Medicaid Provider Spending

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

IOM HEALTH SYSTEM LP

NPI: 1306897335 · FORT WAYNE, IN 46804 · Ambulatory Surgical Clinic/Center · NPI assigned 05/15/2006

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

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

$27.50M
Total Medicaid Paid
449,162
Total Claims
330,162
Beneficiaries
151
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLALOR, PAULA (DIRECTOR/DELEGATED OFFICIAL)
NPI Enumeration Date05/15/2006

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
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 69,779 $1.77M
2019 60,662 $2.77M
2020 66,720 $3.31M
2021 77,036 $5.47M
2022 81,866 $6.84M
2023 65,898 $5.40M
2024 27,201 $1.95M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 55,795 47,125 $9.12M
99284 Emergency department visit for the evaluation and management, high severity 44,231 34,598 $6.65M
71045 Radiologic examination, chest; single view 13,465 10,243 $1.79M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,865 1,340 $1.08M
99282 Emergency department visit for the evaluation and management, low to moderate severity 7,363 6,403 $885K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 7,111 5,130 $878K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 14,835 10,309 $846K
A0425 Ground mileage, per statute mile 9,987 7,783 $776K
A0428 Ambulance service, basic life support, non-emergency transport, (bls) 5,561 4,471 $420K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 6,156 5,132 $415K
A0426 Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) 3,539 2,757 $359K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,078 723 $328K
71046 Radiologic examination, chest; 2 views 3,513 2,913 $296K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 8,372 7,190 $243K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 2,641 1,897 $239K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 181 111 $200K
16020 926 448 $183K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 40,269 28,153 $177K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 13,507 7,125 $176K
70450 Computed tomography, head or brain; without contrast material 1,901 1,413 $166K
97602 1,769 584 $165K
80053 Comprehensive metabolic panel 23,181 16,657 $138K
45380 Colonoscopy, flexible; with biopsy, single or multiple 154 127 $138K
99218 436 242 $136K
93304 230 187 $134K
74018 933 783 $131K
88305 Level IV - Surgical pathology, gross and microscopic examination 2,446 1,526 $121K
36415 Collection of venous blood by venipuncture 55,465 37,248 $110K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 9,088 7,281 $105K
71275 Computed tomographic angiography, chest, with contrast material 296 181 $98K
80050 General health panel 909 748 $90K
99217 183 139 $77K
96361 Intravenous infusion, hydration; each additional hour 4,488 3,484 $60K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 521 454 $58K
99221 126 96 $51K
99238 Hospital discharge day management, 30 minutes or less 138 108 $49K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 769 345 $43K
84484 7,267 4,308 $42K
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 624 522 $40K
87430 3,144 2,714 $35K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1,016 653 $33K
80048 Basic metabolic panel (calcium, ionized) 8,566 6,039 $32K
G0378 Hospital observation service, per hour 364 175 $24K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 662 359 $23K
72125 Computed tomography, cervical spine; without contrast material 177 123 $21K
96375 Therapeutic injection; each additional sequential IV push 2,973 2,290 $19K
99281 Emergency department visit for the evaluation and management, self-limited or minor 223 200 $18K
81001 9,312 7,175 $18K
81025 2,742 2,236 $16K
83690 5,210 3,863 $15K
87807 1,584 1,392 $15K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,085 841 $12K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 598 288 $11K
84443 Thyroid stimulating hormone (TSH) 935 762 $10K
85027 5,160 3,622 $10K
97530 Therapeutic activities, direct patient contact, each 15 minutes 102 29 $8K
83036 Hemoglobin; glycosylated (A1C) 1,183 992 $8K
0240U 99 83 $8K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 106 76 $7K
82728 593 490 $7K
87428 208 172 $6K
83735 2,265 1,293 $6K
84703 1,106 831 $5K
82947 4,428 2,785 $5K
80051 3,039 2,208 $5K
97803 48 43 $5K
80061 Lipid panel 667 511 $4K
87086 Culture, bacterial; quantitative colony count, urine 1,005 801 $4K
81003 4,499 3,472 $4K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 147 110 $4K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 147 110 $4K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 147 122 $4K
82565 3,069 2,220 $4K
82248 1,112 565 $4K
80076 1,353 1,054 $3K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 213 176 $3K
93321 392 324 $3K
82247 964 461 $3K
84520 3,038 2,208 $3K
94010 31 27 $3K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 103 67 $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 129 115 $3K
84460 787 405 $3K
84450 787 405 $3K
84075 787 405 $3K
88342 174 137 $2K
86001 28 25 $2K
85610 1,180 794 $2K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 20 14 $2K
80197 690 315 $2K
87641 259 172 $2K
36591 223 51 $2K
84439 181 161 $1K
88312 262 190 $1K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 35 29 $1K
85730 546 378 $1K
99220 35 15 $1K
82550 910 441 $1K
83605 221 153 $918.89
85046 186 157 $895.29
82570 890 410 $878.14
83516 69 51 $858.93
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 121 89 $824.71
83880 59 39 $790.18
84550 840 380 $695.42
84100 556 361 $624.87
84156 890 411 $619.26
85045 137 117 $584.84
82607 73 51 $557.96
82746 73 51 $543.90
73630 12 12 $512.55
82150 92 66 $498.30
82330 77 54 $407.66
83540 124 96 $403.08
86255 30 25 $389.62
87040 69 29 $368.42
96376 91 27 $294.84
87210 64 53 $292.03
87799 14 12 $285.91
82657 54 15 $259.44
84481 13 13 $229.92
86140 47 39 $198.68
87081 31 30 $192.27
83550 47 42 $186.20
87070 41 36 $168.67
82784 15 13 $143.91
90744 179 150 $110.12
88302 84 79 $96.90
93325 392 324 $84.43
87205 16 12 $48.42
J2704 Injection, propofol, 10 mg 3,532 2,182 $23.76
J1885 Injection, ketorolac tromethamine, per 15 mg 3,062 2,453 $0.49
J7030 Infusion, normal saline solution , 1000 cc 596 534 $0.00
J2405 Injection, ondansetron hydrochloride, per 1 mg 2,558 2,009 $0.00
0202U Oncology (prostate), multianalyte, gene expression profiling 28 25 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 600 455 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 182 152 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 80 38 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 87 77 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 130 110 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 69 49 $0.00
A9270 Non-covered item or service 59 53 $0.00
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 47 29 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 205 174 $0.00
90686 17 15 $0.00
J3490 Unclassified drugs 17 15 $0.00
G0008 Administration of influenza virus vaccine 27 26 $0.00
G0009 Administration of pneumococcal vaccine 14 14 $0.00
J8540 Dexamethasone, oral, 0.25 mg 23 12 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 16 12 $0.00
90688 39 33 $0.00