Medicaid Provider Spending

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

NORTHWEST HOSPITAL LLC

NPI: 1487607784 · TUCSON, AZ 85741 · Radiology Clinic/Center · NPI assigned 05/18/2006

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

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

$47.81M
Total Medicaid Paid
1,305,010
Total Claims
1,124,129
Beneficiaries
321
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLALOR, PAULA (DIRECTOR/DELEGATED OFFICIAL)
NPI Enumeration Date05/18/2006

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 221,842 $7.97M
2019 232,942 $8.94M
2020 181,919 $6.99M
2021 188,612 $6.71M
2022 184,560 $6.66M
2023 178,271 $6.09M
2024 116,864 $4.45M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 43,068 38,882 $6.19M
99283 Emergency department visit for the evaluation and management, moderate severity 41,022 38,020 $6.15M
74177 Computed tomography, abdomen and pelvis; with contrast material 11,104 10,319 $5.46M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 20,816 18,730 $4.39M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 6,866 6,572 $2.91M
70450 Computed tomography, head or brain; without contrast material 10,350 9,530 $2.68M
74176 Computed tomography, abdomen and pelvis; without contrast material 5,451 5,083 $2.21M
71275 Computed tomographic angiography, chest, with contrast material 3,741 3,535 $1.55M
G0378 Hospital observation service, per hour 12,052 7,177 $1.44M
59025 Fetal non-stress test 8,637 5,422 $1.22M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 9,516 8,403 $1.03M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15,020 14,037 $845K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 18,631 17,424 $836K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 2,226 2,139 $715K
45380 Colonoscopy, flexible; with biopsy, single or multiple 2,045 1,928 $687K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3,357 3,155 $669K
88305 Level IV - Surgical pathology, gross and microscopic examination 13,080 11,203 $658K
99282 Emergency department visit for the evaluation and management, low to moderate severity 7,624 7,232 $632K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 1,687 1,587 $536K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 20,734 19,801 $433K
71046 Radiologic examination, chest; 2 views 12,465 11,720 $377K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 1,193 1,080 $350K
77067 Screening mammography, bilateral, including computer-aided detection 2,907 2,864 $341K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 5,902 5,745 $268K
97530 Therapeutic activities, direct patient contact, each 15 minutes 5,332 2,012 $263K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,630 3,518 $246K
93971 1,915 1,794 $222K
70551 Magnetic resonance imaging, brain; without contrast material 462 432 $209K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,094 5,320 $202K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 4,985 1,875 $201K
70498 636 599 $180K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 173 156 $149K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 2,467 2,358 $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 1,429 1,359 $123K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 2,431 846 $122K
88342 7,946 7,093 $117K
10060 635 599 $115K
99215 Prolong outpt/office vis 1,423 1,329 $106K
99281 Emergency department visit for the evaluation and management, self-limited or minor 2,312 2,221 $102K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 5,570 1,997 $101K
96361 Intravenous infusion, hydration; each additional hour 23,230 20,259 $95K
43249 248 227 $88K
73610 2,500 2,319 $88K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 31,808 26,399 $86K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 158 152 $86K
73564 2,689 2,400 $85K
73130 2,295 2,119 $78K
72125 Computed tomography, cervical spine; without contrast material 2,208 2,078 $78K
12001 783 754 $71K
43235 233 220 $68K
72100 2,332 2,203 $67K
73630 2,997 2,766 $65K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 2,661 2,545 $63K
93458 52 47 $60K
97161 2,154 2,009 $60K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 326 241 $59K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 814 798 $54K
73110 1,623 1,508 $52K
47563 12 12 $52K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 198 117 $50K
29125 400 379 $49K
76700 Ultrasound, abdominal, real time with image documentation; complete 505 477 $47K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 4,143 3,587 $43K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 2,825 2,364 $43K
76705 Ultrasound, abdominal, real time with image documentation; limited 2,954 2,804 $41K
93970 462 430 $40K
71250 446 432 $37K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 8,199 7,422 $36K
80053 Comprehensive metabolic panel 51,419 43,799 $34K
73030 2,484 2,189 $34K
C1776 Joint device (implantable) 30 26 $33K
58571 14 14 $33K
86920 511 359 $30K
36430 191 150 $29K
71101 668 632 $27K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 30,977 27,099 $26K
77066 Tomosynthesis, mammo 151 147 $26K
77080 236 230 $24K
76642 999 830 $23K
74018 1,809 1,649 $22K
84484 22,491 16,121 $21K
78451 75 67 $20K
87507 180 169 $19K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 786 667 $18K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 10,922 10,013 $17K
71260 Computed tomography, thorax, diagnostic; with contrast material 123 116 $17K
12011 289 280 $17K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 5,487 3,699 $17K
70496 696 657 $16K
73080 768 719 $16K
72040 931 891 $16K
70491 42 40 $16K
80048 Basic metabolic panel (calcium, ionized) 21,290 17,194 $15K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 343 330 $14K
97535 Self-care/home management training, each 15 minutes 246 137 $13K
87070 1,087 983 $13K
73502 1,069 992 $12K
72131 178 171 $12K
93976 3,481 3,307 $12K
99205 Prolong outpt/office vis 146 136 $12K
62323 44 40 $12K
82805 529 461 $11K
70486 276 261 $11K
86850 3,076 2,755 $11K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,311 1,209 $11K
12002 123 119 $10K
71045 Radiologic examination, chest; single view 19,310 17,535 $10K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 68,158 56,394 $9K
C1726 Catheter, balloon dilatation, non-vascular 126 122 $9K
97597 640 344 $9K
77065 Tomosynthesis, mammo 110 100 $9K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 10,957 9,238 $9K
96375 Therapeutic injection; each additional sequential IV push 19,169 16,662 $8K
87086 Culture, bacterial; quantitative colony count, urine 16,288 14,971 $7K
73590 589 531 $7K
76830 Ultrasound, transvaginal 1,891 1,812 $7K
C1889 Implantable/insertable device, not otherwise classified 257 247 $6K
93351 30 26 $6K
J0330 Injection, succinylcholine chloride, up to 20 mg 1,474 1,388 $6K
93798 144 27 $6K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 122 114 $6K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 28 25 $5K
97162 134 124 $5K
93017 599 541 $5K
93975 314 297 $5K
36415 Collection of venous blood by venipuncture 80,685 61,578 $5K
74240 38 38 $5K
87186 5,224 4,831 $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 21,348 20,044 $3K
73090 323 298 $3K
74220 18 18 $3K
83690 22,813 20,320 $2K
84703 17,349 16,016 $2K
76801 1,533 1,416 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 11,594 11,117 $2K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 2,788 2,658 $2K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 12 12 $2K
84702 3,186 2,852 $2K
76536 24 24 $1K
81001 27,444 24,952 $1K
P9016 Red blood cells, leukocytes reduced, each unit 160 133 $1K
96376 4,610 3,977 $1K
72072 25 24 $1K
73562 132 121 $961.70
82962 17,298 9,830 $959.20
97165 86 80 $953.46
84443 Thyroid stimulating hormone (TSH) 4,324 3,977 $929.78
80061 Lipid panel 1,909 1,762 $858.55
81025 12,133 11,594 $782.65
83036 Hemoglobin; glycosylated (A1C) 1,305 1,222 $770.68
72128 12 12 $770.22
72070 77 75 $765.90
85379 4,983 4,690 $761.30
76775 70 66 $743.41
C1781 Mesh (implantable) 46 42 $735.21
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 2,786 2,653 $653.98
83735 7,503 6,370 $641.38
83880 3,423 3,092 $567.33
81003 15,865 14,756 $559.19
87040 4,541 2,502 $554.48
82248 2,824 2,597 $545.86
97116 274 158 $405.44
87081 2,117 2,010 $360.61
J2270 Injection, morphine sulfate, up to 10 mg 12,735 9,889 $358.01
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,805 2,606 $345.75
87077 5,302 4,898 $340.06
J2405 Injection, ondansetron hydrochloride, per 1 mg 26,854 22,976 $333.37
90715 2,437 2,335 $321.50
J1100 Injection, dexamethasone sodium phosphate, 1 mg 10,713 9,551 $300.65
J1885 Injection, ketorolac tromethamine, per 15 mg 19,523 17,472 $258.93
85610 11,171 9,948 $256.33
73140 867 808 $251.51
83605 3,980 3,310 $246.01
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 18,796 17,238 $244.82
85027 6,034 4,703 $243.84
80143 2,641 2,379 $208.37
69209 18 13 $205.52
80179 2,629 2,329 $202.96
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 2,243 1,976 $198.39
82077 3,733 3,335 $184.85
88307 440 403 $166.49
73660 43 41 $154.62
J2060 Injection, lorazepam, 2 mg 4,349 3,461 $142.91
J0696 Injection, ceftriaxone sodium, per 250 mg 6,122 5,056 $135.91
84512 2,118 1,729 $134.54
84100 1,500 1,201 $129.59
97750 13 13 $129.13
86901 4,255 3,858 $128.36
J1170 Injection, hydromorphone, up to 4 mg 7,195 5,829 $127.26
J0690 Injection, cefazolin sodium, 500 mg 7,073 6,136 $119.12
86900 4,257 3,858 $114.88
84132 1,243 1,092 $112.42
92610 20 15 $110.57
85730 3,603 3,236 $81.45
82150 2,606 2,474 $62.53
82550 1,625 1,437 $59.12
J1200 Injection, diphenhydramine hcl, up to 50 mg 4,552 4,062 $46.75
82565 694 636 $43.82
87210 1,536 1,462 $39.23
J0735 Injection, clonidine hydrochloride, 1 mg 270 251 $34.33
J2704 Injection, propofol, 10 mg 21,815 20,354 $34.12
J2765 Injection, metoclopramide hcl, up to 10 mg 3,627 3,318 $33.81
94760 5,071 3,106 $32.00
J0780 Injection, prochlorperazine, up to 10 mg 1,120 990 $31.76
J3010 Injection, fentanyl citrate, 0.1 mg 13,410 11,987 $30.94
80076 108 104 $26.26
J2274 Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg 406 310 $25.98
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,065 957 $21.04
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 2,702 2,527 $18.20
84439 139 131 $16.97
J1630 Injection, haloperidol, up to 5 mg 926 864 $14.15
86140 680 648 $11.20
J2550 Injection, promethazine hcl, up to 50 mg 406 311 $9.81
J1956 Injection, levofloxacin, 250 mg 529 379 $8.55
87046 201 188 $8.22
87205 1,146 1,026 $7.56
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 304 276 $7.15
J2250 Injection, midazolam hydrochloride, per 1 mg 11,208 10,275 $6.49
85651 390 374 $5.77
J2175 Injection, meperidine hydrochloride, per 100 mg 1,787 1,676 $5.34
81002 2,343 2,191 $3.80
J1650 Injection, enoxaparin sodium, 10 mg 2,035 1,252 $3.10
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 1,849 1,548 $1.38
J8540 Dexamethasone, oral, 0.25 mg 773 492 $0.04
76820 118 94 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 1,194 1,106 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 599 539 $0.00
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 1,416 740 $0.00
C1769 Guide wire 2,128 1,940 $0.00
74420 161 148 $0.00
J0360 Injection, hydralazine hcl, up to 20 mg 234 175 $0.00
J3480 Injection, potassium chloride, per 2 meq 534 440 $0.00
J2360 Injection, orphenadrine citrate, up to 60 mg 53 52 $0.00
87147 1,278 1,214 $0.00
J3411 Injection, thiamine hcl, 100 mg 287 234 $0.00
87088 611 581 $0.00
88304 1,221 1,168 $0.00
J1940 Injection, furosemide, up to 20 mg 308 199 $0.00
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals 57 54 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 697 475 $0.00
99153 Mod sedat endo service >5yrs 375 317 $0.00
82607 95 84 $0.00
J1790 Injection, droperidol, up to 5 mg 643 583 $0.00
77063 Screening digital breast tomosynthesis, bilateral 2,895 2,852 $0.00
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 30 28 $0.00
86403 172 166 $0.00
88309 69 67 $0.00
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 60 57 $0.00
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 117 113 $0.00
J1030 Injection, methylprednisolone acetate, 40 mg 89 82 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 12 12 $0.00
86308 25 24 $0.00
82270 287 262 $0.00
86592 13 12 $0.00
82330 17 12 $0.00
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 94 84 $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 41 41 $0.00
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 121 111 $0.00
J0500 Injection, dicyclomine hcl, up to 20 mg 147 142 $0.00
J0280 Injection, aminophyllin, up to 250 mg 58 52 $0.00
C2617 Stent, non-coronary, temporary, without delivery system 26 25 $0.00
82746 74 64 $0.00
83550 13 13 $0.00
85652 53 51 $0.00
76870 45 43 $0.00
J3360 Injection, diazepam, up to 5 mg 28 26 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 40 30 $0.00
82435 17 12 $0.00
88108 20 14 $0.00
85018 15 12 $0.00
J2785 Injection, regadenoson, 0.1 mg 12 12 $0.00
S2900 Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) 15 13 $0.00
99152 1,141 999 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 1,465 1,359 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 108 100 $0.00
C1758 Catheter, ureteral 69 66 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 989 928 $0.00
J3370 Injection, vancomycin hcl, 500 mg 1,728 1,122 $0.00
C9113 Injection, pantoprazole sodium, per vial 1,875 1,220 $0.00
88360 21 13 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 581 519 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 1,241 1,120 $0.00
84550 138 120 $0.00
J0153 Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) 127 101 $0.00
J7030 Infusion, normal saline solution , 1000 cc 891 743 $0.00
82947 135 112 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 162 133 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 78 71 $0.00
88313 1,757 1,663 $0.00
87102 18 13 $0.00
A9576 Injection, gadoteridol, (prohance multipack), per ml 546 514 $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 460 401 $0.00
J0692 Injection, cefepime hydrochloride, 500 mg 59 41 $0.00
J1171 Injection, hydromorphone, 0.1 mg 98 87 $0.00
G8997 Swallowing functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 14 13 $0.00
A9577 Injection, gadobenate dimeglumine (multihance), per ml 155 138 $0.00
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 133 130 $0.00
77062 82 77 $0.00
82140 50 40 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 438 383 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 232 230 $0.00
J1245 Injection, dipyridamole, per 10 mg 48 42 $0.00
87075 14 13 $0.00
90687 22 19 $0.00
89051 33 27 $0.00
83540 44 37 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 41 38 $0.00
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 27 25 $0.00
C1760 Closure device, vascular (implantable/insertable) 21 19 $0.00
84295 18 13 $0.00
36600 27 26 $0.00
82570 43 39 $0.00
87400 210 141 $0.00
76125 24 24 $0.00
84460 14 12 $0.00
G8996 Swallowing functional limitation, current status at therapy episode outset and at reporting intervals 14 13 $0.00
Q9957 Injection, perflutren lipid microspheres, per ml 12 12 $0.00
J1953 Injection, levetiracetam, 10 mg 28 25 $0.00
74300 12 12 $0.00
J0736 Injection, clindamycin phosphate, 300 mg 15 12 $0.00
64447 14 12 $0.00