Medicaid Provider Spending

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

ORO VALLEY HOSPITAL LLC

NPI: 1386697688 · ORO VALLEY, AZ 85755 · Urgent Care Clinic/Center · NPI assigned 05/18/2006

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

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

$12.98M
Total Medicaid Paid
361,333
Total Claims
313,306
Beneficiaries
160
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLALOR, PAULA (DIRECTOR/DELEGATED OFFICIAL)
NPI Enumeration Date05/18/2006

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 52,249 $1.75M
2019 51,870 $2.06M
2020 41,132 $1.62M
2021 46,759 $1.57M
2022 60,806 $2.15M
2023 60,571 $2.09M
2024 47,946 $1.73M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 17,355 16,325 $2.61M
99284 Emergency department visit for the evaluation and management, high severity 15,321 13,908 $2.08M
74177 Computed tomography, abdomen and pelvis; with contrast material 3,786 3,537 $1.80M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 7,737 6,872 $1.65M
70450 Computed tomography, head or brain; without contrast material 3,791 3,502 $969K
74176 Computed tomography, abdomen and pelvis; without contrast material 2,095 1,974 $857K
G0378 Hospital observation service, per hour 2,433 1,782 $463K
71275 Computed tomographic angiography, chest, with contrast material 952 885 $363K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3,751 3,608 $316K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 3,092 2,630 $269K
C1776 Joint device (implantable) 169 155 $200K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 1,189 1,094 $192K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 624 573 $107K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 293 284 $99K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,210 2,052 $95K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,425 1,359 $81K
95810 Polysomnography; sleep staging with 4 or more additional parameters 115 110 $73K
95811 133 127 $70K
71046 Radiologic examination, chest; 2 views 3,609 3,389 $53K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 5,172 4,980 $43K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 870 310 $42K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,860 1,542 $38K
45380 Colonoscopy, flexible; with biopsy, single or multiple 132 120 $33K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 82 79 $28K
96361 Intravenous infusion, hydration; each additional hour 8,424 7,347 $28K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1,337 604 $27K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 943 325 $26K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 599 562 $25K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 11,147 9,348 $23K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,878 1,250 $19K
99281 Emergency department visit for the evaluation and management, self-limited or minor 402 386 $19K
80053 Comprehensive metabolic panel 16,442 14,156 $18K
73564 369 341 $17K
76705 Ultrasound, abdominal, real time with image documentation; limited 573 551 $16K
72125 Computed tomography, cervical spine; without contrast material 420 408 $15K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 257 243 $14K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 207 201 $13K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 82 76 $13K
70551 Magnetic resonance imaging, brain; without contrast material 26 26 $13K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 680 212 $11K
64447 357 332 $11K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 150 146 $10K
93971 115 104 $10K
84484 8,198 5,966 $9K
73610 518 485 $8K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 103 84 $8K
73630 760 734 $7K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 2,823 2,607 $7K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 10,512 9,433 $7K
73130 356 340 $7K
96375 Therapeutic injection; each additional sequential IV push 6,813 6,013 $6K
71045 Radiologic examination, chest; single view 6,795 6,181 $6K
77067 Screening mammography, bilateral, including computer-aided detection 52 51 $5K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 22,926 19,119 $4K
88342 253 213 $4K
95806 45 43 $4K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,362 1,256 $4K
72100 212 204 $3K
80048 Basic metabolic panel (calcium, ionized) 7,731 6,396 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,501 3,216 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,277 3,145 $2K
93976 320 305 $2K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 1,140 1,111 $2K
73030 321 289 $2K
64450 75 73 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,254 2,181 $1K
12001 12 12 $1K
87086 Culture, bacterial; quantitative colony count, urine 3,896 3,614 $1K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 5,048 4,795 $1K
96376 1,367 1,153 $1K
73110 96 94 $1K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 99 87 $1K
36415 Collection of venous blood by venipuncture 26,166 20,609 $1K
70498 14 12 $963.03
71250 13 12 $961.71
82248 1,077 963 $795.08
87186 1,312 1,208 $776.46
81001 6,830 6,261 $760.57
84703 5,015 4,679 $695.56
83690 7,487 6,715 $686.65
97161 94 86 $588.31
84443 Thyroid stimulating hormone (TSH) 1,674 1,550 $447.78
85610 3,299 2,939 $440.21
87070 16 12 $311.49
87040 1,154 601 $306.05
85379 1,876 1,759 $275.27
81025 3,347 3,211 $264.97
J2405 Injection, ondansetron hydrochloride, per 1 mg 9,031 7,780 $229.95
J1885 Injection, ketorolac tromethamine, per 15 mg 7,641 6,851 $179.72
J1100 Injection, dexamethasone sodium phosphate, 1 mg 3,915 3,654 $175.82
J0690 Injection, cefazolin sodium, 500 mg 2,928 2,552 $170.55
80061 Lipid panel 91 85 $152.16
81003 6,242 5,832 $148.77
83605 1,282 1,077 $147.21
82077 1,485 1,363 $129.14
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 5,500 5,090 $118.60
J1170 Injection, hydromorphone, up to 4 mg 2,985 2,213 $111.10
J2274 Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg 882 700 $108.21
87077 1,321 1,215 $107.09
83036 Hemoglobin; glycosylated (A1C) 313 304 $100.89
83735 2,898 2,477 $90.62
85027 983 819 $89.87
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 162 157 $89.71
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 156 151 $89.48
83880 698 644 $76.04
J2060 Injection, lorazepam, 2 mg 1,721 1,366 $70.22
J0171 Injection, adrenalin, epinephrine, 0.1 mg 572 520 $69.02
J2270 Injection, morphine sulfate, up to 10 mg 3,026 2,362 $68.37
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,462 1,304 $65.18
94760 3,260 1,674 $63.33
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 468 441 $62.80
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 570 485 $59.71
J3010 Injection, fentanyl citrate, 0.1 mg 3,823 3,494 $56.10
82947 3,528 1,855 $47.34
85730 920 833 $42.18
90715 332 322 $38.10
J7030 Infusion, normal saline solution , 1000 cc 2,912 2,401 $38.05
84702 58 52 $33.62
80143 892 822 $30.84
80179 866 796 $30.84
J0696 Injection, ceftriaxone sodium, per 250 mg 1,771 1,451 $29.36
J2795 Injection, ropivacaine hydrochloride, 1 mg 1,496 1,290 $24.00
84100 182 154 $7.63
82550 194 154 $4.69
J2250 Injection, midazolam hydrochloride, per 1 mg 3,093 2,876 $3.81
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 263 247 $3.00
J2704 Injection, propofol, 10 mg 5,349 4,979 $2.60
86901 147 135 $2.46
86900 147 135 $2.38
J1790 Injection, droperidol, up to 5 mg 159 143 $2.14
87400 176 110 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 205 191 $0.00
J3370 Injection, vancomycin hcl, 500 mg 545 464 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 57 50 $0.00
84439 37 37 $0.00
A9576 Injection, gadoteridol, (prohance multipack), per ml 27 26 $0.00
C9113 Injection, pantoprazole sodium, per vial 55 39 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 26 24 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 34 26 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 19 18 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 54 37 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 27 25 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 34 26 $0.00
J1171 Injection, hydromorphone, 0.1 mg 40 32 $0.00
77063 Screening digital breast tomosynthesis, bilateral 52 51 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 233 208 $0.00
82150 251 235 $0.00
87147 31 30 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 103 98 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 526 479 $0.00
86140 31 29 $0.00
J3480 Injection, potassium chloride, per 2 meq 31 27 $0.00
86850 12 12 $0.00
85652 25 24 $0.00
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 18 13 $0.00
87205 30 24 $0.00
J8540 Dexamethasone, oral, 0.25 mg 14 14 $0.00
87807 31 31 $0.00
70496 14 12 $0.00
88304 28 27 $0.00