Medicaid Provider Spending

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

CLINTON HMA, LLC

NPI: 1326062456 · CLINTON, OK 73601 · General Acute Care Hospital · NPI assigned 07/26/2006

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

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

$1.23M
Total Medicaid Paid
25,069
Total Claims
24,111
Beneficiaries
37
Codes Billed
2018-01
First Month
2022-12
Last Month

Provider Details

Authorized OfficialLALOR, PAULA (DIRECTOR/DELEGATED OFFICIAL)
NPI Enumeration Date07/26/2006

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 3,712 $202K
2019 3,540 $187K
2020 4,261 $189K
2021 5,361 $242K
2022 8,195 $413K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 5,058 4,960 $760K
99284 Emergency department visit for the evaluation and management, high severity 712 706 $158K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 1,476 1,418 $74K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 859 818 $39K
99281 Emergency department visit for the evaluation and management, self-limited or minor 562 554 $30K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,049 1,015 $29K
80053 Comprehensive metabolic panel 2,495 2,381 $23K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2,775 2,639 $19K
87430 1,282 1,264 $18K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 558 538 $12K
36415 Collection of venous blood by venipuncture 4,808 4,453 $11K
99282 Emergency department visit for the evaluation and management, low to moderate severity 66 66 $6K
74176 Computed tomography, abdomen and pelvis; without contrast material 68 68 $6K
80055 122 122 $5K
71045 Radiologic examination, chest; single view 439 429 $5K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 43 43 $5K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 46 46 $4K
80306 271 266 $4K
87081 590 582 $3K
71046 Radiologic examination, chest; 2 views 191 185 $3K
84443 Thyroid stimulating hormone (TSH) 200 200 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 40 39 $3K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 111 111 $3K
83880 73 72 $2K
86803 151 151 $2K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 13 13 $2K
96361 Intravenous infusion, hydration; each additional hour 38 38 $2K
81025 121 119 $843.93
84484 39 38 $476.87
81003 238 232 $471.77
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 77 75 $427.54
87420 26 25 $321.62
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 15 15 $199.64
84439 25 25 $184.46
84702 13 12 $183.48
83690 12 12 $73.56
J7030 Infusion, normal saline solution , 1000 cc 407 381 $0.00