Medicaid Provider Spending

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

STARKE HMA LLC

NPI: 1457448284 · STARKE, FL 32091 · Rural Health Clinic/Center · NPI assigned 10/05/2006

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

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

$232K
Total Medicaid Paid
8,098
Total Claims
7,096
Beneficiaries
14
Codes Billed
2018-01
First Month
2020-04
Last Month

Provider Details

Authorized OfficialLALOR, PAULA (DIRECTOR/DELEGATED OFFICIAL)
NPI Enumeration Date10/05/2006

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 1,091 $19K
2019 5,345 $164K
2020 1,662 $49K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,261 3,722 $128K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,619 1,399 $50K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 248 216 $19K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 192 187 $18K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 74 74 $6K
99308 Subsequent nursing facility care, per day, straightforward 927 773 $5K
90460 Immunization administration through 18 years of age via any route, first or only component 564 526 $3K
99306 Prolong nursin fac eval 15m 35 32 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 13 12 $311.06
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 74 71 $274.42
99309 Subsequent nursing facility care, per day, low to moderate complexity 50 44 $64.28
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 13 12 $53.44
90698 15 15 $0.00
90670 13 13 $0.00