Medicaid Provider Spending

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

PINEY WOODS HEALTHCARE SYSTEM, L.P.

NPI: 1487607792 · LUFKIN, TX 75904 · Ambulatory Surgical 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

$5.81M
Total Medicaid Paid
91,879
Total Claims
84,944
Beneficiaries
85
Codes Billed
2020-05
First Month
2024-11
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
NORTHWEST HOSPITAL LLC TUCSON AZ $47.81M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 1,961 $113K
2021 17,010 $942K
2022 26,746 $1.50M
2023 30,069 $2.13M
2024 16,093 $1.13M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 13,454 12,751 $1.90M
99284 Emergency department visit for the evaluation and management, high severity 7,457 6,994 $1.67M
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 6,687 6,401 $410K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3,383 3,256 $319K
71045 Radiologic examination, chest; single view 2,390 2,265 $223K
99281 Emergency department visit for the evaluation and management, self-limited or minor 3,345 3,148 $216K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 5,506 5,254 $194K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,570 3,435 $121K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 718 672 $104K
80053 Comprehensive metabolic panel 7,223 6,473 $98K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 7,882 7,123 $75K
71046 Radiologic examination, chest; 2 views 439 430 $56K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,169 910 $54K
86756 1,151 1,110 $48K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 2,481 2,138 $44K
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 393 373 $43K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 142 123 $25K
74177 Computed tomography, abdomen and pelvis; with contrast material 81 79 $25K
70450 Computed tomography, head or brain; without contrast material 436 412 $24K
81001 5,130 4,694 $21K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 786 753 $14K
81025 1,025 965 $13K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 74 72 $12K
83735 1,537 1,379 $9K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 132 111 $8K
83690 999 917 $7K
84484 1,091 826 $7K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 270 259 $6K
85027 805 731 $5K
76818 28 24 $5K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 183 148 $5K
87340 226 222 $4K
80048 Basic metabolic panel (calcium, ionized) 715 632 $4K
74018 29 26 $4K
87634 25 25 $3K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 875 826 $3K
74176 Computed tomography, abdomen and pelvis; without contrast material 15 13 $3K
CP007 68 55 $3K
81003 909 865 $3K
87086 Culture, bacterial; quantitative colony count, urine 355 340 $2K
J2405 Injection, ondansetron hydrochloride, per 1 mg 1,535 1,384 $2K
G0378 Hospital observation service, per hour 14 13 $2K
83880 102 95 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 25 24 $2K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 29 27 $2K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 29 27 $2K
J1885 Injection, ketorolac tromethamine, per 15 mg 864 780 $2K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 215 176 $1K
J0696 Injection, ceftriaxone sodium, per 250 mg 550 498 $1K
86850 103 100 $1K
59025 Fetal non-stress test 15 14 $1K
J2270 Injection, morphine sulfate, up to 10 mg 356 289 $1K
86592 102 100 $829.83
84702 43 38 $782.21
85610 495 459 $736.42
86900 232 219 $711.39
83498 20 17 $694.84
86901 232 219 $688.18
85730 305 279 $561.01
83789 20 17 $554.91
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 14 13 $533.01
80306 15 14 $463.41
82261 20 17 $431.42
83605 71 57 $380.92
83520 20 17 $372.11
83020 20 17 $329.27
82776 20 17 $270.14
84437 20 17 $165.53
J3010 Injection, fentanyl citrate, 0.1 mg 242 230 $112.70
J1170 Injection, hydromorphone, up to 4 mg 52 41 $103.06
86308 12 12 $68.68
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 717 640 $63.18
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 215 207 $63.14
80061 Lipid panel 13 12 $46.87
87186 13 12 $29.42
82550 13 13 $18.84
J0690 Injection, cefazolin sodium, 500 mg 14 13 $17.63
85379 14 14 $15.54
J2250 Injection, midazolam hydrochloride, per 1 mg 73 68 $13.71
36415 Collection of venous blood by venipuncture 914 777 $13.08
96375 Therapeutic injection; each additional sequential IV push 168 157 $0.00
J2704 Injection, propofol, 10 mg 355 336 $0.00
82962 325 171 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 41 39 $0.00
S3620 Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) 28 28 $0.00