Medicaid Provider Spending

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

PHC-LOS ALAMOS INC

NPI: 1285701623 · LOS ALAMOS, NM 87544 · Rural Acute Care Hospital · NPI assigned 11/29/2006

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

Authorized official LAWRENCE, CHARLOTTE controls 20+ related entities in our dataset. Read more

$2.56M
Total Medicaid Paid
57,123
Total Claims
51,009
Beneficiaries
72
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLAWRENCE, CHARLOTTE (SECRETARY)
NPI Enumeration Date11/29/2006

Related Entities

Other providers sharing the same authorized official: LAWRENCE, CHARLOTTE

ProviderCityStateTotal Paid
LAKE CUMBERLAND REGIONAL HOSPITAL LLC SOMERSET KY $77.77M
DANVILLE REGIONAL MEDICAL CENTER, LLC DANVILLE VA $65.11M
PHC-LAS CRUCES INC LAS CRUCES NM $64.77M
GEORGETOWN COMMUNITY HOSPITAL LLC GEORGETOWN KY $44.03M
PINELAKE REGIONAL HOSPITAL LLC MAYFIELD KY $43.34M
RALEIGH GENERAL HOSPITAL LLC BECKLEY WV $36.44M
LOURDES HOSPITAL LLC PASCO WA $33.94M
RCHP-SIERRA VISTA INC SIERRA VISTA AZ $29.77M
CLINCH VALLEY MEDICAL CENTER INC. RICHLANDS VA $26.28M
SPRING VIEW HOSPITAL LLC LEBANON KY $23.35M
HAVASU REGIONAL MEDICAL CENTER LLC LAKE HAVASU CITY AZ $23.19M
LAS CRUCES PHYSICIAN PRACTICES, LLC LAS CRUCES NM $22.78M
MEADOWVIEW REGIONAL MEDICAL CENTER LLC MAYSVILLE KY $22.57M
LOURDES HOSPITAL LLC RICHLAND WA $22.38M
DANVILLE REGIONAL MEDICAL CENTER LLC MARTINSVILLE VA $21.09M
PHC-FORT MOHAVE INC FORT MOHAVE AZ $19.95M
WYTHE COUNTY COMMUNITY HOSPITAL LLC WYTHEVILLE VA $18.30M
DLP CONEMAUGH MEMORIAL MEDICAL CENTER LLC JOHNSTOWN PA $18.22M
BOURBON COMMUNITY HOSPITAL LLC PARIS KY $18.14M
WILLAMETTE VALLEY MEDICAL CENTER LLC MCMINNVILLE OR $17.29M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 14,403 $570K
2019 7,215 $303K
2020 3,603 $182K
2021 6,092 $277K
2022 8,036 $431K
2023 9,959 $442K
2024 7,815 $353K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 5,859 5,405 $798K
99284 Emergency department visit for the evaluation and management, high severity 4,048 3,641 $752K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 918 821 $221K
80053 Comprehensive metabolic panel 6,443 5,621 $93K
99282 Emergency department visit for the evaluation and management, low to moderate severity 930 886 $78K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 7,124 6,075 $53K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1,349 1,204 $48K
96375 Therapeutic injection; each additional sequential IV push 1,047 897 $46K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1,016 923 $45K
96361 Intravenous infusion, hydration; each additional hour 1,013 865 $42K
84443 Thyroid stimulating hormone (TSH) 1,964 1,883 $37K
74177 Computed tomography, abdomen and pelvis; with contrast material 143 131 $35K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 612 268 $26K
71045 Radiologic examination, chest; single view 603 551 $25K
71046 Radiologic examination, chest; 2 views 437 404 $21K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 848 708 $20K
36415 Collection of venous blood by venipuncture 5,942 5,363 $19K
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 324 310 $16K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 315 270 $16K
80061 Lipid panel 1,450 1,419 $15K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 220 211 $14K
83036 Hemoglobin; glycosylated (A1C) 1,061 1,027 $10K
99281 Emergency department visit for the evaluation and management, self-limited or minor 179 170 $9K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 288 269 $9K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 119 105 $8K
81025 712 669 $7K
83690 890 784 $6K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 57 49 $6K
81001 1,075 958 $6K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 303 247 $6K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 108 91 $5K
81003 2,009 1,853 $5K
G0378 Hospital observation service, per hour 20 13 $4K
86140 696 639 $4K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 165 164 $4K
87086 Culture, bacterial; quantitative colony count, urine 465 426 $3K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 260 243 $3K
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 202 197 $3K
84439 345 334 $3K
84484 194 157 $3K
J1885 Injection, ketorolac tromethamine, per 15 mg 1,251 1,089 $3K
87430 212 203 $3K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 102 98 $3K
87490 104 99 $2K
85652 567 531 $2K
80048 Basic metabolic panel (calcium, ionized) 203 181 $2K
87590 87 82 $2K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 50 45 $2K
73630 28 24 $2K
70450 Computed tomography, head or brain; without contrast material 14 12 $1K
J2405 Injection, ondansetron hydrochloride, per 1 mg 1,258 1,072 $1K
87081 171 163 $1K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 47 24 $1K
87420 82 78 $1K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 104 96 $1K
H0049 Alcohol and/or drug screening 42 42 $901.22
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 14 13 $566.43
83735 104 68 $505.15
87186 42 36 $327.82
85610 98 81 $321.71
J2704 Injection, propofol, 10 mg 96 95 $276.01
J1100 Injection, dexamethasone sodium phosphate, 1 mg 117 115 $250.27
97161 13 12 $233.64
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 145 144 $216.85
J7120 Ringers lactate infusion, up to 1000 cc 32 28 $179.11
87077 28 24 $164.27
A9270 Non-covered item or service 161 123 $124.15
87070 13 13 $118.60
J2270 Injection, morphine sulfate, up to 10 mg 131 114 $95.62
82570 12 12 $66.47
J3010 Injection, fentanyl citrate, 0.1 mg 30 29 $32.17
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 12 12 $1.32