Medicaid Provider Spending

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

BLUFFTON HEALTH SYSTEM LLC

NPI: 1376594366 · BLUFFTON, IN 46714 · General Acute Care Hospital · NPI assigned 05/13/2006

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

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

$6.35M
Total Medicaid Paid
127,560
Total Claims
85,857
Beneficiaries
101
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLALOR, PAULA (DIRECTOR/DELEGATED OFFICIAL)
NPI Enumeration Date05/13/2006

Related Entities

Other providers sharing the same authorized official: LALOR, PAULA

ProviderCityStateTotal Paid
NORTHWEST HOSPITAL LLC TUCSON AZ $47.81M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 10,103 $222K
2019 11,723 $457K
2020 15,067 $514K
2021 22,975 $1.18M
2022 24,662 $1.44M
2023 25,770 $1.52M
2024 17,260 $1.01M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 12,657 10,302 $2.13M
97530 Therapeutic activities, direct patient contact, each 15 minutes 10,822 2,363 $1.28M
99284 Emergency department visit for the evaluation and management, high severity 7,275 5,427 $1.14M
71045 Radiologic examination, chest; single view 2,787 2,087 $345K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 2,309 626 $287K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,003 860 $133K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,899 1,533 $123K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 4,680 1,301 $93K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1,492 1,003 $81K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 539 457 $69K
80053 Comprehensive metabolic panel 8,825 6,527 $52K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 334 242 $47K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 11,175 8,103 $47K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 3,180 862 $46K
36415 Collection of venous blood by venipuncture 21,332 15,378 $44K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 441 376 $40K
87428 1,302 1,031 $37K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 224 200 $35K
74177 Computed tomography, abdomen and pelvis; with contrast material 73 49 $34K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,075 904 $28K
80061 Lipid panel 3,464 2,767 $25K
84443 Thyroid stimulating hormone (TSH) 1,537 1,317 $19K
80048 Basic metabolic panel (calcium, ionized) 5,030 3,672 $15K
83036 Hemoglobin; glycosylated (A1C) 2,910 2,260 $12K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 708 428 $11K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 345 296 $10K
80050 General health panel 80 71 $9K
87086 Culture, bacterial; quantitative colony count, urine 1,418 1,202 $9K
96361 Intravenous infusion, hydration; each additional hour 720 557 $8K
84702 988 726 $7K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 437 371 $7K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 264 230 $6K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 265 231 $6K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 39 28 $6K
87653 213 185 $6K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 990 752 $6K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 232 202 $6K
84484 972 600 $6K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 178 136 $5K
73630 225 139 $5K
76819 Fetal biophysical profile; without non-stress testing 58 28 $5K
97535 Self-care/home management training, each 15 minutes 205 64 $5K
80081 71 66 $5K
83605 659 403 $4K
59025 Fetal non-stress test 16 13 $4K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 238 199 $4K
76830 Ultrasound, transvaginal 17 15 $3K
81001 1,859 1,437 $3K
86592 931 798 $3K
71046 Radiologic examination, chest; 2 views 67 43 $3K
83690 770 548 $3K
83735 626 446 $2K
70450 Computed tomography, head or brain; without contrast material 18 13 $2K
80306 258 208 $2K
80076 591 443 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 98 90 $1K
86850 485 369 $1K
96375 Therapeutic injection; each additional sequential IV push 237 202 $1K
87807 96 77 $1K
86762 92 70 $917.72
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 20 14 $905.26
81003 546 433 $768.57
80055 46 39 $700.15
85027 188 156 $671.37
82950 183 169 $651.89
84460 365 263 $580.78
84450 365 263 $578.29
83615 98 67 $535.68
87522 Neg quan hep c or qual rna 14 13 $428.40
86901 329 250 $424.72
86900 328 250 $418.51
82570 91 64 $387.50
84550 100 69 $364.38
82550 114 87 $364.10
87340 59 43 $345.38
82043 68 48 $331.67
82565 149 108 $324.26
83655 25 24 $306.41
87400 27 13 $283.70
82951 27 18 $280.47
84703 43 36 $278.24
81025 47 38 $256.74
82248 107 78 $217.51
85379 35 27 $188.58
86803 16 14 $154.14
82728 14 12 $136.30
87276 40 28 $125.68
87275 40 28 $120.76
86140 54 38 $97.67
85652 53 37 $54.04
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 22 17 $51.31
84520 13 12 $42.60
82150 14 12 $31.04
J1885 Injection, ketorolac tromethamine, per 15 mg 701 570 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 14 13 $0.00
J2704 Injection, propofol, 10 mg 48 39 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 13 12 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 43 40 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 283 233 $0.00
J7030 Infusion, normal saline solution , 1000 cc 776 667 $0.00
J2405 Injection, ondansetron hydrochloride, per 1 mg 211 182 $0.00