Medicaid Provider Spending

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

PORTER HOSPITAL LLC

NPI: 1215151154 · VALPARAISO, IN 46383 · General Acute Care Hospital · NPI assigned 04/12/2007

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

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

$28.17M
Total Medicaid Paid
439,057
Total Claims
340,482
Beneficiaries
101
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLALOR, PAULA (DIRECTOR/DELEGATED OFFICIAL)
NPI Enumeration Date04/12/2007

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 65,407 $1.43M
2019 49,098 $2.55M
2020 37,098 $2.27M
2021 65,227 $4.90M
2022 86,372 $6.60M
2023 79,061 $6.14M
2024 56,794 $4.29M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 60,596 50,934 $8.75M
99284 Emergency department visit for the evaluation and management, high severity 39,205 31,196 $5.59M
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 6,163 1,960 $2.81M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 16,142 14,700 $1.92M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 7,552 5,938 $965K
71045 Radiologic examination, chest; single view 7,556 5,893 $893K
88305 Level IV - Surgical pathology, gross and microscopic examination 3,595 2,418 $854K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 12,844 8,759 $711K
71046 Radiologic examination, chest; 2 views 5,022 4,226 $636K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 7,720 6,642 $524K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2,845 2,507 $443K
80050 General health panel 3,097 2,798 $374K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 2,032 889 $330K
45380 Colonoscopy, flexible; with biopsy, single or multiple 897 689 $324K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,324 993 $267K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 4,356 3,578 $229K
74177 Computed tomography, abdomen and pelvis; with contrast material 572 450 $224K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1,275 849 $209K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,090 1,846 $208K
80053 Comprehensive metabolic panel 38,468 28,468 $194K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 49,704 37,055 $181K
76819 Fetal biophysical profile; without non-stress testing 1,728 654 $177K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 5,736 4,988 $158K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 918 834 $119K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 6,204 5,226 $117K
36415 Collection of venous blood by venipuncture 63,543 47,724 $114K
76820 1,804 728 $92K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 835 699 $88K
70450 Computed tomography, head or brain; without contrast material 742 583 $71K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 989 793 $67K
84484 7,582 4,713 $48K
96361 Intravenous infusion, hydration; each additional hour 3,599 2,781 $45K
81025 7,536 6,185 $40K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 6,362 5,149 $39K
87430 2,809 2,544 $33K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 996 803 $31K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,270 1,919 $30K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 694 636 $29K
83690 8,761 6,768 $27K
81001 15,169 12,030 $26K
96367 302 123 $15K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 55 39 $14K
96375 Therapeutic injection; each additional sequential IV push 1,773 1,392 $14K
59025 Fetal non-stress test 65 24 $14K
87086 Culture, bacterial; quantitative colony count, urine 3,374 2,671 $13K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 47 44 $11K
87081 1,906 1,722 $11K
80048 Basic metabolic panel (calcium, ionized) 2,904 2,316 $10K
82077 740 626 $8K
11043 26 14 $8K
99218 14 13 $8K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 47 44 $6K
87400 317 282 $6K
80074 138 130 $6K
96417 51 26 $5K
87807 377 338 $4K
80061 Lipid panel 551 456 $4K
83735 897 749 $4K
81003 2,450 1,976 $3K
71260 Computed tomography, thorax, diagnostic; with contrast material 20 13 $3K
83036 Hemoglobin; glycosylated (A1C) 468 375 $2K
87806 131 125 $2K
87070 339 297 $2K
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 16 16 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 21 12 $2K
80076 209 199 $2K
84443 Thyroid stimulating hormone (TSH) 169 132 $1K
85027 165 157 $921.22
86592 227 217 $856.89
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 35 26 $806.40
85610 432 298 $523.43
86140 99 82 $333.07
36591 242 116 $274.16
85379 44 37 $267.73
82728 30 24 $205.83
84153 13 12 $181.15
80069 124 84 $128.65
87040 23 13 $124.81
82570 67 57 $122.13
84460 55 40 $101.74
85730 56 41 $101.13
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 22 15 $100.02
84450 55 40 $99.45
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 39 25 $77.85
82550 16 12 $71.61
J1885 Injection, ketorolac tromethamine, per 15 mg 2,559 2,110 $68.26
82043 34 28 $65.61
82247 16 12 $58.44
82962 38 24 $37.88
84156 17 17 $21.95
81015 12 12 $21.35
J1100 Injection, dexamethasone sodium phosphate, 1 mg 273 245 $18.30
J2704 Injection, propofol, 10 mg 3,243 2,222 $14.62
J2405 Injection, ondansetron hydrochloride, per 1 mg 1,872 1,422 $1.00
J2270 Injection, morphine sulfate, up to 10 mg 101 68 $0.00
99152 73 54 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 16 13 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 108 83 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 162 137 $0.00
C1769 Guide wire 37 28 $0.00
J2360 Injection, orphenadrine citrate, up to 60 mg 13 12 $0.00