Medicaid Provider Spending

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

CLARKSDALE HMA LLC

NPI: 1376584110 · CLARKSDALE, MS 38614 · General Acute Care Hospital · NPI assigned 06/10/2006

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

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

$820K
Total Medicaid Paid
46,854
Total Claims
28,578
Beneficiaries
116
Codes Billed
2018-01
First Month
2021-06
Last Month

Provider Details

Authorized OfficialLALOR, PAULA (DIRECTOR/DELEGATED OFFICIAL)
NPI Enumeration Date06/10/2006

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 15,176 $18K
2019 11,162 $146K
2020 13,446 $421K
2021 7,070 $235K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 2,966 1,881 $156K
99284 Emergency department visit for the evaluation and management, high severity 1,537 1,101 $136K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 720 515 $66K
G0378 Hospital observation service, per hour 459 193 $64K
96361 Intravenous infusion, hydration; each additional hour 853 383 $39K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 525 277 $34K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,128 1,220 $34K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 728 470 $27K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 845 612 $23K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 641 442 $17K
71045 Radiologic examination, chest; single view 921 601 $17K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 935 674 $13K
80053 Comprehensive metabolic panel 3,409 2,051 $11K
74176 Computed tomography, abdomen and pelvis; without contrast material 150 135 $10K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 217 83 $9K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 441 222 $9K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 265 147 $9K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 829 562 $9K
70450 Computed tomography, head or brain; without contrast material 263 235 $8K
96375 Therapeutic injection; each additional sequential IV push 556 354 $8K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 342 176 $8K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 184 113 $6K
83880 416 301 $6K
99282 Emergency department visit for the evaluation and management, low to moderate severity 288 157 $6K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 37 35 $6K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2,441 1,481 $5K
99281 Emergency department visit for the evaluation and management, self-limited or minor 273 164 $5K
59025 Fetal non-stress test 100 48 $5K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 246 52 $5K
86900 63 50 $4K
71046 Radiologic examination, chest; 2 views 447 285 $4K
84484 670 471 $3K
85027 1,500 930 $3K
36415 Collection of venous blood by venipuncture 4,045 2,255 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 443 236 $3K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 30 26 $2K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 264 178 $2K
36600 39 34 $2K
87430 687 376 $2K
G0379 Direct admission of patient for hospital observation care 51 38 $2K
82731 61 40 $2K
76830 Ultrasound, transvaginal 29 26 $2K
82805 41 36 $1K
80306 226 141 $1K
83735 633 430 $1K
86850 51 39 $1K
84703 528 334 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 127 77 $1K
86901 63 50 $1K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 52 27 $1K
71250 19 19 $1K
80048 Basic metabolic panel (calcium, ionized) 442 305 $1K
84443 Thyroid stimulating hormone (TSH) 322 188 $1K
76819 Fetal biophysical profile; without non-stress testing 20 12 $1K
81001 1,287 791 $1K
94060 13 13 $1K
80061 Lipid panel 186 129 $968.18
83036 Hemoglobin; glycosylated (A1C) 339 208 $959.43
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 16 15 $938.94
87040 220 152 $934.61
94726 13 13 $812.95
83690 458 268 $784.59
73030 16 15 $782.27
73560 39 28 $747.82
97035 96 29 $712.86
85730 384 269 $670.81
85610 512 329 $642.20
76642 16 14 $543.86
83605 86 74 $510.59
82607 49 45 $490.63
87210 370 185 $490.11
84702 98 46 $481.44
51702 14 14 $449.34
97033 37 12 $428.91
73630 14 12 $428.82
82962 245 159 $422.96
81003 558 323 $383.88
J1885 Injection, ketorolac tromethamine, per 15 mg 802 517 $364.67
86140 125 77 $257.20
J2550 Injection, promethazine hcl, up to 50 mg 486 230 $242.25
87086 Culture, bacterial; quantitative colony count, urine 213 99 $201.27
80069 29 29 $182.71
87186 73 42 $156.54
87420 101 49 $151.80
84439 47 37 $150.14
82570 29 29 $96.24
J3490 Unclassified drugs 1,226 574 $76.37
85651 17 14 $68.50
84156 31 31 $66.21
83615 15 12 $60.09
82150 174 66 $58.36
J1200 Injection, diphenhydramine hcl, up to 50 mg 47 34 $21.26
J1100 Injection, dexamethasone sodium phosphate, 1 mg 335 240 $1.34
J0696 Injection, ceftriaxone sodium, per 250 mg 380 228 $0.00
J2360 Injection, orphenadrine citrate, up to 60 mg 32 27 $0.00
96376 99 59 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 94 73 $0.00
J1940 Injection, furosemide, up to 20 mg 53 36 $0.00
J2704 Injection, propofol, 10 mg 165 107 $0.00
J0360 Injection, hydralazine hcl, up to 20 mg 15 13 $0.00
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 156 38 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 108 49 $0.00
J1170 Injection, hydromorphone, up to 4 mg 114 74 $0.00
J7050 Infusion, normal saline solution, 250 cc 18 13 $0.00
G0463 Hospital outpatient clinic visit for assessment and management of a patient 43 14 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 227 145 $0.00
84145 46 39 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 281 203 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 353 137 $0.00
J7030 Infusion, normal saline solution , 1000 cc 510 323 $0.00
J2405 Injection, ondansetron hydrochloride, per 1 mg 518 323 $0.00
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 70 63 $0.00
76818 102 26 $0.00
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 42 38 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 28 26 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 16 13 $0.00