Medicaid Provider Spending

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

QHG OF SOUTH CAROLINA INC

NPI: 1235183328 · FLORENCE, SC 29505 · General Acute Care Hospital · NPI assigned 05/21/2006

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

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

$5.40M
Total Medicaid Paid
156,876
Total Claims
130,804
Beneficiaries
192
Codes Billed
2018-01
First Month
2019-05
Last Month

Provider Details

Authorized OfficialLALOR, PAULA (DIRECTOR/DELEGATED OFFICIAL)
NPI Enumeration Date05/21/2006

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 124,863 $4.29M
2019 32,013 $1.11M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
36415 Collection of venous blood by venipuncture 10,348 7,772 $1.34M
99283 Emergency department visit for the evaluation and management, moderate severity 10,776 9,494 $617K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 5,942 3,692 $341K
81025 3,801 3,469 $324K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2,823 2,622 $307K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,182 2,093 $232K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 123 112 $172K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,257 1,686 $157K
82565 302 280 $104K
59025 Fetal non-stress test 900 615 $99K
82947 1,828 895 $88K
99284 Emergency department visit for the evaluation and management, high severity 5,891 5,211 $78K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 734 624 $58K
J2704 Injection, propofol, 10 mg 1,633 1,541 $55K
88305 Level IV - Surgical pathology, gross and microscopic examination 552 518 $52K
99281 Emergency department visit for the evaluation and management, self-limited or minor 361 335 $51K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 394 366 $47K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1,631 409 $43K
J0690 Injection, cefazolin sodium, 500 mg 759 664 $41K
74176 Computed tomography, abdomen and pelvis; without contrast material 761 708 $41K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 455 399 $41K
87086 Culture, bacterial; quantitative colony count, urine 2,081 1,878 $40K
96361 Intravenous infusion, hydration; each additional hour 1,259 1,004 $40K
71250 211 198 $40K
70450 Computed tomography, head or brain; without contrast material 1,119 1,033 $36K
81003 3,134 2,863 $36K
71046 Radiologic examination, chest; 2 views 1,903 1,711 $36K
81001 2,453 2,238 $33K
88304 172 172 $33K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 506 445 $33K
72100 508 482 $31K
74177 Computed tomography, abdomen and pelvis; with contrast material 865 829 $31K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,312 1,171 $29K
80053 Comprehensive metabolic panel 4,856 4,077 $28K
95813 138 132 $28K
87070 251 225 $27K
J2405 Injection, ondansetron hydrochloride, per 1 mg 3,892 3,060 $24K
74018 392 356 $23K
73630 256 241 $23K
73030 298 280 $22K
L8699 Prosthetic implant, not otherwise specified 42 42 $22K
73130 219 210 $22K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,818 1,627 $21K
73610 193 183 $21K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1,531 1,346 $20K
73562 244 231 $18K
76705 Ultrasound, abdominal, real time with image documentation; limited 308 291 $18K
83021 229 192 $17K
93971 88 77 $16K
73110 156 150 $15K
71045 Radiologic examination, chest; single view 2,268 2,003 $15K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 35 27 $13K
95810 Polysomnography; sleep staging with 4 or more additional parameters 43 43 $13K
94726 29 25 $12K
80047 2,518 2,275 $12K
87077 608 560 $11K
J1956 Injection, levofloxacin, 250 mg 34 28 $10K
74022 491 453 $10K
87807 985 933 $10K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 315 255 $10K
77067 Screening mammography, bilateral, including computer-aided detection 178 178 $9K
72040 320 305 $9K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 42 39 $9K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 1,925 1,726 $8K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 173 132 $8K
G0378 Hospital observation service, per hour 655 593 $8K
73564 84 83 $7K
T5999 Supply, not otherwise specified 60 60 $7K
84443 Thyroid stimulating hormone (TSH) 1,311 1,204 $6K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 3,268 2,719 $6K
86850 269 208 $6K
71260 Computed tomography, thorax, diagnostic; with contrast material 97 93 $5K
C9113 Injection, pantoprazole sodium, per vial 165 108 $5K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 79 77 $5K
73502 107 103 $5K
97530 Therapeutic activities, direct patient contact, each 15 minutes 379 177 $5K
93017 177 155 $5K
85730 1,137 1,032 $5K
86900 476 399 $5K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 101 91 $4K
80081 317 279 $4K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,088 796 $4K
87210 324 302 $4K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 35 25 $4K
83690 1,727 1,565 $4K
84484 2,665 1,814 $3K
80048 Basic metabolic panel (calcium, ionized) 2,221 1,784 $3K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 65 26 $3K
83605 1,866 1,576 $3K
83735 2,951 2,467 $3K
87081 327 303 $3K
95811 12 12 $3K
84702 628 502 $2K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 50 48 $2K
45380 Colonoscopy, flexible; with biopsy, single or multiple 14 13 $2K
71275 Computed tomographic angiography, chest, with contrast material 212 199 $2K
72125 Computed tomography, cervical spine; without contrast material 105 101 $2K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 27 25 $2K
94760 157 87 $2K
74019 49 46 $2K
87186 553 504 $1K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 7,159 5,798 $1K
73140 17 16 $1K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 156 79 $1K
12001 12 12 $1K
J2060 Injection, lorazepam, 2 mg 272 219 $1K
85610 1,281 1,139 $1K
96375 Therapeutic injection; each additional sequential IV push 1,815 1,207 $1K
97161 139 128 $1K
96367 116 57 $960.90
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 1,161 1,100 $895.12
84146 226 208 $865.81
84466 44 39 $853.00
J1650 Injection, enoxaparin sodium, 10 mg 413 195 $824.04
84145 603 548 $803.74
73080 13 13 $716.46
84439 695 648 $689.53
J2550 Injection, promethazine hcl, up to 50 mg 336 279 $637.78
85027 1,801 1,591 $547.46
J2765 Injection, metoclopramide hcl, up to 10 mg 62 51 $486.13
86592 108 92 $467.83
43235 71 68 $451.86
J2270 Injection, morphine sulfate, up to 10 mg 575 477 $444.82
80076 528 489 $417.22
96376 320 264 $414.53
J1200 Injection, diphenhydramine hcl, up to 50 mg 757 542 $400.90
J3010 Injection, fentanyl citrate, 0.1 mg 1,465 1,285 $393.84
J2250 Injection, midazolam hydrochloride, per 1 mg 1,135 1,014 $393.84
83036 Hemoglobin; glycosylated (A1C) 450 408 $367.53
82607 194 171 $355.69
82550 939 853 $288.81
87205 201 178 $248.10
97116 64 27 $225.94
A9270 Non-covered item or service 50 13 $182.31
80061 Lipid panel 326 303 $169.84
82570 13 12 $162.32
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 395 367 $158.84
36600 15 12 $132.94
94644 94 75 $95.18
J0131 Injection, acetaminophen, not otherwise specified,10 mg 49 44 $81.98
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 214 136 $34.59
86140 459 432 $33.76
87040 691 418 $24.55
86901 477 399 $19.75
83540 78 66 $17.03
85379 428 396 $13.63
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 17 12 $12.28
84132 143 130 $8.00
85652 393 358 $7.10
84550 58 51 $3.85
85018 85 54 $3.05
83615 13 12 $2.08
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 209 173 $0.00
J0692 Injection, cefepime hydrochloride, 500 mg 17 12 $0.00
82248 975 892 $0.00
90715 71 68 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 114 112 $0.00
J2274 Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg 280 250 $0.00
82009 28 26 $0.00
50590 17 14 $0.00
96417 20 13 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 49 39 $0.00
84156 13 12 $0.00
99152 30 26 $0.00
82805 14 13 $0.00
84100 19 19 $0.00
85014 60 39 $0.00
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 13 12 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 17 12 $0.00
83880 1,096 938 $0.00
82150 547 508 $0.00
94010 12 12 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 701 650 $0.00
J1170 Injection, hydromorphone, up to 4 mg 1,922 1,332 $0.00
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 197 185 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 1,436 1,311 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 570 487 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 204 193 $0.00
C1769 Guide wire 59 57 $0.00
82728 14 14 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,868 1,607 $0.00
J1940 Injection, furosemide, up to 20 mg 94 60 $0.00
88342 28 27 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 74 65 $0.00
J2175 Injection, meperidine hydrochloride, per 100 mg 17 15 $0.00
74420 183 174 $0.00
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 15 12 $0.00
A9585 Injection, gadobutrol, 0.1 ml 64 53 $0.00
J3480 Injection, potassium chloride, per 2 meq 20 13 $0.00
J0360 Injection, hydralazine hcl, up to 20 mg 12 12 $0.00
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 49 42 $0.00
82746 13 13 $0.00