Hospital
Clinton Hma, LLC
Clinton Hma, LLC was paid $1.23M by Medicaid between Jan 2018 and Dec 2022, across 37 billing codes. Its largest line is 99283, emergency room visit (moderate) — 62% of everything it billed.
33Billing provider infoCLINTON HMA, LLC
CLINTON, OK 73601
CLINTON, OK 73601
33aNPI1326062456assigned 07/26/2006
33bProvider typeGeneral Acute Care Hospital
28Total paid$1.23M
24GClaims25,069
24DCodes billed37
24AFirst – last monthJan 2018 – Dec 2022
Compared with peers
Next to other General Acute Care Hospital providers in Oklahoma
Rank by total paid#49 of 75
Median peer was paid$3.66M
This provider vs. median0.3×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official LALOR, PAULA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,712 | $202K | |
| 2019 | 3,540 | $187K | |
| 2020 | 4,261 | $189K | |
| 2021 | 5,361 | $242K | |
| 2022 | 8,195 | $413K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 62% | 5,058 | 4,960 | $760K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 13% | 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 | 6.0% | 1,476 | 1,418 | $74K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 3.1% | 859 | 818 | $39K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | 2.4% | 562 | 554 | $30K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.3% | 1,049 | 1,015 | $29K |
| 80053 | Comprehensive metabolic panel | 1.8% | 2,495 | 2,381 | $23K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.5% | 2,775 | 2,639 | $19K |
| 87430 | 1.5% | 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 | <1% | 558 | 538 | $12K |
| 36415 | Collection of venous blood by venipuncture | <1% | 4,808 | 4,453 | $11K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 66 | 66 | $6K |
25 more codes
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 68 | $6K |
| 80055 | <1% | 122 | $5K | |
| 71045 | Radiologic examination, chest; single view | <1% | 439 | $5K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 43 | $5K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 46 | $4K |
| 80306 | <1% | 271 | $4K | |
| 87081 | <1% | 590 | $3K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 191 | $3K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 200 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 40 | $3K |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 111 | $3K |
| 83880 | <1% | 73 | $2K | |
| 86803 | <1% | 151 | $2K | |
| 96360 | Intravenous infusion, hydration; initial, 31 minutes to 1 hour | <1% | 13 | $2K |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 38 | $2K |
| 81025 | <1% | 121 | $843.93 | |
| 84484 | <1% | 39 | $476.87 | |
| 81003 | <1% | 238 | $471.77 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 77 | $427.54 |
| 87420 | <1% | 26 | $321.62 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 15 | $199.64 |
| 84439 | <1% | 25 | $184.46 | |
| 84702 | <1% | 13 | $183.48 | |
| 83690 | <1% | 12 | $73.56 | |
| J7030 | Infusion, normal saline solution , 1000 cc | 0% | 407 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialLALOR, PAULA (DIRECTOR/DELEGATED OFFICIAL)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.