Medicaid Provider Spending

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

MARSHALL COUNTY HMA, LLC

NPI: 1467476556 · MADILL, OK 73446 · Critical Access Hospital · NPI assigned 07/26/2006

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

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

$2.98M
Total Medicaid Paid
41,813
Total Claims
38,696
Beneficiaries
44
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLALOR, PAULA (DIRECTOR/DELEGATED OFFICIAL)
NPI Enumeration Date07/26/2006

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 3,234 $256K
2019 2,796 $253K
2020 2,142 $183K
2021 5,378 $413K
2022 10,199 $698K
2023 11,339 $746K
2024 6,725 $428K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 10,047 9,861 $1.65M
99284 Emergency department visit for the evaluation and management, high severity 2,453 2,423 $600K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 3,845 3,769 $147K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,039 1,993 $122K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 6,516 3,997 $113K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 526 517 $73K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 152 149 $53K
80053 Comprehensive metabolic panel 2,831 2,788 $44K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,472 2,444 $35K
99281 Emergency department visit for the evaluation and management, self-limited or minor 407 401 $21K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2,407 2,346 $16K
96361 Intravenous infusion, hydration; each additional hour 310 306 $15K
87070 1,728 1,711 $13K
96375 Therapeutic injection; each additional sequential IV push 217 211 $10K
99282 Emergency department visit for the evaluation and management, low to moderate severity 83 83 $9K
71045 Radiologic examination, chest; single view 436 429 $9K
84443 Thyroid stimulating hormone (TSH) 468 467 $8K
80305 479 475 $5K
80061 Lipid panel 363 362 $4K
80306 245 241 $3K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 110 110 $3K
87420 183 178 $2K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 103 99 $2K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 78 73 $2K
80048 Basic metabolic panel (calcium, ionized) 237 232 $2K
83036 Hemoglobin; glycosylated (A1C) 206 205 $2K
81001 470 462 $1K
85027 313 312 $1K
36415 Collection of venous blood by venipuncture 510 492 $1K
70450 Computed tomography, head or brain; without contrast material 12 12 $1K
81003 382 380 $1K
J7030 Infusion, normal saline solution , 1000 cc 56 56 $911.00
J1885 Injection, ketorolac tromethamine, per 15 mg 331 324 $593.31
84439 92 92 $490.23
J2060 Injection, lorazepam, 2 mg 30 29 $410.96
J0696 Injection, ceftriaxone sodium, per 250 mg 25 24 $325.26
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 16 16 $241.58
J1100 Injection, dexamethasone sodium phosphate, 1 mg 553 549 $182.43
83605 19 16 $170.10
J7120 Ringers lactate infusion, up to 1000 cc 12 12 $112.68
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 12 12 $98.58
81025 14 13 $83.83
86308 12 12 $54.20
J1200 Injection, diphenhydramine hcl, up to 50 mg 13 13 $0.00