Medicaid Provider Spending

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

SUMNER REGIONAL MEDICAL CENTER LLC

NPI: 1447571658 · GALLATIN, TN 37066 · Emergency Medicine Physician · NPI assigned 06/22/2010

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

Authorized official LAWRENCE, CHARLOTTE controls 20+ related entities in our dataset. Read more

$11.82M
Total Medicaid Paid
192,499
Total Claims
158,778
Beneficiaries
81
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLAWRENCE, CHARLOTTE (SECRETARY)
NPI Enumeration Date06/22/2010

Related Entities

Other providers sharing the same authorized official: LAWRENCE, CHARLOTTE

ProviderCityStateTotal Paid
LAKE CUMBERLAND REGIONAL HOSPITAL LLC SOMERSET KY $77.77M
DANVILLE REGIONAL MEDICAL CENTER, LLC DANVILLE VA $65.11M
PHC-LAS CRUCES INC LAS CRUCES NM $64.77M
GEORGETOWN COMMUNITY HOSPITAL LLC GEORGETOWN KY $44.03M
PINELAKE REGIONAL HOSPITAL LLC MAYFIELD KY $43.34M
RALEIGH GENERAL HOSPITAL LLC BECKLEY WV $36.44M
LOURDES HOSPITAL LLC PASCO WA $33.94M
RCHP-SIERRA VISTA INC SIERRA VISTA AZ $29.77M
CLINCH VALLEY MEDICAL CENTER INC. RICHLANDS VA $26.28M
SPRING VIEW HOSPITAL LLC LEBANON KY $23.35M
HAVASU REGIONAL MEDICAL CENTER LLC LAKE HAVASU CITY AZ $23.19M
LAS CRUCES PHYSICIAN PRACTICES, LLC LAS CRUCES NM $22.78M
MEADOWVIEW REGIONAL MEDICAL CENTER LLC MAYSVILLE KY $22.57M
LOURDES HOSPITAL LLC RICHLAND WA $22.38M
DANVILLE REGIONAL MEDICAL CENTER LLC MARTINSVILLE VA $21.09M
PHC-FORT MOHAVE INC FORT MOHAVE AZ $19.95M
WYTHE COUNTY COMMUNITY HOSPITAL LLC WYTHEVILLE VA $18.30M
DLP CONEMAUGH MEMORIAL MEDICAL CENTER LLC JOHNSTOWN PA $18.22M
BOURBON COMMUNITY HOSPITAL LLC PARIS KY $18.14M
WILLAMETTE VALLEY MEDICAL CENTER LLC MCMINNVILLE OR $17.29M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 37,435 $2.28M
2019 37,919 $2.07M
2020 23,639 $1.45M
2021 24,789 $1.51M
2022 24,938 $1.57M
2023 28,153 $1.70M
2024 15,626 $1.23M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 28,257 24,605 $4.91M
99283 Emergency department visit for the evaluation and management, moderate severity 28,541 25,871 $3.88M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 5,535 4,497 $904K
G0378 Hospital observation service, per hour 3,996 2,148 $694K
41899 Unlisted procedure, dentoalveolar structures 881 838 $325K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 2,065 1,920 $225K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 35,524 28,771 $139K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 6,687 3,649 $102K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 7,302 6,240 $94K
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 1,559 1,403 $77K
80053 Comprehensive metabolic panel 23,432 19,402 $70K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 3,805 3,459 $39K
99282 Emergency department visit for the evaluation and management, low to moderate severity 336 313 $34K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 948 858 $33K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 120 98 $32K
84484 2,456 1,707 $26K
71260 Computed tomography, thorax, diagnostic; with contrast material 291 223 $20K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 353 139 $20K
99281 Emergency department visit for the evaluation and management, self-limited or minor 311 252 $19K
96375 Therapeutic injection; each additional sequential IV push 2,029 1,617 $17K
59025 Fetal non-stress test 324 270 $17K
45380 Colonoscopy, flexible; with biopsy, single or multiple 50 41 $17K
74177 Computed tomography, abdomen and pelvis; with contrast material 265 218 $16K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 4,418 3,450 $15K
U0005 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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 713 650 $13K
83690 2,446 2,140 $11K
81001 10,615 9,263 $9K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 296 268 $8K
71045 Radiologic examination, chest; single view 2,822 2,311 $8K
96361 Intravenous infusion, hydration; each additional hour 1,186 983 $6K
J2405 Injection, ondansetron hydrochloride, per 1 mg 1,224 1,182 $6K
80048 Basic metabolic panel (calcium, ionized) 3,184 1,744 $4K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 15 15 $3K
70450 Computed tomography, head or brain; without contrast material 89 76 $3K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 147 137 $3K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 107 56 $2K
71046 Radiologic examination, chest; 2 views 397 352 $2K
87071 1,784 1,346 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 240 209 $1K
94726 98 67 $1K
96376 164 67 $781.59
87086 Culture, bacterial; quantitative colony count, urine 176 148 $772.70
94626 178 41 $757.75
77067 Screening mammography, bilateral, including computer-aided detection 17 14 $587.12
94729 79 56 $579.57
82962 334 98 $572.03
84703 109 97 $533.81
83880 97 74 $430.42
80306 39 39 $392.97
87430 76 68 $389.23
94060 16 12 $387.30
36415 Collection of venous blood by venipuncture 423 233 $336.06
97597 31 12 $288.80
87081 71 63 $246.89
85027 178 78 $242.38
94669 184 42 $222.13
81025 92 82 $195.84
77063 Screening digital breast tomosynthesis, bilateral 17 14 $149.12
94618 16 12 $138.66
82565 67 54 $126.39
81003 235 195 $122.34
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 18 12 $78.07
85610 77 53 $60.82
80061 Lipid panel 12 12 $57.15
87205 21 12 $22.42
J2765 Injection, metoclopramide hcl, up to 10 mg 13 13 $7.82
G0307 Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) 15 12 $5.47
J3010 Injection, fentanyl citrate, 0.1 mg 706 683 $5.45
J1100 Injection, dexamethasone sodium phosphate, 1 mg 619 605 $1.00
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 579 533 $0.00
J7030 Infusion, normal saline solution , 1000 cc 681 516 $0.00
86900 37 24 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 20 15 $0.00
87339 15 12 $0.00
88305 Level IV - Surgical pathology, gross and microscopic examination 326 234 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 966 916 $0.00
J2704 Injection, propofol, 10 mg 843 762 $0.00
86850 37 24 $0.00
86901 37 24 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 18 17 $0.00
A9270 Non-covered item or service 12 12 $0.00