Medicaid Provider Spending

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

WILKES BARRE HOSPITAL COMPANY LLC

NPI: 1255585303 · WILKES BARRE, PA 18702 · General Acute Care Hospital · NPI assigned 11/14/2008

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

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

$7.41M
Total Medicaid Paid
306,138
Total Claims
283,521
Beneficiaries
258
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLALOR, PAULA (DIRECTOR/DELEGATED OFFICIAL)
NPI Enumeration Date11/14/2008

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 1,065 $28K
2019 1,646 $36K
2020 34,798 $704K
2021 148,693 $3.27M
2022 43,241 $1.19M
2023 43,834 $1.21M
2024 32,861 $978K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 18,823 17,907 $1.85M
99283 Emergency department visit for the evaluation and management, moderate severity 14,867 14,353 $1.14M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 10,022 9,476 $588K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 4,885 4,686 $540K
G0378 Hospital observation service, per hour 458 424 $312K
80053 Comprehensive metabolic panel 30,957 28,892 $292K
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 4,068 3,781 $291K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 31,925 29,515 $152K
84443 Thyroid stimulating hormone (TSH) 6,289 6,125 $121K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2,184 2,109 $104K
70450 Computed tomography, head or brain; without contrast material 1,792 1,739 $96K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,054 1,034 $79K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 6,853 6,409 $68K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 2,869 2,717 $68K
80061 Lipid panel 5,488 5,394 $62K
74177 Computed tomography, abdomen and pelvis; with contrast material 429 419 $60K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,840 1,654 $57K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,648 1,533 $50K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 5,529 5,213 $42K
77067 Screening mammography, bilateral, including computer-aided detection 534 534 $39K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 772 762 $39K
71045 Radiologic examination, chest; single view 5,556 5,345 $37K
96361 Intravenous infusion, hydration; each additional hour 2,467 2,226 $36K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2,225 552 $36K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 1,055 1,051 $32K
0012A 731 729 $30K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 839 821 $29K
84702 1,847 1,619 $28K
80048 Basic metabolic panel (calcium, ionized) 4,045 3,636 $28K
87086 Culture, bacterial; quantitative colony count, urine 4,447 4,256 $28K
G0379 Direct admission of patient for hospital observation care 26 24 $27K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,185 1,984 $27K
81001 11,431 10,940 $27K
84703 2,713 2,640 $26K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 206 203 $24K
84484 3,270 2,666 $24K
83735 4,117 3,914 $23K
80050 General health panel 572 567 $22K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 896 882 $20K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 387 354 $20K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 507 503 $19K
83036 Hemoglobin; glycosylated (A1C) 3,393 3,327 $19K
36415 Collection of venous blood by venipuncture 14,130 11,227 $18K
85027 3,070 2,797 $18K
80074 357 355 $17K
0240U 603 546 $17K
71046 Radiologic examination, chest; 2 views 1,523 1,492 $17K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 107 107 $17K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 758 745 $16K
72125 Computed tomography, cervical spine; without contrast material 303 292 $16K
76700 Ultrasound, abdominal, real time with image documentation; complete 329 322 $15K
85610 5,507 5,072 $15K
76641 268 265 $15K
96375 Therapeutic injection; each additional sequential IV push 1,169 1,092 $15K
76830 Ultrasound, transvaginal 313 307 $13K
86780 885 877 $13K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 487 445 $13K
88342 498 476 $12K
84439 1,846 1,808 $12K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 439 436 $12K
83690 2,833 2,714 $11K
76705 Ultrasound, abdominal, real time with image documentation; limited 361 357 $11K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 469 452 $11K
93975 99 98 $11K
76536 281 277 $11K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 239 228 $10K
99281 Emergency department visit for the evaluation and management, self-limited or minor 310 304 $10K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,272 1,160 $10K
77063 Screening digital breast tomosynthesis, bilateral 513 513 $10K
83880 435 404 $10K
93971 167 165 $10K
71250 190 187 $10K
87040 847 521 $9K
82607 837 825 $9K
87070 1,295 1,250 $8K
82728 817 805 $8K
0202U Oncology (prostate), multianalyte, gene expression profiling 172 168 $8K
85730 1,418 1,374 $8K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 51 51 $8K
84153 350 345 $8K
84481 344 335 $7K
74018 563 552 $7K
71275 Computed tomographic angiography, chest, with contrast material 40 38 $7K
84403 252 248 $7K
70486 122 121 $6K
93970 97 93 $6K
T1015 Clinic visit/encounter, all-inclusive 219 120 $6K
86850 860 810 $6K
97161 167 162 $6K
83540 899 881 $6K
81025 1,659 1,627 $6K
83605 1,030 918 $6K
93880 101 101 $6K
87186 792 759 $5K
86803 306 304 $5K
76775 175 174 $5K
73564 297 286 $5K
84146 224 222 $5K
82043 817 808 $5K
97035 627 171 $5K
82077 1,184 1,045 $5K
82570 838 817 $5K
93017 172 170 $4K
72100 250 246 $4K
77065 Tomosynthesis, mammo 88 86 $4K
87077 682 656 $4K
80164 264 253 $4K
86618 197 190 $4K
U0005 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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 490 447 $4K
86762 227 217 $4K
73610 249 243 $4K
82248 683 652 $4K
86038 299 298 $4K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 26 26 $4K
88313 212 199 $4K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 12 12 $4K
0002A 91 91 $4K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 59 56 $4K
82550 649 606 $4K
73030 320 304 $4K
86140 1,343 1,264 $3K
86900 1,059 983 $3K
86901 1,059 983 $3K
77066 Tomosynthesis, mammo 42 42 $3K
87522 Neg quan hep c or qual rna 87 86 $3K
87340 255 254 $3K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 169 140 $3K
82746 315 306 $3K
0011A 70 70 $3K
70551 Magnetic resonance imaging, brain; without contrast material 15 15 $3K
76642 82 79 $3K
85379 331 314 $3K
73630 293 287 $3K
72110 146 145 $3K
73130 263 255 $3K
84144 159 143 $3K
72131 45 45 $3K
71260 Computed tomography, thorax, diagnostic; with contrast material 45 45 $3K
83001 145 145 $2K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 14 14 $2K
90715 180 176 $2K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 58 57 $2K
83550 574 561 $2K
83525 203 200 $2K
85652 848 802 $2K
84436 260 258 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 47 28 $2K
97150 Therapeutic procedure(s), group (2 or more individuals) 346 153 $2K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 141 137 $2K
80076 252 249 $2K
82105 103 98 $2K
82784 101 99 $2K
82150 478 456 $2K
88360 63 61 $2K
87088 258 253 $2K
86317 69 68 $2K
83970 57 56 $2K
45380 Colonoscopy, flexible; with biopsy, single or multiple 12 12 $1K
80178 221 196 $1K
84402 57 57 $1K
82950 232 228 $1K
84550 313 307 $1K
86431 212 209 $1K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 82 25 $1K
73502 101 97 $1K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 34 34 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 226 224 $1K
73110 126 124 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 147 133 $1K
82962 975 542 $1K
80069 158 147 $1K
72040 81 81 $1K
83002 62 62 $1K
80143 223 211 $883.00
84425 142 140 $878.72
84100 207 166 $855.45
82330 98 98 $828.08
J1885 Injection, ketorolac tromethamine, per 15 mg 2,682 2,395 $825.58
96376 17 13 $821.52
86696 32 26 $805.71
80179 196 190 $772.12
82140 206 177 $771.33
93226 25 24 $719.44
84590 63 63 $715.35
86695 33 27 $704.17
82977 90 81 $694.93
J1170 Injection, hydromorphone, up to 4 mg 372 301 $671.98
82565 114 100 $650.86
J2704 Injection, propofol, 10 mg 3,375 3,158 $649.66
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 47 42 $639.34
83655 62 61 $633.50
88341 15 14 $612.54
84156 214 209 $601.97
77061 12 12 $553.52
86787 28 27 $511.66
82670 25 25 $502.12
0001A 12 12 $500.00
86255 30 29 $481.66
12001 24 24 $469.24
12011 13 13 $444.19
73140 47 47 $413.80
85018 175 162 $412.66
83721 42 42 $390.91
71100 26 25 $374.57
J2405 Injection, ondansetron hydrochloride, per 1 mg 2,665 2,439 $339.78
94726 12 12 $329.76
88304 136 135 $305.45
97165 13 12 $274.70
85014 102 94 $267.19
J2270 Injection, morphine sulfate, up to 10 mg 295 231 $257.84
72050 12 12 $242.41
J3010 Injection, fentanyl citrate, 0.1 mg 2,690 2,451 $240.40
J2060 Injection, lorazepam, 2 mg 580 448 $235.31
73080 18 18 $214.36
72072 12 12 $213.23
93225 13 13 $212.20
84479 30 30 $190.21
82785 12 12 $186.66
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,127 1,001 $176.90
84466 14 13 $162.83
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 12 12 $162.33
82378 12 12 $159.15
84520 32 31 $152.25
82951 12 12 $145.67
J2795 Injection, ropivacaine hydrochloride, 1 mg 32 24 $145.19
82947 42 39 $143.53
80177 14 12 $141.71
J0696 Injection, ceftriaxone sodium, per 250 mg 192 164 $138.83
87147 41 41 $135.45
J0690 Injection, cefazolin sodium, 500 mg 770 659 $129.02
87081 25 25 $126.36
A9537 Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries 12 12 $123.12
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,679 1,614 $118.96
J1630 Injection, haloperidol, up to 5 mg 100 84 $114.96
73090 12 12 $111.15
J1200 Injection, diphenhydramine hcl, up to 50 mg 308 271 $109.47
73590 13 12 $105.14
J2250 Injection, midazolam hydrochloride, per 1 mg 3,642 3,401 $103.07
87486 12 12 $98.64
86376 13 12 $98.52
A9575 Injection, gadoterate meglumine, 0.1 ml 73 73 $67.63
J1650 Injection, enoxaparin sodium, 10 mg 148 63 $53.83
85045 14 12 $51.55
J2765 Injection, metoclopramide hcl, up to 10 mg 131 118 $48.87
J0780 Injection, prochlorperazine, up to 10 mg 16 13 $47.14
97116 15 12 $46.52
82040 12 12 $41.60
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 26 26 $36.48
J0330 Injection, succinylcholine chloride, up to 20 mg 37 36 $33.66
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 125 117 $26.09
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 40 37 $10.49
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 171 160 $1.15
91301 358 355 $0.03
J0131 Injection, acetaminophen, not otherwise specified,10 mg 69 60 $0.00
J1030 Injection, methylprednisolone acetate, 40 mg 26 25 $0.00
36430 18 15 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 122 118 $0.00
91300 38 38 $0.00