Medicaid Provider Spending

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

RIVER OAKS HOSPITAL LLC

NPI: 1396792032 · FLOWOOD, MS 39232 · General Acute Care Hospital · NPI assigned 05/28/2006

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

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

$16.59M
Total Medicaid Paid
521,171
Total Claims
353,315
Beneficiaries
211
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLALOR, PAULA (DIRECTOR)
NPI Enumeration Date05/28/2006

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 74,379 $2.94M
2019 68,252 $2.97M
2020 61,931 $1.99M
2021 74,604 $2.33M
2022 98,424 $2.62M
2023 88,385 $2.18M
2024 55,196 $1.56M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 27,816 20,726 $3.31M
99284 Emergency department visit for the evaluation and management, high severity 12,674 9,464 $2.03M
G0378 Hospital observation service, per hour 4,487 3,047 $1.03M
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 1,151 631 $788K
99282 Emergency department visit for the evaluation and management, low to moderate severity 8,029 6,298 $602K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 7,699 5,642 $585K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,997 2,252 $576K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 11,064 2,893 $496K
74177 Computed tomography, abdomen and pelvis; with contrast material 2,970 2,238 $472K
97530 Therapeutic activities, direct patient contact, each 15 minutes 11,202 2,561 $444K
D7140 Extraction, erupted tooth or exposed root 1,029 278 $393K
99281 Emergency department visit for the evaluation and management, self-limited or minor 8,303 6,356 $336K
D2930 Prefabricated stainless steel crown - primary tooth 6,931 1,145 $335K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 3,555 1,917 $325K
87428 6,082 4,594 $267K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 8,128 5,787 $267K
42820 Tonsillectomy and adenoidectomy; younger than age 12 129 82 $266K
96361 Intravenous infusion, hydration; each additional hour 5,156 3,420 $262K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 1,725 1,446 $248K
71046 Radiologic examination, chest; 2 views 5,987 4,576 $201K
71045 Radiologic examination, chest; single view 5,705 4,173 $194K
86900 4,012 2,927 $171K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 9,727 6,953 $155K
70450 Computed tomography, head or brain; without contrast material 2,864 2,142 $132K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,614 1,228 $131K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,507 1,149 $129K
96375 Therapeutic injection; each additional sequential IV push 4,806 3,343 $106K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 3,738 3,039 $106K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 24,086 16,097 $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 7,399 5,690 $102K
80053 Comprehensive metabolic panel 15,906 11,535 $94K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 878 542 $93K
87641 5,150 3,801 $91K
D2934 1,281 310 $90K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 4,474 3,234 $88K
74018 2,082 1,544 $77K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,922 1,489 $74K
87430 5,924 4,648 $65K
86850 3,324 2,401 $60K
36415 Collection of venous blood by venipuncture 31,526 20,292 $58K
86901 4,018 2,929 $52K
74176 Computed tomography, abdomen and pelvis; without contrast material 518 360 $43K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 692 521 $43K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 361 153 $41K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,408 1,077 $41K
84703 8,005 6,085 $40K
76801 620 478 $39K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 6,820 5,052 $38K
97161 1,103 746 $37K
73560 1,117 802 $35K
80048 Basic metabolic panel (calcium, ionized) 7,353 4,979 $35K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 173 115 $33K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 1,544 456 $33K
84443 Thyroid stimulating hormone (TSH) 2,843 2,247 $31K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1,206 440 $27K
81001 13,869 10,133 $26K
87070 4,043 3,184 $26K
73610 682 505 $26K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,757 1,256 $26K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 267 236 $26K
84484 3,843 2,379 $25K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 478 323 $24K
80061 Lipid panel 2,730 2,130 $24K
88720 6,058 4,473 $22K
94762 486 300 $22K
87086 Culture, bacterial; quantitative colony count, urine 4,000 3,080 $20K
92526 424 156 $20K
73630 489 373 $19K
84702 2,019 1,471 $19K
83690 3,623 2,680 $16K
83880 1,037 704 $16K
D2391 Resin-based composite - one surface, posterior, primary or permanent 629 166 $14K
73221 107 84 $12K
72100 244 167 $10K
81003 6,346 4,729 $10K
G0379 Direct admission of patient for hospital observation care 214 148 $9K
72141 114 87 $9K
85730 3,486 2,451 $9K
87186 1,409 1,089 $8K
81025 1,664 1,220 $8K
85610 4,325 3,040 $8K
73130 182 133 $7K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 389 130 $7K
87077 1,328 1,027 $7K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 255 213 $7K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 254 212 $7K
82962 3,831 1,669 $7K
87807 669 553 $7K
D2330 311 132 $6K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1,550 1,060 $6K
97116 991 438 $6K
92523 40 37 $6K
72125 Computed tomography, cervical spine; without contrast material 155 128 $6K
76705 Ultrasound, abdominal, real time with image documentation; limited 129 89 $5K
J2250 Injection, midazolam hydrochloride, per 1 mg 10,542 7,457 $5K
83036 Hemoglobin; glycosylated (A1C) 1,085 853 $5K
73030 161 119 $5K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 150 119 $5K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 4,525 3,373 $5K
83605 894 605 $5K
87040 800 405 $5K
72131 125 106 $4K
J2405 Injection, ondansetron hydrochloride, per 1 mg 11,259 7,884 $4K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 2,432 1,687 $4K
J7120 Ringers lactate infusion, up to 1000 cc 7,677 5,218 $4K
72040 124 82 $4K
82247 1,209 637 $4K
85014 2,580 1,914 $4K
J2270 Injection, morphine sulfate, up to 10 mg 5,595 3,723 $3K
J2795 Injection, ropivacaine hydrochloride, 1 mg 3,070 2,084 $3K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 261 192 $3K
J2704 Injection, propofol, 10 mg 7,913 5,591 $3K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 9,156 6,365 $3K
85652 947 733 $3K
J3010 Injection, fentanyl citrate, 0.1 mg 10,041 7,116 $3K
J0690 Injection, cefazolin sodium, 500 mg 5,481 3,523 $3K
86140 868 605 $3K
74019 50 37 $3K
83735 985 628 $3K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 28 24 $3K
82540 736 584 $2K
73110 77 56 $2K
84132 848 673 $2K
82607 369 257 $2K
93971 72 52 $2K
84439 318 246 $2K
93970 27 25 $2K
82728 249 156 $1K
87205 424 283 $1K
J0696 Injection, ceftriaxone sodium, per 250 mg 3,083 2,147 $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 16 13 $1K
97165 37 29 $1K
76830 Ultrasound, transvaginal 24 15 $1K
85027 468 359 $919.74
A9577 Injection, gadobenate dimeglumine (multihance), per ml 234 185 $900.35
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 22 13 $872.61
84520 310 256 $830.40
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 24 15 $768.36
85018 704 502 $765.22
93041 86 49 $738.19
J1200 Injection, diphenhydramine hcl, up to 50 mg 364 246 $706.91
84550 221 161 $658.54
82731 16 12 $595.12
97162 13 12 $589.46
72110 21 12 $551.14
J7030 Infusion, normal saline solution , 1000 cc 4,653 3,268 $515.88
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 35 24 $448.50
84450 149 104 $445.72
85379 68 53 $383.09
93979 20 12 $344.36
82550 101 67 $343.30
82565 261 146 $328.76
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 18 13 $323.40
J1170 Injection, hydromorphone, up to 4 mg 4,223 2,702 $281.81
J7121 5% dextrose in lactated ringers infusion, up to 1000 cc 2,022 1,418 $270.02
82947 230 145 $261.65
83540 105 53 $241.62
80076 39 27 $223.77
J1885 Injection, ketorolac tromethamine, per 15 mg 7,111 4,965 $177.99
86780 18 13 $145.77
82746 56 25 $127.02
J2175 Injection, meperidine hydrochloride, per 100 mg 369 238 $125.85
82570 38 25 $103.95
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 48 31 $84.72
83615 14 12 $76.46
87147 14 12 $67.15
J2550 Injection, promethazine hcl, up to 50 mg 1,834 1,240 $53.22
88305 Level IV - Surgical pathology, gross and microscopic examination 69 51 $39.81
J3370 Injection, vancomycin hcl, 500 mg 954 559 $17.16
J0171 Injection, adrenalin, epinephrine, 0.1 mg 1,361 873 $7.44
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 496 358 $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 196 145 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 104 75 $0.00
C1758 Catheter, ureteral 841 581 $0.00
94664 436 312 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 233 181 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 894 607 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 148 83 $0.00
J1171 Injection, hydromorphone, 0.1 mg 83 67 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 265 189 $0.00
J1644 Injection, heparin sodium, per 1000 units 952 571 $0.00
C1760 Closure device, vascular (implantable/insertable) 131 87 $0.00
99152 293 207 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 199 152 $0.00
C1776 Joint device (implantable) 109 64 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 49 36 $0.00
J7510 Prednisolone oral, per 5 mg 48 37 $0.00
C1762 Connective tissue, human (includes fascia lata) 80 50 $0.00
G1002 Clinical decision support mechanism medcurrent, as defined by the medicare appropriate use criteria program 29 25 $0.00
90714 21 12 $0.00
J0595 Injection, butorphanol tartrate, 1 mg 23 13 $0.00
96376 1,414 814 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 463 319 $0.00
J7050 Infusion, normal saline solution, 250 cc 446 275 $0.00
C1769 Guide wire 292 220 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 3,522 2,524 $0.00
C1889 Implantable/insertable device, not otherwise classified 380 276 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 43 32 $0.00
90378 266 195 $0.00
J3490 Unclassified drugs 170 85 $0.00
97535 Self-care/home management training, each 15 minutes 160 82 $0.00
0240U 128 102 $0.00
J0360 Injection, hydralazine hcl, up to 20 mg 109 74 $0.00
99153 Mod sedat endo service >5yrs 67 50 $0.00
96111 144 69 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 33 24 $0.00
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 36 28 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 20 12 $0.00
80349 18 13 $0.00
94760 27 25 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 25 15 $0.00