Medicaid Provider Spending

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

NORTHWEST HOSPITAL LLC

NPI: 1528505187 · TUCSON, AZ 85747 · Emergency Care Clinic/Center · NPI assigned 01/20/2017

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

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

$2.59M
Total Medicaid Paid
59,918
Total Claims
56,009
Beneficiaries
53
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLALOR, PAULA (DIRECTOR/DELEGATED OFFICIAL)
Parent OrganizationNORTHWEST HOSPITAL LLC
NPI Enumeration Date01/20/2017

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 6,490 $329K
2019 8,818 $388K
2020 8,618 $377K
2021 14,401 $610K
2022 13,529 $563K
2023 5,271 $192K
2024 2,791 $134K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 9,118 8,581 $1.35M
99284 Emergency department visit for the evaluation and management, high severity 3,899 3,649 $573K
74177 Computed tomography, abdomen and pelvis; with contrast material 495 467 $241K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2,686 2,577 $196K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 557 528 $159K
70450 Computed tomography, head or brain; without contrast material 156 149 $51K
74176 Computed tomography, abdomen and pelvis; without contrast material 42 40 $17K
96361 Intravenous infusion, hydration; each additional hour 2,049 1,865 $4K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 275 215 $1K
84484 975 823 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,652 1,585 $589.83
96375 Therapeutic injection; each additional sequential IV push 1,664 1,485 $302.27
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 820 773 $243.85
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1,632 1,470 $175.36
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 2,562 2,382 $94.90
85025 Blood count; complete (CBC), automated, and automated differential WBC count 4,075 3,795 $27.46
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,004 944 $18.00
80053 Comprehensive metabolic panel 3,218 3,001 $17.72
87086 Culture, bacterial; quantitative colony count, urine 687 656 $13.53
81001 1,720 1,615 $10.57
84703 1,124 1,069 $6.46
J1885 Injection, ketorolac tromethamine, per 15 mg 1,615 1,510 $6.06
81025 633 605 $5.60
71045 Radiologic examination, chest; single view 1,407 1,339 $0.00
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,160 2,077 $0.00
83690 1,657 1,548 $0.00
36415 Collection of venous blood by venipuncture 4,468 4,095 $0.00
80048 Basic metabolic panel (calcium, ionized) 709 672 $0.00
84443 Thyroid stimulating hormone (TSH) 13 13 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 34 28 $0.00
83605 60 51 $0.00
83735 31 31 $0.00
87081 46 45 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 12 12 $0.00
87077 26 25 $0.00
85379 25 25 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 54 52 $0.00
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 19 17 $0.00
82077 12 12 $0.00
81000 16 16 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 31 29 $0.00
J2405 Injection, ondansetron hydrochloride, per 1 mg 1,356 1,252 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 999 964 $0.00
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2,060 1,970 $0.00
71046 Radiologic examination, chest; 2 views 645 609 $0.00
81003 1,048 996 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 163 148 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 41 40 $0.00
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 96 94 $0.00
85610 15 14 $0.00
87400 19 14 $0.00
73630 12 12 $0.00
87186 26 25 $0.00