Medicaid Provider Spending

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

GADSDEN REGIONAL MEDICAL CENTER LLC

NPI: 1225081516 · GADSDEN, AL 35903 · Anesthesiology Physician · NPI assigned 05/18/2006

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

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

$4.13M
Total Medicaid Paid
137,353
Total Claims
125,444
Beneficiaries
58
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLALOR, PAULA (DIRECTOR/DELEGATED OFFICIAL)
NPI Enumeration Date05/18/2006

Related Entities

Other providers sharing the same authorized official: LALOR, PAULA

ProviderCityStateTotal Paid
NORTHWEST HOSPITAL LLC TUCSON AZ $47.81M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 18,076 $647K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 16,181 14,868 $1.04M
99283 Emergency department visit for the evaluation and management, moderate severity 22,128 20,707 $869K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 3,188 2,944 $704K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 8,177 7,636 $215K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 1,481 714 $208K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 8,188 7,765 $199K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 19,229 17,501 $160K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3,725 3,501 $157K
80053 Comprehensive metabolic panel 14,629 13,294 $154K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 2,233 1,668 $93K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 6,066 5,434 $66K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,259 3,070 $52K
71045 Radiologic examination, chest; single view 5,746 5,328 $28K
81001 6,283 5,791 $24K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 501 442 $20K
87807 1,134 1,079 $14K
70450 Computed tomography, head or brain; without contrast material 183 168 $13K
84484 1,493 1,224 $11K
87086 Culture, bacterial; quantitative colony count, urine 957 890 $10K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 44 42 $10K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 24 24 $10K
42820 Tonsillectomy and adenoidectomy; younger than age 12 26 24 $9K
83690 1,427 1,293 $8K
80048 Basic metabolic panel (calcium, ionized) 869 794 $7K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 92 38 $7K
81003 2,653 2,460 $7K
74177 Computed tomography, abdomen and pelvis; with contrast material 37 36 $6K
80047 997 914 $6K
83735 909 804 $5K
42830 12 12 $5K
84702 330 249 $4K
81025 955 898 $3K
99281 Emergency department visit for the evaluation and management, self-limited or minor 65 62 $2K
71046 Radiologic examination, chest; 2 views 154 145 $1K
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 24 24 $912.88
84443 Thyroid stimulating hormone (TSH) 57 57 $883.44
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 205 122 $824.33
85027 81 78 $487.91
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 45 40 $483.63
J1885 Injection, ketorolac tromethamine, per 15 mg 454 429 $446.97
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 14 14 $400.92
72110 31 29 $387.62
82607 14 14 $298.44
86803 12 12 $248.70
J2405 Injection, ondansetron hydrochloride, per 1 mg 626 587 $245.14
80061 Lipid panel 12 12 $207.27
J0696 Injection, ceftriaxone sodium, per 250 mg 87 83 $143.32
83880 14 12 $111.21
J1100 Injection, dexamethasone sodium phosphate, 1 mg 129 121 $110.45
97597 24 12 $70.56
85014 180 163 $38.17
85610 14 13 $34.62
85730 13 12 $17.52
36415 Collection of venous blood by venipuncture 1,778 1,643 $15.92
41899 Unlisted procedure, dentoalveolar structures 21 13 $0.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 61 56 $0.00
88305 Level IV - Surgical pathology, gross and microscopic examination 70 67 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 12 12 $0.00