Hospital
Marshall County Hma, LLC
Marshall County Hma, LLC was paid $2.98M by Medicaid between Jan 2018 and Nov 2024, across 44 billing codes. Its largest line is 99283, emergency room visit (moderate) — 56% of everything it billed.
33Billing provider infoMARSHALL COUNTY HMA, LLC
MADILL, OK 73446
MADILL, OK 73446
33aNPI1467476556assigned 07/26/2006
33bProvider typeCritical Access Hospital
28Total paid$2.98M
24GClaims41,813
24DCodes billed44
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Critical Access Hospital providers in Oklahoma
Rank by total paid#5 of 40
Median peer was paid$427K
This provider vs. median7.0×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official LALOR, PAULA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 6,725 | $428K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 56% | 10,047 | 9,861 | $1.65M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 20% | 2,453 | 2,423 | $600K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 4.9% | 3,845 | 3,769 | $147K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 4.1% | 2,039 | 1,993 | $122K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.8% | 6,516 | 3,997 | $113K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 2.5% | 526 | 517 | $73K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 1.8% | 152 | 149 | $53K |
| 80053 | Comprehensive metabolic panel | 1.5% | 2,831 | 2,788 | $44K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.2% | 2,472 | 2,444 | $35K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 407 | 401 | $21K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 2,407 | 2,346 | $16K |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 310 | 306 | $15K |
32 more codes
| 87070 | <1% | 1,728 | $13K | |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 217 | $10K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 83 | $9K |
| 71045 | Radiologic examination, chest; single view | <1% | 436 | $9K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 468 | $8K |
| 80305 | <1% | 479 | $5K | |
| 80061 | Lipid panel | <1% | 363 | $4K |
| 80306 | <1% | 245 | $3K | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 110 | $3K |
| 87420 | <1% | 183 | $2K | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 103 | $2K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 78 | $2K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 237 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 206 | $2K |
| 81001 | <1% | 470 | $1K | |
| 85027 | <1% | 313 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 510 | $1K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 12 | $1K |
| 81003 | <1% | 382 | $1K | |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 56 | $911.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 331 | $593.31 |
| 84439 | <1% | 92 | $490.23 | |
| J2060 | Injection, lorazepam, 2 mg | <1% | 30 | $410.96 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 25 | $325.26 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 16 | $241.58 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 553 | $182.43 |
| 83605 | <1% | 19 | $170.10 | |
| J7120 | Ringers lactate infusion, up to 1000 cc | <1% | 12 | $112.68 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 12 | $98.58 |
| 81025 | <1% | 14 | $83.83 | |
| 86308 | <1% | 12 | $54.20 | |
| J1200 | Injection, diphenhydramine hcl, up to 50 mg | 0% | 13 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialLALOR, PAULA (DIRECTOR/DELEGATED OFFICIAL)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.