Medicaid Provider Spending

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

GAFFNEY HMA LLC

NPI: 1508800186 · GAFFNEY, SC 29340 · Ambulance · NPI assigned 06/15/2006

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

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

$1.23M
Total Medicaid Paid
74,721
Total Claims
63,043
Beneficiaries
126
Codes Billed
2018-01
First Month
2018-12
Last Month

Provider Details

Authorized OfficialLALOR, PAULA (DIRECTOR/DELEGATED OFFICIAL)
NPI Enumeration Date06/15/2006

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 74,721 $1.23M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
80053 Comprehensive metabolic panel 4,532 3,728 $160K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,042 963 $126K
99281 Emergency department visit for the evaluation and management, self-limited or minor 821 748 $92K
99283 Emergency department visit for the evaluation and management, moderate severity 5,696 5,021 $85K
87430 873 816 $66K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,028 904 $61K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,477 1,356 $57K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 386 355 $44K
84703 1,627 1,445 $43K
84484 1,468 981 $43K
84443 Thyroid stimulating hormone (TSH) 730 663 $38K
87086 Culture, bacterial; quantitative colony count, urine 1,039 933 $35K
71046 Radiologic examination, chest; 2 views 1,195 1,097 $31K
81001 3,428 2,964 $24K
36415 Collection of venous blood by venipuncture 6,274 4,662 $24K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 176 167 $22K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 272 250 $21K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 1,424 1,220 $21K
86756 399 354 $20K
86900 108 94 $20K
83880 628 528 $16K
87070 1,033 955 $14K
70450 Computed tomography, head or brain; without contrast material 677 611 $14K
99284 Emergency department visit for the evaluation and management, high severity 3,637 3,153 $12K
87040 479 321 $12K
74018 266 239 $9K
80048 Basic metabolic panel (calcium, ionized) 657 475 $9K
72100 307 283 $8K
74176 Computed tomography, abdomen and pelvis; without contrast material 245 222 $8K
84702 336 261 $7K
73630 191 176 $6K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 5,265 4,173 $6K
71045 Radiologic examination, chest; single view 1,340 1,153 $6K
73130 154 141 $5K
J7120 Ringers lactate infusion, up to 1000 cc 539 494 $4K
73562 118 110 $4K
87077 513 472 $4K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 424 381 $4K
93971 30 26 $4K
83655 175 168 $4K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 28 24 $4K
73610 173 159 $4K
76700 Ultrasound, abdominal, real time with image documentation; complete 43 40 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 772 633 $2K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 167 109 $2K
85610 425 366 $2K
76801 163 136 $2K
72050 55 49 $2K
77067 Screening mammography, bilateral, including computer-aided detection 42 38 $1K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1,688 1,398 $1K
73502 27 25 $1K
85379 197 182 $1K
J2704 Injection, propofol, 10 mg 386 369 $1K
73030 83 77 $1K
72070 12 12 $1K
P9612 Catheterization for collection of specimen, single patient, all places of service 147 128 $1K
96375 Therapeutic injection; each additional sequential IV push 569 451 $960.82
76705 Ultrasound, abdominal, real time with image documentation; limited 27 26 $781.39
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 96 67 $780.72
74019 142 122 $758.02
73080 14 14 $751.14
76830 Ultrasound, transvaginal 174 166 $747.10
77066 Tomosynthesis, mammo 16 14 $721.43
80320 120 117 $714.12
73110 29 28 $710.62
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 423 356 $709.14
G0378 Hospital observation service, per hour 320 245 $646.76
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 666 522 $492.31
87210 245 221 $483.28
96361 Intravenous infusion, hydration; each additional hour 546 448 $479.85
83605 298 229 $410.76
83036 Hemoglobin; glycosylated (A1C) 188 175 $391.91
74177 Computed tomography, abdomen and pelvis; with contrast material 238 220 $344.44
J7030 Infusion, normal saline solution , 1000 cc 1,273 992 $335.08
94760 210 106 $303.82
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 53 42 $256.86
J1650 Injection, enoxaparin sodium, 10 mg 244 138 $240.92
76642 15 14 $169.02
80061 Lipid panel 224 207 $81.88
83690 1,023 888 $56.49
74022 149 139 $44.40
82962 72 27 $35.33
J0696 Injection, ceftriaxone sodium, per 250 mg 558 472 $34.46
J2270 Injection, morphine sulfate, up to 10 mg 666 533 $3.12
J1885 Injection, ketorolac tromethamine, per 15 mg 866 771 $0.41
J0171 Injection, adrenalin, epinephrine, 0.1 mg 115 105 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 285 228 $0.00
84439 219 205 $0.00
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 98 96 $0.00
85007 426 355 $0.00
J2405 Injection, ondansetron hydrochloride, per 1 mg 857 715 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 258 204 $0.00
87186 421 392 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 259 225 $0.00
82010 47 38 $0.00
93017 41 36 $0.00
J7510 Prednisolone oral, per 5 mg 265 247 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 19 13 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 83 72 $0.00
90714 28 27 $0.00
00170 Anesthesia for intraoral procedures, including biopsy 12 12 $0.00
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen 13 12 $0.00
82550 796 627 $0.00
85730 355 309 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 602 539 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 392 365 $0.00
82150 404 367 $0.00
82553 926 734 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 310 284 $0.00
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 556 516 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 227 201 $0.00
J0690 Injection, cefazolin sodium, 500 mg 166 153 $0.00
87205 204 178 $0.00
J7050 Infusion, normal saline solution, 250 cc 139 116 $0.00
J1170 Injection, hydromorphone, up to 4 mg 79 64 $0.00
88304 94 89 $0.00
84436 159 146 $0.00
83735 594 483 $0.00
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 146 121 $0.00
J2060 Injection, lorazepam, 2 mg 103 80 $0.00
85027 44 39 $0.00
88305 Level IV - Surgical pathology, gross and microscopic examination 35 32 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 12 12 $0.00
J2360 Injection, orphenadrine citrate, up to 60 mg 16 14 $0.00
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 20 19 $0.00
42820 Tonsillectomy and adenoidectomy; younger than age 12 15 15 $0.00