Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

River Oaks Hospital LLC

River Oaks Hospital LLC was paid $16.59M by Medicaid between Jan 2018 and Dec 2024, across 211 billing codes. Its largest line is 99283, emergency room visit (moderate) — 20% of everything it billed.

33Billing provider infoRIVER OAKS HOSPITAL LLC
FLOWOOD, MS 39232
33aNPI1396792032assigned 05/28/2006
28Total paid$16.59M
24GClaims521,171
24DCodes billed211
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Mississippi

Rank by total paid#30 of 77
Median peer was paid$8.23M
This provider vs. median2.0×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official LALOR, PAULA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
201874,379$2.94M
201968,252$2.97M
202061,931$1.99M
202174,604$2.33M
202298,424$2.62M
202388,385$2.18M
2024incomplete55,196$1.56M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 20% 27,816 20,726 $3.31M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 12% 12,674 9,464 $2.03M
G0378 Hospital observation service, per hour 6.2% 4,487 3,047 $1.03M
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 4.7% 1,151 631 $788K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3.6% 8,029 6,298 $602K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 3.5% 7,699 5,642 $585K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 3.5% 2,997 2,252 $576K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 3.0% 11,064 2,893 $496K
74177 Computed tomography, abdomen and pelvis; with contrast material 2.8% 2,970 2,238 $472K
97530 Therapeutic activities, direct patient contact, each 15 minutes 2.7% 11,202 2,561 $444K
D7140 Extraction, erupted tooth or exposed root 2.4% 1,029 278 $393K
99281 Emergency department visit for the evaluation and management, self-limited or minor 2.0% 8,303 6,356 $336K
199 more codes
D2930 Prefabricated stainless steel crown - primary tooth 2.0% 6,931 $335K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 2.0% 3,555 $325K
87428 1.6% 6,082 $267K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1.6% 8,128 $267K
42820 Tonsillectomy and adenoidectomy; younger than age 12 1.6% 129 $266K
96361 Intravenous infusion, hydration; each additional hour 1.6% 5,156 $262K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 1.5% 1,725 $248K
71046 Radiologic examination, chest; 2 views 1.2% 5,987 $201K
71045 Radiologic examination, chest; single view 1.2% 5,705 $194K
86900 1.0% 4,012 $171K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 9,727 $155K
70450 Computed tomography, head or brain; without contrast material <1% 2,864 $132K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 1,614 $131K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 1,507 $129K
96375 Therapeutic injection; each additional sequential IV push <1% 4,806 $106K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 3,738 $106K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 24,086 $105K
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% 7,399 $102K
80053 Comprehensive metabolic panel <1% 15,906 $94K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 878 $93K
87641 <1% 5,150 $91K
D2934 <1% 1,281 $90K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 4,474 $88K
74018 <1% 2,082 $77K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 1,922 $74K
87430 <1% 5,924 $65K
86850 <1% 3,324 $60K
36415 Collection of venous blood by venipuncture <1% 31,526 $58K
86901 <1% 4,018 $52K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 518 $43K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 692 $43K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 361 $41K
99213 Doctor's office visit, returning patient (routine) <1% 1,408 $41K
84703 <1% 8,005 $40K
76801 <1% 620 $39K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 6,820 $38K
97161 <1% 1,103 $37K
73560 <1% 1,117 $35K
80048 Basic metabolic panel (calcium, ionized) <1% 7,353 $35K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 173 $33K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 1,544 $33K
84443 Thyroid stimulating hormone (TSH) <1% 2,843 $31K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 1,206 $27K
81001 <1% 13,869 $26K
87070 <1% 4,043 $26K
73610 <1% 682 $26K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 1,757 $26K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 267 $26K
84484 <1% 3,843 $25K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 478 $24K
80061 Lipid panel <1% 2,730 $24K
88720 <1% 6,058 $22K
94762 <1% 486 $22K
87086 Culture, bacterial; quantitative colony count, urine <1% 4,000 $20K
92526 <1% 424 $20K
73630 <1% 489 $19K
84702 <1% 2,019 $19K
83690 <1% 3,623 $16K
83880 <1% 1,037 $16K
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 629 $14K
73221 <1% 107 $12K
72100 <1% 244 $10K
81003 <1% 6,346 $10K
G0379 Direct admission of patient for hospital observation care <1% 214 $9K
72141 <1% 114 $9K
85730 <1% 3,486 $9K
87186 <1% 1,409 $8K
81025 <1% 1,664 $8K
85610 <1% 4,325 $8K
73130 <1% 182 $7K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction <1% 389 $7K
87077 <1% 1,328 $7K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 255 $7K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 254 $7K
82962 <1% 3,831 $7K
87807 <1% 669 $7K
D2330 <1% 311 $6K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 1,550 $6K
97116 <1% 991 $6K
92523 <1% 40 $6K
72125 Computed tomography, cervical spine; without contrast material <1% 155 $6K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 129 $5K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 10,542 $5K
83036 Hemoglobin; glycosylated (A1C) <1% 1,085 $5K
73030 <1% 161 $5K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 150 $5K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 4,525 $5K
83605 <1% 894 $5K
87040 <1% 800 $5K
72131 <1% 125 $4K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 11,259 $4K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) <1% 2,432 $4K
J7120 Ringers lactate infusion, up to 1000 cc <1% 7,677 $4K
72040 <1% 124 $4K
82247 <1% 1,209 $4K
85014 <1% 2,580 $4K
J2270 Injection, morphine sulfate, up to 10 mg <1% 5,595 $3K
J2795 Injection, ropivacaine hydrochloride, 1 mg <1% 3,070 $3K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 261 $3K
J2704 Injection, propofol, 10 mg <1% 7,913 $3K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 9,156 $3K
85652 <1% 947 $3K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 10,041 $3K
J0690 Injection, cefazolin sodium, 500 mg <1% 5,481 $3K
86140 <1% 868 $3K
74019 <1% 50 $3K
83735 <1% 985 $3K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 28 $3K
82540 <1% 736 $2K
73110 <1% 77 $2K
84132 <1% 848 $2K
82607 <1% 369 $2K
93971 <1% 72 $2K
84439 <1% 318 $2K
93970 <1% 27 $2K
82728 <1% 249 $1K
87205 <1% 424 $1K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 3,083 $1K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r <1% 16 $1K
97165 <1% 37 $1K
76830 Ultrasound, transvaginal <1% 24 $1K
85027 <1% 468 $919.74
A9577 Injection, gadobenate dimeglumine (multihance), per ml <1% 234 $900.35
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 22 $872.61
84520 <1% 310 $830.40
99203 Doctor's office visit, new patient (routine) <1% 24 $768.36
85018 <1% 704 $765.22
93041 <1% 86 $738.19
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 364 $706.91
84550 <1% 221 $658.54
82731 <1% 16 $595.12
97162 <1% 13 $589.46
72110 <1% 21 $551.14
J7030 Infusion, normal saline solution , 1000 cc <1% 4,653 $515.88
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 35 $448.50
84450 <1% 149 $445.72
85379 <1% 68 $383.09
93979 <1% 20 $344.36
82550 <1% 101 $343.30
82565 <1% 261 $328.76
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 18 $323.40
J1170 Injection, hydromorphone, up to 4 mg <1% 4,223 $281.81
J7121 5% dextrose in lactated ringers infusion, up to 1000 cc <1% 2,022 $270.02
82947 <1% 230 $261.65
83540 <1% 105 $241.62
80076 <1% 39 $223.77
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 7,111 $177.99
86780 <1% 18 $145.77
82746 <1% 56 $127.02
J2175 Injection, meperidine hydrochloride, per 100 mg <1% 369 $125.85
82570 <1% 38 $103.95
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml <1% 48 $84.72
83615 <1% 14 $76.46
87147 <1% 14 $67.15
J2550 Injection, promethazine hcl, up to 50 mg <1% 1,834 $53.22
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 69 $39.81
J3370 Injection, vancomycin hcl, 500 mg <1% 954 $17.16
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 1,361 $7.44
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 496 $3.10
Q0177 Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 0% 196 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 0% 104 $0.00
C1758 Catheter, ureteral 0% 841 $0.00
94664 0% 436 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 0% 233 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 0% 894 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 0% 148 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 83 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 0% 265 $0.00
J1644 Injection, heparin sodium, per 1000 units 0% 952 $0.00
C1760 Closure device, vascular (implantable/insertable) 0% 131 $0.00
99152 0% 293 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 0% 199 $0.00
C1776 Joint device (implantable) 0% 109 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 0% 49 $0.00
J7510 Prednisolone oral, per 5 mg 0% 48 $0.00
C1762 Connective tissue, human (includes fascia lata) 0% 80 $0.00
G1002 Clinical decision support mechanism medcurrent, as defined by the medicare appropriate use criteria program 0% 29 $0.00
90714 0% 21 $0.00
J0595 Injection, butorphanol tartrate, 1 mg 0% 23 $0.00
96376 0% 1,414 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 0% 463 $0.00
J7050 Infusion, normal saline solution, 250 cc 0% 446 $0.00
C1769 Guide wire 0% 292 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 0% 3,522 $0.00
C1889 Implantable/insertable device, not otherwise classified 0% 380 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 0% 43 $0.00
90378 0% 266 $0.00
J3490 Unclassified drugs 0% 170 $0.00
97535 Self-care/home management training, each 15 minutes 0% 160 $0.00
0240U 0% 128 $0.00
J0360 Injection, hydralazine hcl, up to 20 mg 0% 109 $0.00
99153 Mod sedat endo service >5yrs 0% 67 $0.00
96111 0% 144 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 0% 33 $0.00
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 0% 36 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 0% 20 $0.00
80349 0% 18 $0.00
94760 0% 27 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 0% 25 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialLALOR, PAULA (DIRECTOR)
Same official

Other billing entities under LALOR, PAULA

Full network →
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.