Medicaid Provider Spending

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

LEA REGIONAL HOSPITAL LLC

NPI: 1285688697 · HOBBS, NM 88240 · Cardiovascular Disease Physician · NPI assigned 05/20/2006

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

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

$10.62M
Total Medicaid Paid
217,445
Total Claims
198,430
Beneficiaries
168
Codes Billed
2018-01
First Month
2021-11
Last Month

Provider Details

Authorized OfficialLALOR, PAULA (DIRECTOR / DELEGATED OFFICIAL)
NPI Enumeration Date05/20/2006

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 83,888 $3.92M
2019 48,264 $2.35M
2020 40,677 $2.12M
2021 44,616 $2.23M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 15,449 14,787 $1.99M
99284 Emergency department visit for the evaluation and management, high severity 10,475 9,821 $1.83M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,522 2,324 $542K
G0378 Hospital observation service, per hour 848 799 $411K
74177 Computed tomography, abdomen and pelvis; with contrast material 894 864 $341K
70450 Computed tomography, head or brain; without contrast material 1,778 1,673 $311K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 4,202 3,782 $255K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 4,552 3,964 $255K
74176 Computed tomography, abdomen and pelvis; without contrast material 952 905 $250K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 6,341 5,874 $221K
80053 Comprehensive metabolic panel 15,788 14,241 $218K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 4,849 4,602 $196K
96375 Therapeutic injection; each additional sequential IV push 4,413 4,050 $178K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,264 979 $164K
71045 Radiologic examination, chest; single view 4,087 3,714 $161K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,697 1,590 $154K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 16,068 14,134 $147K
84443 Thyroid stimulating hormone (TSH) 4,694 4,415 $137K
96361 Intravenous infusion, hydration; each additional hour 3,611 3,410 $118K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,374 1,348 $107K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1,983 1,947 $101K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,935 2,767 $99K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 4,891 4,653 $97K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,980 3,881 $93K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,636 2,585 $81K
84484 3,420 2,624 $80K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 280 269 $80K
J2405 Injection, ondansetron hydrochloride, per 1 mg 3,065 2,715 $78K
71046 Radiologic examination, chest; 2 views 1,353 1,325 $75K
J2704 Injection, propofol, 10 mg 1,149 1,081 $63K
77067 Screening mammography, bilateral, including computer-aided detection 360 358 $61K
J1885 Injection, ketorolac tromethamine, per 15 mg 3,112 2,841 $59K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,362 1,259 $58K
84703 3,069 2,899 $55K
83690 3,461 3,177 $53K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,418 1,342 $53K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 762 642 $52K
87086 Culture, bacterial; quantitative colony count, urine 2,826 2,669 $52K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,005 961 $51K
82150 2,292 2,155 $47K
72125 Computed tomography, cervical spine; without contrast material 254 248 $43K
83880 1,896 1,689 $42K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,178 1,139 $37K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,174 1,135 $37K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 790 215 $35K
J3010 Injection, fentanyl citrate, 0.1 mg 1,413 1,276 $35K
87807 666 651 $34K
76801 332 310 $32K
90791 Psychiatric diagnostic evaluation 473 441 $31K
81001 6,328 5,933 $31K
83735 2,251 1,954 $31K
73562 376 368 $30K
84702 902 715 $28K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 292 289 $27K
80061 Lipid panel 1,729 1,703 $25K
82553 1,754 1,576 $24K
73610 275 268 $24K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 1,028 1,011 $23K
82550 1,995 1,790 $22K
83036 Hemoglobin; glycosylated (A1C) 1,726 1,700 $22K
87186 1,401 1,331 $22K
76705 Ultrasound, abdominal, real time with image documentation; limited 237 232 $19K
80048 Basic metabolic panel (calcium, ionized) 1,641 1,401 $19K
J2270 Injection, morphine sulfate, up to 10 mg 819 669 $18K
73030 275 262 $18K
36415 Collection of venous blood by venipuncture 6,358 5,384 $17K
87040 609 479 $17K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 52 51 $16K
80055 230 225 $16K
73110 239 217 $14K
72100 198 190 $14K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 505 501 $14K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 213 207 $14K
84100 1,578 1,392 $13K
J2250 Injection, midazolam hydrochloride, per 1 mg 882 825 $13K
85610 2,778 2,375 $13K
85027 2,189 2,034 $13K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 134 133 $13K
J2274 Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg 840 680 $13K
J0696 Injection, ceftriaxone sodium, per 250 mg 944 792 $12K
87088 1,057 998 $12K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 30 30 $12K
76700 Ultrasound, abdominal, real time with image documentation; complete 127 126 $11K
80074 172 167 $11K
73130 156 149 $9K
83605 534 467 $9K
64493 32 29 $9K
86003 35 34 $9K
81003 2,264 2,155 $9K
73630 151 147 $8K
82077 295 260 $8K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 266 83 $8K
80179 196 171 $7K
J1170 Injection, hydromorphone, up to 4 mg 493 401 $7K
80143 193 169 $7K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 342 335 $7K
85730 589 548 $7K
82962 2,137 1,343 $7K
96376 547 517 $7K
J0690 Injection, cefazolin sodium, 500 mg 214 198 $6K
76642 55 54 $5K
86140 487 471 $5K
J2060 Injection, lorazepam, 2 mg 303 252 $5K
G0475 Hiv antigen/antibody, combination assay, screening 327 326 $5K
29125 44 43 $5K
51702 73 68 $5K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 70 66 $5K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 12 12 $5K
64483 14 13 $4K
74018 78 71 $4K
64494 32 29 $4K
64495 32 29 $4K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 14 14 $4K
J2765 Injection, metoclopramide hcl, up to 10 mg 216 186 $4K
87070 306 292 $4K
81005 711 601 $4K
76775 38 37 $4K
84439 279 271 $4K
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 110 106 $3K
J1200 Injection, diphenhydramine hcl, up to 50 mg 285 267 $3K
12001 39 39 $3K
86901 380 363 $3K
86900 379 362 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 160 155 $3K
85379 182 172 $3K
85651 364 353 $3K
70486 15 15 $3K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 63 60 $2K
64484 13 13 $2K
87045 151 147 $2K
93971 28 26 $2K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 179 156 $2K
87324 108 104 $2K
87081 188 187 $2K
73502 39 39 $1K
C9113 Injection, pantoprazole sodium, per vial 140 121 $1K
82248 166 133 $1K
86803 67 67 $1K
76830 Ultrasound, transvaginal 14 14 $1K
94762 21 12 $1K
J1650 Injection, enoxaparin sodium, 10 mg 64 38 $1K
73560 26 26 $1K
J0330 Injection, succinylcholine chloride, up to 20 mg 40 39 $1K
74019 15 14 $1K
76536 13 13 $1K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 175 148 $1K
73090 16 12 $968.38
93226 14 14 $960.74
93225 14 14 $940.65
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 27 27 $932.92
86850 104 102 $927.88
J2550 Injection, promethazine hcl, up to 50 mg 61 53 $878.93
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 106 101 $830.31
74022 16 16 $790.31
87425 52 51 $700.11
89055 106 102 $573.27
82803 26 25 $556.66
82247 76 56 $555.61
90715 56 53 $481.40
J0171 Injection, adrenalin, epinephrine, 0.1 mg 29 29 $387.06
J0780 Injection, prochlorperazine, up to 10 mg 50 48 $372.77
82950 53 53 $335.86
94760 27 12 $311.35
83540 27 27 $275.66
86005 29 28 $244.56
36600 13 12 $201.67
80050 General health panel 12 12 $177.86
86592 15 15 $146.38