Medicaid Provider Spending

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

CITRUS HMA INC

NPI: 1336386457 · CRYSTAL RIVER, FL 34428 · Rehabilitation Hospital Unit · NPI assigned 01/12/2009

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

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

$6.38M
Total Medicaid Paid
210,097
Total Claims
176,872
Beneficiaries
120
Codes Billed
2018-01
First Month
2023-10
Last Month

Provider Details

Authorized OfficialLALOR, PAULA (DIRECTOR/DELEGATED OFFICIAL)
NPI Enumeration Date01/12/2009

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 12,764 $160K
2019 36,857 $817K
2020 35,566 $789K
2021 56,375 $1.64M
2022 47,906 $1.98M
2023 20,629 $992K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 20,309 18,206 $1.87M
99284 Emergency department visit for the evaluation and management, high severity 12,934 11,177 $868K
36415 Collection of venous blood by venipuncture 13,467 10,149 $593K
99282 Emergency department visit for the evaluation and management, low to moderate severity 5,553 5,093 $465K
74176 Computed tomography, abdomen and pelvis; without contrast material 2,205 1,947 $458K
70450 Computed tomography, head or brain; without contrast material 3,191 2,647 $395K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,629 1,476 $388K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 4,265 3,651 $340K
96361 Intravenous infusion, hydration; each additional hour 4,960 4,242 $209K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,978 1,414 $97K
80053 Comprehensive metabolic panel 12,011 9,985 $55K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,275 1,003 $45K
72125 Computed tomography, cervical spine; without contrast material 833 685 $43K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,011 1,777 $38K
71275 Computed tomographic angiography, chest, with contrast material 99 92 $32K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 3,709 3,347 $31K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 211 121 $28K
86900 271 244 $28K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,786 1,584 $27K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 3,321 2,886 $27K
80048 Basic metabolic panel (calcium, ionized) 2,435 1,900 $26K
71046 Radiologic examination, chest; 2 views 1,696 1,553 $19K
87086 Culture, bacterial; quantitative colony count, urine 2,878 2,491 $19K
81003 5,587 4,724 $16K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2,019 1,801 $16K
99281 Emergency department visit for the evaluation and management, self-limited or minor 214 181 $15K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 14,068 11,243 $14K
73630 562 511 $14K
71045 Radiologic examination, chest; single view 4,940 4,253 $13K
81025 2,366 2,144 $11K
73610 580 524 $10K
83880 1,292 1,103 $9K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 113 95 $9K
81001 4,876 4,205 $8K
73110 269 246 $7K
73562 396 350 $6K
73130 357 325 $6K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 110 98 $6K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 407 380 $6K
87070 298 249 $6K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 5,895 4,956 $6K
82962 954 493 $5K
85610 4,578 3,870 $5K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 5,246 4,286 $5K
85730 3,149 2,647 $5K
76705 Ultrasound, abdominal, real time with image documentation; limited 97 90 $4K
73030 269 234 $4K
97597 32 12 $4K
J2250 Injection, midazolam hydrochloride, per 1 mg 617 525 $4K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 2,125 1,900 $4K
84484 3,575 2,491 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,198 2,720 $3K
85651 36 26 $3K
J3010 Injection, fentanyl citrate, 0.1 mg 786 657 $3K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 25 24 $3K
83735 4,059 3,310 $3K
72131 109 95 $3K
96375 Therapeutic injection; each additional sequential IV push 3,686 3,149 $3K
83690 3,663 3,200 $2K
59025 Fetal non-stress test 27 17 $2K
85027 107 81 $2K
J2405 Injection, ondansetron hydrochloride, per 1 mg 3,877 3,272 $2K
12001 74 67 $2K
J7030 Infusion, normal saline solution , 1000 cc 722 546 $2K
J1885 Injection, ketorolac tromethamine, per 15 mg 3,290 2,852 $2K
87186 1,170 991 $2K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 74 70 $2K
87040 1,042 522 $2K
J2704 Injection, propofol, 10 mg 764 633 $2K
G0378 Hospital observation service, per hour 356 296 $1K
J2270 Injection, morphine sulfate, up to 10 mg 1,755 1,337 $1K
84443 Thyroid stimulating hormone (TSH) 908 797 $1K
71250 28 25 $1K
J1200 Injection, diphenhydramine hcl, up to 50 mg 343 289 $1K
83605 571 444 $840.35
J1100 Injection, dexamethasone sodium phosphate, 1 mg 992 877 $828.57
93971 27 26 $734.79
J0696 Injection, ceftriaxone sodium, per 250 mg 1,335 1,094 $721.80
J1170 Injection, hydromorphone, up to 4 mg 397 295 $673.62
85379 486 459 $585.18
G0463 Hospital outpatient clinic visit for assessment and management of a patient 32 29 $532.35
12002 12 12 $524.52
87807 467 442 $457.80
82248 611 454 $396.53
74018 72 68 $385.02
84702 536 451 $380.79
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 539 477 $338.30
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 243 209 $287.94
90714 217 184 $274.14
82150 541 483 $225.14
82550 319 271 $211.57
84703 729 663 $153.26
J0690 Injection, cefazolin sodium, 500 mg 231 180 $151.52
J3475 Injection, magnesium sulfate, per 500 mg 118 100 $134.95
82077 643 534 $116.01
96376 99 86 $108.43
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 483 449 $101.36
J2060 Injection, lorazepam, 2 mg 254 188 $73.88
86850 38 28 $51.89
84100 56 55 $43.82
86901 212 190 $43.72
J2765 Injection, metoclopramide hcl, up to 10 mg 243 210 $42.50
72100 30 27 $37.87
86140 124 115 $36.54
80061 Lipid panel 36 36 $10.58
80143 202 175 $6.76
83036 Hemoglobin; glycosylated (A1C) 13 13 $6.26
87430 482 460 $4.55
73502 13 12 $0.00
J1630 Injection, haloperidol, up to 5 mg 18 13 $0.00
J2360 Injection, orphenadrine citrate, up to 60 mg 12 12 $0.00
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 12 12 $0.00
86403 20 16 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 15 12 $0.00
80179 219 186 $0.00
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 12 12 $0.00
73080 64 54 $0.00
C9113 Injection, pantoprazole sodium, per vial 176 149 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 13 13 $0.00
80076 16 15 $0.00