Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Northwest Hospital LLC

Northwest Hospital LLC was paid $47.81M by Medicaid between Jan 2018 and Dec 2024, across 321 billing codes. Its largest line is 99284, emergency room visit (serious) — 13% of everything it billed.

33Billing provider infoNORTHWEST HOSPITAL LLC
TUCSON, AZ 85741
33aNPI1487607784assigned 05/18/2006
33bProvider typeRadiology Clinic/Center
28Total paid$47.81M
24GClaims1,305,010
24DCodes billed321
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Radiology Clinic/Center providers in Arizona

Rank by total paid#1 of 11
Median peer was paid$55K
This provider vs. median871×

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

$0$500K$1.0M2018201920202021202220232024
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
YearClaimsPaid
2018221,842$7.97M
2019232,942$8.94M
2020181,919$6.99M
2021188,612$6.71M
2022184,560$6.66M
2023178,271$6.09M
2024incomplete116,864$4.45M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 13% 43,068 38,882 $6.19M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 13% 41,022 38,020 $6.15M
74177 Computed tomography, abdomen and pelvis; with contrast material 11% 11,104 10,319 $5.46M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 9.2% 20,816 18,730 $4.39M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 6.1% 6,866 6,572 $2.91M
70450 Computed tomography, head or brain; without contrast material 5.6% 10,350 9,530 $2.68M
74176 Computed tomography, abdomen and pelvis; without contrast material 4.6% 5,451 5,083 $2.21M
71275 Computed tomographic angiography, chest, with contrast material 3.2% 3,741 3,535 $1.55M
G0378 Hospital observation service, per hour 3.0% 12,052 7,177 $1.44M
59025 Fetal non-stress test 2.5% 8,637 5,422 $1.22M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2.1% 9,516 8,403 $1.03M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.8% 15,020 14,037 $845K
309 more codes
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.7% 18,631 $836K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 1.5% 2,226 $715K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1.4% 2,045 $687K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.4% 3,357 $669K
88305 Level IV - Surgical pathology, gross and microscopic examination 1.4% 13,080 $658K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.3% 7,624 $632K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 1.1% 1,687 $536K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 20,734 $433K
71046 Radiologic examination, chest; 2 views <1% 12,465 $377K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) <1% 1,193 $350K
77067 Screening mammography, bilateral, including computer-aided detection <1% 2,907 $341K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 5,902 $268K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 5,332 $263K
99203 Doctor's office visit, new patient (routine) <1% 3,630 $246K
93971 <1% 1,915 $222K
70551 Magnetic resonance imaging, brain; without contrast material <1% 462 $209K
99214 Doctor's office visit, returning patient (more involved) <1% 6,094 $202K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 4,985 $201K
70498 <1% 636 $180K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 173 $149K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 2,467 $134K
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% 1,429 $123K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 2,431 $122K
88342 <1% 7,946 $117K
10060 <1% 635 $115K
99215 Doctor's office visit, returning patient (complex) <1% 1,423 $106K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 2,312 $102K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 5,570 $101K
96361 Intravenous infusion, hydration; each additional hour <1% 23,230 $95K
43249 <1% 248 $88K
73610 <1% 2,500 $88K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 31,808 $86K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 158 $86K
73564 <1% 2,689 $85K
73130 <1% 2,295 $78K
72125 Computed tomography, cervical spine; without contrast material <1% 2,208 $78K
12001 <1% 783 $71K
43235 <1% 233 $68K
72100 <1% 2,332 $67K
73630 <1% 2,997 $65K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 2,661 $63K
93458 <1% 52 $60K
97161 <1% 2,154 $60K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 326 $59K
99204 Doctor's office visit, new patient (more involved) <1% 814 $54K
73110 <1% 1,623 $52K
47563 <1% 12 $52K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 198 $50K
29125 <1% 400 $49K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 505 $47K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 4,143 $43K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 2,825 $43K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 2,954 $41K
93970 <1% 462 $40K
71250 <1% 446 $37K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 8,199 $36K
80053 Comprehensive metabolic panel <1% 51,419 $34K
73030 <1% 2,484 $34K
C1776 Joint device (implantable) <1% 30 $33K
58571 <1% 14 $33K
86920 <1% 511 $30K
36430 <1% 191 $29K
71101 <1% 668 $27K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 30,977 $26K
77066 Tomosynthesis, mammo <1% 151 $26K
77080 <1% 236 $24K
76642 <1% 999 $23K
74018 <1% 1,809 $22K
84484 <1% 22,491 $21K
78451 <1% 75 $20K
87507 <1% 180 $19K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 786 $18K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 10,922 $17K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 123 $17K
12011 <1% 289 $17K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 5,487 $17K
70496 <1% 696 $16K
73080 <1% 768 $16K
72040 <1% 931 $16K
70491 <1% 42 $16K
80048 Basic metabolic panel (calcium, ionized) <1% 21,290 $15K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 343 $14K
97535 Self-care/home management training, each 15 minutes <1% 246 $13K
87070 <1% 1,087 $13K
73502 <1% 1,069 $12K
72131 <1% 178 $12K
93976 <1% 3,481 $12K
99205 Prolong outpt/office vis <1% 146 $12K
62323 <1% 44 $12K
82805 <1% 529 $11K
70486 <1% 276 $11K
86850 <1% 3,076 $11K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 1,311 $11K
12002 <1% 123 $10K
71045 Radiologic examination, chest; single view <1% 19,310 $10K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 68,158 $9K
C1726 Catheter, balloon dilatation, non-vascular <1% 126 $9K
97597 <1% 640 $9K
77065 Tomosynthesis, mammo <1% 110 $9K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 10,957 $9K
96375 Therapeutic injection; each additional sequential IV push <1% 19,169 $8K
87086 Culture, bacterial; quantitative colony count, urine <1% 16,288 $7K
73590 <1% 589 $7K
76830 Ultrasound, transvaginal <1% 1,891 $7K
C1889 Implantable/insertable device, not otherwise classified <1% 257 $6K
93351 <1% 30 $6K
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 1,474 $6K
93798 <1% 144 $6K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 122 $6K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 28 $5K
97162 <1% 134 $5K
93017 <1% 599 $5K
93975 <1% 314 $5K
36415 Collection of venous blood by venipuncture <1% 80,685 $5K
74240 <1% 38 $5K
87186 <1% 5,224 $3K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 21,348 $3K
73090 <1% 323 $3K
74220 <1% 18 $3K
83690 <1% 22,813 $2K
84703 <1% 17,349 $2K
76801 <1% 1,533 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 11,594 $2K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 2,788 $2K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 12 $2K
84702 <1% 3,186 $2K
76536 <1% 24 $1K
81001 <1% 27,444 $1K
P9016 Red blood cells, leukocytes reduced, each unit <1% 160 $1K
96376 <1% 4,610 $1K
72072 <1% 25 $1K
73562 <1% 132 $961.70
82962 <1% 17,298 $959.20
97165 <1% 86 $953.46
84443 Thyroid stimulating hormone (TSH) <1% 4,324 $929.78
80061 Lipid panel <1% 1,909 $858.55
81025 <1% 12,133 $782.65
83036 Hemoglobin; glycosylated (A1C) <1% 1,305 $770.68
72128 <1% 12 $770.22
72070 <1% 77 $765.90
85379 <1% 4,983 $761.30
76775 <1% 70 $743.41
C1781 Mesh (implantable) <1% 46 $735.21
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 2,786 $653.98
83735 <1% 7,503 $641.38
83880 <1% 3,423 $567.33
81003 <1% 15,865 $559.19
87040 <1% 4,541 $554.48
82248 <1% 2,824 $545.86
97116 <1% 274 $405.44
87081 <1% 2,117 $360.61
J2270 Injection, morphine sulfate, up to 10 mg <1% 12,735 $358.01
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 2,805 $345.75
87077 <1% 5,302 $340.06
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 26,854 $333.37
90715 <1% 2,437 $321.50
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 10,713 $300.65
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 19,523 $258.93
85610 <1% 11,171 $256.33
73140 <1% 867 $251.51
83605 <1% 3,980 $246.01
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 18,796 $244.82
85027 <1% 6,034 $243.84
80143 <1% 2,641 $208.37
69209 <1% 18 $205.52
80179 <1% 2,629 $202.96
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 2,243 $198.39
82077 <1% 3,733 $184.85
88307 <1% 440 $166.49
73660 <1% 43 $154.62
J2060 Injection, lorazepam, 2 mg <1% 4,349 $142.91
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 6,122 $135.91
84512 <1% 2,118 $134.54
84100 <1% 1,500 $129.59
97750 <1% 13 $129.13
86901 <1% 4,255 $128.36
J1170 Injection, hydromorphone, up to 4 mg <1% 7,195 $127.26
J0690 Injection, cefazolin sodium, 500 mg <1% 7,073 $119.12
86900 <1% 4,257 $114.88
84132 <1% 1,243 $112.42
92610 <1% 20 $110.57
85730 <1% 3,603 $81.45
82150 <1% 2,606 $62.53
82550 <1% 1,625 $59.12
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 4,552 $46.75
82565 <1% 694 $43.82
87210 <1% 1,536 $39.23
J0735 Injection, clonidine hydrochloride, 1 mg <1% 270 $34.33
J2704 Injection, propofol, 10 mg <1% 21,815 $34.12
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 3,627 $33.81
94760 <1% 5,071 $32.00
J0780 Injection, prochlorperazine, up to 10 mg <1% 1,120 $31.76
J3010 Injection, fentanyl citrate, 0.1 mg <1% 13,410 $30.94
80076 <1% 108 $26.26
J2274 Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg <1% 406 $25.98
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 1,065 $21.04
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg <1% 2,702 $18.20
84439 <1% 139 $16.97
J1630 Injection, haloperidol, up to 5 mg <1% 926 $14.15
86140 <1% 680 $11.20
J2550 Injection, promethazine hcl, up to 50 mg <1% 406 $9.81
J1956 Injection, levofloxacin, 250 mg <1% 529 $8.55
87046 <1% 201 $8.22
87205 <1% 1,146 $7.56
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml <1% 304 $7.15
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 11,208 $6.49
85651 <1% 390 $5.77
J2175 Injection, meperidine hydrochloride, per 100 mg <1% 1,787 $5.34
81002 <1% 2,343 $3.80
J1650 Injection, enoxaparin sodium, 10 mg <1% 2,035 $3.10
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 1,849 $1.38
J8540 Dexamethasone, oral, 0.25 mg <1% 773 $0.04
76820 0% 118 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 0% 1,194 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 0% 599 $0.00
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 0% 1,416 $0.00
C1769 Guide wire 0% 2,128 $0.00
74420 0% 161 $0.00
J0360 Injection, hydralazine hcl, up to 20 mg 0% 234 $0.00
J3480 Injection, potassium chloride, per 2 meq 0% 534 $0.00
J2360 Injection, orphenadrine citrate, up to 60 mg 0% 53 $0.00
87147 0% 1,278 $0.00
J3411 Injection, thiamine hcl, 100 mg 0% 287 $0.00
87088 0% 611 $0.00
88304 0% 1,221 $0.00
J1940 Injection, furosemide, up to 20 mg 0% 308 $0.00
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals 0% 57 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 0% 697 $0.00
99153 Mod sedat endo service >5yrs 0% 375 $0.00
82607 0% 95 $0.00
J1790 Injection, droperidol, up to 5 mg 0% 643 $0.00
77063 Screening digital breast tomosynthesis, bilateral 0% 2,895 $0.00
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 0% 30 $0.00
86403 0% 172 $0.00
88309 0% 69 $0.00
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 60 $0.00
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 0% 117 $0.00
J1030 Injection, methylprednisolone acetate, 40 mg 0% 89 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 0% 12 $0.00
86308 0% 25 $0.00
82270 0% 287 $0.00
86592 0% 13 $0.00
82330 0% 17 $0.00
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 0% 94 $0.00
L0625 Lumbar orthosis, flexible, provides lumbar support, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include pendulous abdomen design, shoulder straps, stays, prefabricated, off-the-shelf 0% 41 $0.00
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 0% 121 $0.00
J0500 Injection, dicyclomine hcl, up to 20 mg 0% 147 $0.00
J0280 Injection, aminophyllin, up to 250 mg 0% 58 $0.00
C2617 Stent, non-coronary, temporary, without delivery system 0% 26 $0.00
82746 0% 74 $0.00
83550 0% 13 $0.00
85652 0% 53 $0.00
76870 0% 45 $0.00
J3360 Injection, diazepam, up to 5 mg 0% 28 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 0% 40 $0.00
82435 0% 17 $0.00
88108 0% 20 $0.00
85018 0% 15 $0.00
J2785 Injection, regadenoson, 0.1 mg 0% 12 $0.00
S2900 Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) 0% 15 $0.00
99152 0% 1,141 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 0% 1,465 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 0% 108 $0.00
C1758 Catheter, ureteral 0% 69 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 0% 989 $0.00
J3370 Injection, vancomycin hcl, 500 mg 0% 1,728 $0.00
C9113 Injection, pantoprazole sodium, per vial 0% 1,875 $0.00
88360 0% 21 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 0% 581 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 0% 1,241 $0.00
84550 0% 138 $0.00
J0153 Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) 0% 127 $0.00
J7030 Infusion, normal saline solution , 1000 cc 0% 891 $0.00
82947 0% 135 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 0% 162 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 0% 78 $0.00
88313 0% 1,757 $0.00
87102 0% 18 $0.00
A9576 Injection, gadoteridol, (prohance multipack), per ml 0% 546 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 460 $0.00
J0692 Injection, cefepime hydrochloride, 500 mg 0% 59 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 98 $0.00
G8997 Swallowing functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 14 $0.00
A9577 Injection, gadobenate dimeglumine (multihance), per ml 0% 155 $0.00
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 0% 133 $0.00
77062 0% 82 $0.00
82140 0% 50 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 0% 438 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 0% 232 $0.00
J1245 Injection, dipyridamole, per 10 mg 0% 48 $0.00
87075 0% 14 $0.00
90687 0% 22 $0.00
89051 0% 33 $0.00
83540 0% 44 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 0% 41 $0.00
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 0% 27 $0.00
C1760 Closure device, vascular (implantable/insertable) 0% 21 $0.00
84295 0% 18 $0.00
36600 0% 27 $0.00
82570 0% 43 $0.00
87400 0% 210 $0.00
76125 0% 24 $0.00
84460 0% 14 $0.00
G8996 Swallowing functional limitation, current status at therapy episode outset and at reporting intervals 0% 14 $0.00
Q9957 Injection, perflutren lipid microspheres, per ml 0% 12 $0.00
J1953 Injection, levetiracetam, 10 mg 0% 28 $0.00
74300 0% 12 $0.00
J0736 Injection, clindamycin phosphate, 300 mg 0% 15 $0.00
64447 0% 14 $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)
Same official

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.