Medicaid Provider Spending

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

NAPLES HMA LLC

NPI: 1316992134 · NAPLES, FL 34119 · General Acute Care Hospital · NPI assigned 05/23/2006

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

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

$2.22M
Total Medicaid Paid
155,204
Total Claims
117,344
Beneficiaries
108
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialLALOR, PAULA (DIRECTOR)
NPI Enumeration Date05/23/2006

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 13,769 $173K
2019 27,457 $313K
2020 23,612 $242K
2021 37,610 $499K
2022 38,980 $732K
2023 13,212 $246K
2024 564 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 6,197 5,134 $341K
99283 Emergency department visit for the evaluation and management, moderate severity 5,681 4,913 $314K
36415 Collection of venous blood by venipuncture 14,016 9,258 $298K
74177 Computed tomography, abdomen and pelvis; with contrast material 996 871 $168K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 3,540 2,886 $154K
96361 Intravenous infusion, hydration; each additional hour 3,386 2,574 $143K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,259 1,067 $131K
70450 Computed tomography, head or brain; without contrast material 2,160 1,762 $129K
G0378 Hospital observation service, per hour 1,141 911 $117K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2,033 1,753 $64K
99282 Emergency department visit for the evaluation and management, low to moderate severity 811 716 $48K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1,162 267 $27K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,141 963 $18K
99218 145 133 $14K
80053 Comprehensive metabolic panel 10,384 7,992 $14K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 10,979 8,345 $11K
81025 2,175 1,938 $11K
71045 Radiologic examination, chest; single view 4,454 3,709 $9K
80048 Basic metabolic panel (calcium, ionized) 3,001 2,059 $9K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,815 1,534 $9K
87086 Culture, bacterial; quantitative colony count, urine 1,939 1,616 $8K
87400 412 372 $8K
82962 2,945 1,057 $8K
94760 3,474 1,567 $8K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 5,195 3,950 $8K
85610 3,764 2,970 $8K
72125 Computed tomography, cervical spine; without contrast material 225 183 $7K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 4,413 3,588 $7K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 249 217 $7K
71275 Computed tomographic angiography, chest, with contrast material 43 37 $6K
84484 5,066 2,973 $6K
83735 3,590 2,458 $6K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 40 37 $6K
J3010 Injection, fentanyl citrate, 0.1 mg 879 717 $6K
J2405 Injection, ondansetron hydrochloride, per 1 mg 2,865 2,286 $6K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,934 1,649 $6K
88305 Level IV - Surgical pathology, gross and microscopic examination 404 338 $5K
85027 2,440 1,668 $5K
J2704 Injection, propofol, 10 mg 1,440 1,161 $4K
81001 3,092 2,599 $4K
81003 2,059 1,768 $4K
71046 Radiologic examination, chest; 2 views 418 361 $4K
83690 3,165 2,654 $4K
J2250 Injection, midazolam hydrochloride, per 1 mg 634 526 $4K
84443 Thyroid stimulating hormone (TSH) 1,825 1,470 $3K
87428 1,339 1,166 $3K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 485 404 $3K
85730 2,698 2,181 $3K
80061 Lipid panel 1,665 1,366 $3K
96375 Therapeutic injection; each additional sequential IV push 2,701 2,066 $3K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 429 369 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 222 187 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 198 115 $2K
J1170 Injection, hydromorphone, up to 4 mg 400 286 $2K
96376 504 299 $2K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 253 224 $1K
97161 60 55 $1K
J2270 Injection, morphine sulfate, up to 10 mg 1,354 899 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,880 1,235 $1K
87430 117 111 $1K
86850 89 80 $1K
83880 1,484 1,192 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 272 238 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg 1,628 1,324 $1K
83036 Hemoglobin; glycosylated (A1C) 1,101 904 $879.21
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 23 12 $855.35
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 23 12 $855.35
84439 106 82 $789.89
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 23 21 $698.97
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 175 37 $620.19
82550 427 332 $600.30
J7030 Infusion, normal saline solution , 1000 cc 1,393 1,060 $577.99
77067 Screening mammography, bilateral, including computer-aided detection 12 12 $432.69
G1002 Clinical decision support mechanism medcurrent, as defined by the medicare appropriate use criteria program 332 233 $350.46
J1100 Injection, dexamethasone sodium phosphate, 1 mg 664 577 $225.67
85379 353 304 $137.67
88342 37 36 $105.53
82248 87 81 $89.72
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 268 251 $88.13
76705 Ultrasound, abdominal, real time with image documentation; limited 14 14 $72.41
87040 228 115 $70.14
83605 455 356 $53.72
94664 63 41 $51.72
87186 168 149 $30.48
87077 171 152 $29.58
86900 134 118 $17.02
86901 134 118 $17.02
J0690 Injection, cefazolin sodium, 500 mg 146 106 $9.72
86140 141 122 $6.33
82043 25 24 $3.09
J1650 Injection, enoxaparin sodium, 10 mg 392 202 $0.00
84100 117 87 $0.00
80179 16 13 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 80 64 $0.00
84702 29 24 $0.00
80143 17 14 $0.00
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 13 13 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 13 12 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 616 475 $0.00
82077 258 219 $0.00
J2060 Injection, lorazepam, 2 mg 77 55 $0.00
77063 Screening digital breast tomosynthesis, bilateral 12 12 $0.00
80069 12 12 $0.00
C1769 Guide wire 15 13 $0.00
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 26 18 $0.00
82607 18 13 $0.00
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 13 13 $0.00
84703 13 12 $0.00