Medicaid Provider Spending

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

LAKE SHORE HMA, LLC

NPI: 1386743045 · LAKE CITY, FL 32055 · General Acute Care Hospital · NPI assigned 09/21/2006

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

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

$3.29M
Total Medicaid Paid
105,262
Total Claims
83,252
Beneficiaries
117
Codes Billed
2018-01
First Month
2020-08
Last Month

Provider Details

Authorized OfficialLALOR, PAULA (DIRECTOR/DELEGATED OFFICIAL)
NPI Enumeration Date09/21/2006

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 19,627 $445K
2019 55,890 $1.88M
2020 29,745 $970K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 7,103 6,243 $400K
36415 Collection of venous blood by venipuncture 8,233 5,907 $360K
99284 Emergency department visit for the evaluation and management, high severity 5,431 4,653 $289K
96361 Intravenous infusion, hydration; each additional hour 2,032 1,678 $225K
80053 Comprehensive metabolic panel 5,606 4,340 $110K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1,042 966 $107K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 693 209 $104K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 641 170 $103K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,101 1,021 $93K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 1,962 1,606 $88K
80306 2,264 1,909 $86K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,376 2,064 $82K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 760 656 $79K
70450 Computed tomography, head or brain; without contrast material 747 629 $75K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 832 663 $69K
74176 Computed tomography, abdomen and pelvis; without contrast material 597 524 $67K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,168 974 $53K
J7030 Infusion, normal saline solution , 1000 cc 2,754 2,212 $50K
74177 Computed tomography, abdomen and pelvis; with contrast material 485 433 $50K
81025 2,029 1,777 $46K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 503 319 $39K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 6,259 4,898 $37K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 787 616 $36K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 684 599 $33K
82962 1,113 480 $27K
81001 2,487 2,168 $23K
86901 377 339 $22K
71045 Radiologic examination, chest; single view 2,112 1,746 $21K
87086 Culture, bacterial; quantitative colony count, urine 1,462 1,284 $21K
96375 Therapeutic injection; each additional sequential IV push 2,216 1,628 $20K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 2,278 1,675 $20K
84484 1,842 1,156 $20K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,928 1,428 $19K
G0378 Hospital observation service, per hour 940 422 $19K
81003 1,797 1,556 $19K
80048 Basic metabolic panel (calcium, ionized) 1,487 1,117 $18K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 2,368 1,918 $17K
J2405 Injection, ondansetron hydrochloride, per 1 mg 1,396 1,038 $17K
71046 Radiologic examination, chest; 2 views 1,063 941 $16K
87040 957 616 $15K
76830 Ultrasound, transvaginal 208 180 $15K
87430 1,830 1,690 $13K
96376 870 378 $12K
83880 488 391 $12K
J1170 Injection, hydromorphone, up to 4 mg 907 523 $12K
86850 160 150 $11K
J1885 Injection, ketorolac tromethamine, per 15 mg 1,438 1,125 $11K
85610 701 545 $11K
83690 1,242 1,039 $11K
76705 Ultrasound, abdominal, real time with image documentation; limited 141 125 $10K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 103 99 $9K
85027 846 511 $9K
J0696 Injection, ceftriaxone sodium, per 250 mg 892 700 $9K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 271 242 $8K
J7120 Ringers lactate infusion, up to 1000 cc 599 412 $7K
77067 Screening mammography, bilateral, including computer-aided detection 216 195 $7K
83735 633 497 $7K
82550 605 442 $6K
86900 212 195 $6K
J2550 Injection, promethazine hcl, up to 50 mg 849 603 $6K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 41 37 $5K
74018 255 221 $5K
94761 563 435 $5K
72100 182 159 $5K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 347 281 $5K
84443 Thyroid stimulating hormone (TSH) 983 862 $4K
73130 81 77 $4K
73630 142 127 $4K
85730 464 390 $4K
83605 307 252 $4K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 64 42 $4K
80061 Lipid panel 644 573 $4K
J2704 Injection, propofol, 10 mg 195 133 $3K
87186 502 438 $3K
82553 301 244 $3K
87210 209 192 $3K
73610 77 73 $3K
84112 46 38 $3K
36600 135 109 $2K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 363 293 $2K
73564 62 55 $2K
87807 479 467 $2K
87088 282 246 $2K
82803 137 108 $2K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 340 310 $2K
97162 28 27 $1K
73030 45 39 $1K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 349 318 $1K
J1200 Injection, diphenhydramine hcl, up to 50 mg 105 87 $1K
J2270 Injection, morphine sulfate, up to 10 mg 260 189 $1K
84702 524 419 $958.98
J2250 Injection, midazolam hydrochloride, per 1 mg 63 51 $917.95
J1100 Injection, dexamethasone sodium phosphate, 1 mg 51 40 $899.72
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 14 12 $853.63
J3010 Injection, fentanyl citrate, 0.1 mg 154 113 $838.86
82150 120 108 $838.76
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 18 14 $712.25
83036 Hemoglobin; glycosylated (A1C) 288 261 $658.42
72040 13 12 $446.97
97164 12 12 $416.79
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 32 29 $359.60
J2060 Injection, lorazepam, 2 mg 71 62 $343.95
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 40 36 $308.76
J7050 Infusion, normal saline solution, 250 cc 108 67 $287.53
85378 44 39 $267.57
J2360 Injection, orphenadrine citrate, up to 60 mg 60 49 $129.87
86703 61 54 $55.67
87070 16 16 $28.51
86592 71 66 $20.44
82607 97 88 $14.27
82247 22 12 $9.18
86762 14 12 $4.52
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 126 116 $0.00
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 30 27 $0.00
87340 14 12 $0.00
J7510 Prednisolone oral, per 5 mg 73 71 $0.00
84439 15 12 $0.00