Medicaid Provider Spending

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

SOUTHERN TENNESSEE MEDICAL CENTER LLC

NPI: 1467408781 · WINCHESTER, TN 37398 · General Acute Care Hospital · NPI assigned 05/26/2006

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

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

$9.39M
Total Medicaid Paid
200,933
Total Claims
164,993
Beneficiaries
106
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLAWRENCE, CHARLOTTE (SECRETARY)
NPI Enumeration Date05/26/2006

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 22,646 $1.47M
2019 23,607 $1.31M
2020 22,319 $979K
2021 32,761 $1.34M
2022 37,906 $1.58M
2023 40,407 $1.55M
2024 21,287 $1.17M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 29,789 25,792 $4.27M
99283 Emergency department visit for the evaluation and management, moderate severity 24,947 22,152 $3.06M
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 6,872 2,893 $311K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 1,285 1,106 $285K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 4,703 4,011 $209K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,244 984 $178K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 4,688 4,220 $162K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 3,612 3,291 $121K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 25,099 20,508 $106K
80053 Comprehensive metabolic panel 22,244 18,360 $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 4,833 4,276 $47K
97597 2,520 1,203 $42K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,847 1,641 $42K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1,240 297 $37K
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 713 653 $36K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,860 1,747 $34K
84484 3,856 2,929 $34K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 2,860 1,438 $19K
83735 5,369 4,274 $18K
96375 Therapeutic injection; each additional sequential IV push 1,815 1,553 $18K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 897 729 $17K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 16 14 $16K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 5,017 3,875 $15K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,564 1,342 $15K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 527 499 $14K
64493 60 39 $12K
96361 Intravenous infusion, hydration; each additional hour 2,023 1,730 $12K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 534 380 $11K
71045 Radiologic examination, chest; single view 4,710 3,847 $10K
87430 1,055 1,011 $9K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 69 54 $8K
83690 1,822 1,519 $7K
99281 Emergency department visit for the evaluation and management, self-limited or minor 74 65 $7K
74176 Computed tomography, abdomen and pelvis; without contrast material 177 155 $7K
83605 1,055 831 $7K
87070 921 873 $6K
70450 Computed tomography, head or brain; without contrast material 229 183 $6K
93017 113 87 $6K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 15 13 $5K
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed 123 92 $5K
87486 108 105 $5K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 108 105 $5K
81001 6,218 5,258 $5K
71046 Radiologic examination, chest; 2 views 768 706 $5K
36415 Collection of venous blood by venipuncture 1,432 1,250 $4K
81025 1,244 1,149 $4K
J2785 Injection, regadenoson, 0.1 mg 39 37 $4K
82150 984 820 $4K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 31 24 $3K
87086 Culture, bacterial; quantitative colony count, urine 565 483 $3K
83880 581 442 $3K
64494 59 39 $3K
78414 70 54 $3K
85730 1,121 889 $3K
74177 Computed tomography, abdomen and pelvis; with contrast material 39 37 $3K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 70 54 $3K
93226 41 36 $2K
J2405 Injection, ondansetron hydrochloride, per 1 mg 859 777 $2K
G0378 Hospital observation service, per hour 17 12 $2K
82550 646 505 $2K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 45 37 $2K
84443 Thyroid stimulating hormone (TSH) 284 240 $2K
85610 1,189 939 $2K
86141 465 354 $2K
87581 43 42 $2K
81003 2,033 1,820 $1K
87634 39 38 $1K
11045 63 12 $1K
93225 118 94 $1K
80048 Basic metabolic panel (calcium, ionized) 616 485 $1K
76801 17 15 $1K
80061 Lipid panel 170 129 $886.02
74018 35 26 $714.97
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 46 44 $604.17
94060 14 14 $536.64
87400 106 96 $519.11
84100 304 242 $375.73
87799 14 14 $365.86
82247 67 41 $338.36
87040 43 27 $282.77
82570 95 88 $280.06
94727 14 14 $258.64
94729 14 14 $221.49
85378 17 15 $146.45
83970 43 39 $145.20
80305 32 26 $118.37
88305 Level IV - Surgical pathology, gross and microscopic examination 75 64 $116.72
87205 51 43 $64.14
88304 46 44 $43.27
J3010 Injection, fentanyl citrate, 0.1 mg 306 255 $38.83
72110 18 12 $33.59
J1100 Injection, dexamethasone sodium phosphate, 1 mg 861 758 $30.26
J7120 Ringers lactate infusion, up to 1000 cc 1,065 796 $19.86
J7030 Infusion, normal saline solution , 1000 cc 2,297 2,093 $2.24
J1885 Injection, ketorolac tromethamine, per 15 mg 1,783 1,645 $1.32
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 402 339 $1.26
85651 29 26 $0.00
J2704 Injection, propofol, 10 mg 456 376 $0.00
J1030 Injection, methylprednisolone acetate, 40 mg 13 12 $0.00
83036 Hemoglobin; glycosylated (A1C) 26 25 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 32 24 $0.00
84134 28 24 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 15 12 $0.00
87077 44 37 $0.00
87075 51 43 $0.00
87186 12 12 $0.00