138 $134K
70450 Computed tomography, head or brain; without contrast material 1,475 1,244 $130K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,552 1,401 $94K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2,425 2,173 $78K
G0378 Hospital observation service, per hour 439 377 $69K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 566 327 $24K
87400 770 721 $20K
88300 577 562 $16K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,039 908 $16K
81025 2,978 2,697 $12K
87086 Culture, bacterial; quantitative colony count, urine 2,255 1,995 $11K
87428 1,827 1,672 $11K
99218 56 53 $11K
80053 Comprehensive metabolic panel 8,088 6,295 $10K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2,320 2,062 $9K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 8,399 6,616 $9K
71045 Radiologic examination, chest; single view 3,975 3,421 $8K
84484 3,199 2,108 $7K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 4,373 3,408 $6K
72125 Computed tomography, cervical spine; without contrast material 121 103 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 552 511 $4K
J2405 Injection, ondansetron hydrochloride, per 1 mg 3,453 2,987 $4K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 302 247 $4K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 3,426 2,733 $4K
81001 3,690 3,225 $3K
J3010 Injection, fentanyl citrate, 0.1 mg 1,200 1,086 $3K
J2704 Injection, propofol, 10 mg 1,866 1,692 $3K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,958 1,832 $3K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 317 264 $3K
80048 Basic metabolic panel (calcium, ionized) 1,139 839 $2K
88305 Level IV - Surgical pathology, gross and microscopic examination 45 41 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,557 1,182 $2K
71046 Radiologic examination, chest; 2 views 263 246 $2K
72131 15 14 $2K
J2250 Injection, midazolam hydrochloride, per 1 mg 477 412 $2K
82962 1,345 544 $2K
96375 Therapeutic injection; each additional sequential IV push 2,586 1,957 $2K
81003 1,229 1,108 $1K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 456 427 $1K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,311 1,162 $1K
94760 1,548 779 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg 1,963 1,714 $1K
87430 365 343 $1K
85610 2,253 1,880 $1K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 48 40 $1K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 178 112 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 831 788 $1K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 149 25 $960.67
83690 2,799 2,452 $939.28
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 29 27 $906.46
82550 525 450 $897.20
83735 2,570 1,946 $883.76
J7030 Infusion, normal saline solution , 1000 cc 1,232 979 $810.11
87186 354 306 $779.57
87077 369 320 $778.69
84443 Thyroid stimulating hormone (TSH) 725 616 $766.93
83880 729 612 $761.28
86901 55 51 $757.32
85027 796 550 $701.98
85730 1,746 1,481 $530.85
96376 134 77 $477.35
83605 417 325 $284.97
J0696 Injection, ceftriaxone sodium, per 250 mg 1,629 993 $266.97
94664 59 55 $251.99
87040 305 166 $216.15
J2270 Injection, morphine sulfate, up to 10 mg 968 690 $216.00
73630 31 27 $114.99
73562 17 14 $109.91
80061 Lipid panel 352 299 $84.70
87807 43 41 $81.95
85379 312 277 $75.04
86140 167 145 $59.61
J2765 Injection, metoclopramide hcl, up to 10 mg 26 24 $27.96
83036 Hemoglobin; glycosylated (A1C) 130 107 $19.86
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 161 145 $16.67
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 161 145 $8.34
J2175 Injection, meperidine hydrochloride, per 100 mg 16 16 $0.00
82077 106 90 $0.00
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 15 12 $0.00
J0690 Injection, cefazolin sodium, 500 mg 103 77 $0.00
J1170 Injection, hydromorphone, up to 4 mg 12 12 $0.00
J2360 Injection, orphenadrine citrate, up to 60 mg 25 24 $0.00
J2060 Injection, lorazepam, 2 mg 12 12 $0.00
84702 226 191 $0.00
86900 55 51 $0.00
00170 Anesthesia for intraoral procedures, including biopsy 430 416 $0.00
G1002 Clinical decision support mechanism medcurrent, as defined by the medicare appropriate use criteria program 181 152 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 39 37 $0.00
82248 12 12 $0.00
73610 12 12 $0.00