Physician
Gadsden Regional Medical Center LLC
Gadsden Regional Medical Center LLC was paid $4.13M by Medicaid between Jan 2018 and Dec 2024, across 58 billing codes. Its largest line is 99284, emergency room visit (serious) — 25% of everything it billed.
33Billing provider infoGADSDEN REGIONAL MEDICAL CENTER LLC
GADSDEN, AL 35903
GADSDEN, AL 35903
33aNPI1225081516assigned 05/18/2006
33bProvider typeAnesthesiology Physician
28Total paid$4.13M
24GClaims137,353
24DCodes billed58
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Anesthesiology Physician providers in Alabama
Rank by total paid#2 of 48
Median peer was paid$37K
This provider vs. median111×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 22,323 | $596K | |
| 2019 | 27,761 | $741K | |
| 2020 | 14,977 | $376K | |
| 2021 | 14,369 | $379K | |
| 2022 | 18,055 | $577K | |
| 2023 | 21,792 | $817K | |
| 2024incomplete | 18,076 | $647K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 25% | 16,181 | 14,868 | $1.04M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 21% | 22,128 | 20,707 | $869K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 17% | 3,188 | 2,944 | $704K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 5.2% | 8,177 | 7,636 | $215K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 5.0% | 1,481 | 714 | $208K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 4.8% | 8,188 | 7,765 | $199K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 3.9% | 19,229 | 17,501 | $160K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 3.8% | 3,725 | 3,501 | $157K |
| 80053 | Comprehensive metabolic panel | 3.7% | 14,629 | 13,294 | $154K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 2.2% | 2,233 | 1,668 | $93K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 1.6% | 6,066 | 5,434 | $66K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.3% | 3,259 | 3,070 | $52K |
46 more codes
| 71045 | Radiologic examination, chest; single view | <1% | 5,746 | $28K |
| 81001 | <1% | 6,283 | $24K | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 501 | $20K |
| 87807 | <1% | 1,134 | $14K | |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 183 | $13K |
| 84484 | <1% | 1,493 | $11K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 957 | $10K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 44 | $10K |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | <1% | 24 | $10K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 26 | $9K |
| 83690 | <1% | 1,427 | $8K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 869 | $7K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 92 | $7K |
| 81003 | <1% | 2,653 | $7K | |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 37 | $6K |
| 80047 | <1% | 997 | $6K | |
| 83735 | <1% | 909 | $5K | |
| 42830 | <1% | 12 | $5K | |
| 84702 | <1% | 330 | $4K | |
| 81025 | <1% | 955 | $3K | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 65 | $2K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 154 | $1K |
| A9579 | Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml | <1% | 24 | $912.88 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 57 | $883.44 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 205 | $824.33 |
| 85027 | <1% | 81 | $487.91 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 45 | $483.63 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 454 | $446.97 |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 14 | $400.92 |
| 72110 | <1% | 31 | $387.62 | |
| 82607 | <1% | 14 | $298.44 | |
| 86803 | <1% | 12 | $248.70 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 626 | $245.14 |
| 80061 | Lipid panel | <1% | 12 | $207.27 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 87 | $143.32 |
| 83880 | <1% | 14 | $111.21 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 129 | $110.45 |
| 97597 | <1% | 24 | $70.56 | |
| 85014 | <1% | 180 | $38.17 | |
| 85610 | <1% | 14 | $34.62 | |
| 85730 | <1% | 13 | $17.52 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,778 | $15.92 |
| 41899 | Unlisted procedure, dentoalveolar structures | 0% | 21 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 61 | $0.00 |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 0% | 70 | $0.00 |
| J7512 | Prednisone, immediate release or delayed release, oral, 1 mg | 0% | 12 | $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)
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| Crestview Hospital Company, LLC | Crestview, FL | $8.15M |
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.