Medicaid Provider Spending

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

FORT SMITH HMA, LLC

NPI: 1578555736 · FORT SMITH, AR 72901 · Geriatric Medicine (Internal Medicine) Physician · NPI assigned 08/15/2005

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

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

$2.38M
Total Medicaid Paid
119,874
Total Claims
98,704
Beneficiaries
220
Codes Billed
2018-01
First Month
2019-01
Last Month

Provider Details

Authorized OfficialLALOR, PAULA (DIRECTOR/DELEGATED OFFICIAL)
NPI Enumeration Date08/15/2005

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
2018 118,992 $2.37M
2019 882 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 2,729 2,606 $247K
99284 Emergency department visit for the evaluation and management, high severity 1,782 1,698 $172K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,508 658 $151K
80053 Comprehensive metabolic panel 6,391 4,998 $123K
70450 Computed tomography, head or brain; without contrast material 1,205 1,106 $94K
74177 Computed tomography, abdomen and pelvis; with contrast material 822 757 $91K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,301 1,125 $71K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 614 343 $53K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 9,193 6,775 $51K
80048 Basic metabolic panel (calcium, ionized) 3,961 3,213 $51K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 819 492 $51K
80047 1,742 1,546 $48K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 159 151 $47K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,034 773 $43K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1,368 306 $40K
74176 Computed tomography, abdomen and pelvis; without contrast material 609 567 $36K
78815 Positron emission tomography (PET) for limited area imaging 71 68 $35K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 422 407 $34K
88305 Level IV - Surgical pathology, gross and microscopic examination 668 634 $32K
99282 Emergency department visit for the evaluation and management, low to moderate severity 511 492 $28K
72125 Computed tomography, cervical spine; without contrast material 241 235 $28K
36415 Collection of venous blood by venipuncture 4,256 3,415 $26K
84484 2,366 1,344 $23K
71260 Computed tomography, thorax, diagnostic; with contrast material 180 169 $22K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 776 703 $21K
77067 Screening mammography, bilateral, including computer-aided detection 542 533 $21K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 2,953 2,481 $21K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 861 795 $20K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 89 86 $19K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 163 152 $18K
96375 Therapeutic injection; each additional sequential IV push 562 432 $17K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 454 418 $17K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 452 418 $17K
J2405 Injection, ondansetron hydrochloride, per 1 mg 2,755 2,133 $15K
84443 Thyroid stimulating hormone (TSH) 2,154 1,994 $15K
81025 1,867 1,612 $15K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,144 856 $15K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 774 739 $15K
70486 125 114 $15K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 676 626 $15K
87081 1,579 1,488 $14K
87086 Culture, bacterial; quantitative colony count, urine 1,916 1,713 $14K
71275 Computed tomographic angiography, chest, with contrast material 81 73 $14K
71020 940 878 $13K
71250 163 162 $13K
80050 General health panel 288 273 $13K
82378 404 263 $13K
81001 3,736 3,270 $12K
85014 1,781 1,569 $11K
80061 Lipid panel 1,557 1,452 $11K
86901 621 553 $10K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 79 71 $10K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 86 85 $10K
J0696 Injection, ceftriaxone sodium, per 250 mg 1,039 875 $10K
70551 Magnetic resonance imaging, brain; without contrast material 46 42 $10K
43248 189 179 $9K
85027 1,776 1,606 $9K
71046 Radiologic examination, chest; 2 views 700 600 $8K
87077 807 741 $8K
83735 1,376 922 $8K
83880 353 300 $7K
T1015 Clinic visit/encounter, all-inclusive 775 528 $7K
80081 75 75 $7K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 183 159 $7K
82962 1,498 750 $7K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 79 71 $7K
71045 Radiologic examination, chest; single view 1,243 1,037 $7K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 17 17 $6K
82553 571 249 $6K
71010 906 809 $6K
73130 188 178 $6K
83690 1,144 990 $6K
82728 572 480 $5K
80074 126 109 $5K
77066 Tomosynthesis, mammo 81 76 $5K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 341 307 $5K
73030 212 196 $5K
73560 226 205 $5K
83036 Hemoglobin; glycosylated (A1C) 1,113 1,028 $5K
87400 365 341 $5K
82150 865 765 $5K
82607 436 395 $5K
77063 Screening digital breast tomosynthesis, bilateral 539 530 $4K
88304 110 106 $4K
84702 403 328 $4K
A9578 Injection, gadobenate dimeglumine (multihance multipack), per ml 188 178 $4K
72100 198 188 $4K
73630 177 160 $4K
76801 116 107 $4K
76705 Ultrasound, abdominal, real time with image documentation; limited 195 185 $4K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 634 407 $4K
73610 216 203 $4K
82565 119 114 $4K
87040 419 261 $3K
73110 141 119 $3K
86900 621 553 $3K
84439 561 525 $3K
86850 535 478 $3K
87186 623 573 $3K
96361 Intravenous infusion, hydration; each additional hour 271 214 $3K
96367 71 32 $3K
87070 228 204 $3K
83550 438 362 $3K
87430 217 200 $2K
76642 113 109 $2K
73502 78 74 $2K
87807 203 191 $2K
83540 507 425 $2K
83615 334 233 $2K
C1769 Guide wire 202 174 $2K
82550 554 254 $2K
96376 193 139 $2K
85610 909 752 $2K
86141 189 165 $2K
93971 63 62 $2K
85730 473 403 $2K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 73 65 $2K
93017 79 71 $2K
83605 219 186 $2K
86762 251 231 $2K
81003 721 660 $2K
82803 140 113 $2K
82105 104 92 $1K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 31 27 $1K
82746 194 168 $1K
86003 14 13 $1K
74000 94 88 $1K
87147 87 78 $1K
87340 267 246 $1K
36600 83 65 $1K
72040 42 39 $1K
88307 34 30 $1K
86300 57 26 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg 929 823 $1K
82677 43 40 $1K
82947 245 235 $1K
97001 23 23 $1K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 133 121 $1K
76536 28 26 $1K
73070 47 45 $970.92
80069 255 240 $966.21
88312 281 266 $962.00
82570 401 377 $920.54
29580 63 12 $907.45
74018 38 35 $896.93
93458 17 12 $828.20
86592 345 317 $827.38
83883 21 13 $822.62
90714 119 110 $812.00
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 45 42 $802.94
86336 43 40 $761.95
82248 232 203 $757.19
71101 24 24 $680.40
83970 58 56 $673.24
82043 234 224 $659.12
85049 93 83 $593.62
84153 89 79 $561.67
80076 88 80 $548.49
84550 193 163 $520.54
86038 67 58 $520.24
77080 24 24 $504.77
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 14 14 $504.00
85651 202 184 $494.16
76700 Ultrasound, abdominal, real time with image documentation; complete 15 13 $454.95
93880 13 12 $444.43
83655 28 28 $436.56
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 433 359 $368.90
J2704 Injection, propofol, 10 mg 1,514 1,353 $366.35
73090 16 13 $326.50
86803 27 26 $325.28
J0171 Injection, adrenalin, epinephrine, 0.1 mg 194 175 $324.72
84403 17 12 $321.83
84481 26 25 $290.28
93923 12 12 $288.60
76770 14 13 $285.47
84100 97 69 $266.52
85379 29 24 $261.02
84156 123 113 $236.25
82140 44 37 $224.82
J2550 Injection, promethazine hcl, up to 50 mg 479 424 $214.85
J2060 Injection, lorazepam, 2 mg 272 219 $208.80
87210 30 26 $170.80
J0690 Injection, cefazolin sodium, 500 mg 413 374 $154.70
J1200 Injection, diphenhydramine hcl, up to 50 mg 405 257 $152.88
77065 Tomosynthesis, mammo 15 14 $137.92
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 521 494 $135.88
85046 31 26 $132.15
84703 14 13 $128.76
87205 41 34 $114.13
J3010 Injection, fentanyl citrate, 0.1 mg 1,208 1,056 $113.46
J2250 Injection, midazolam hydrochloride, per 1 mg 856 737 $108.02
J1335 Injection, ertapenem sodium, 500 mg 16 13 $84.96
J2270 Injection, morphine sulfate, up to 10 mg 902 675 $84.80
J2175 Injection, meperidine hydrochloride, per 100 mg 374 341 $70.08
84132 29 25 $45.92
J1170 Injection, hydromorphone, up to 4 mg 864 683 $45.39
J0595 Injection, butorphanol tartrate, 1 mg 57 55 $43.34
J0744 Injection, ciprofloxacin for intravenous infusion, 200 mg 49 44 $38.92
J3475 Injection, magnesium sulfate, per 500 mg 17 13 $38.20
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 427 404 $18.94
J0330 Injection, succinylcholine chloride, up to 20 mg 172 154 $11.95
85007 16 13 $4.92
J1940 Injection, furosemide, up to 20 mg 177 140 $3.67
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 14 14 $0.01
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 14 14 $0.01
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 117 103 $0.00
99152 239 205 $0.00
97161 43 40 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 12 12 $0.00
J2785 Injection, regadenoson, 0.1 mg 29 26 $0.00
97162 13 12 $0.00
96415 74 26 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 155 136 $0.00
99153 Mod sedat endo service >5yrs 103 86 $0.00
J2360 Injection, orphenadrine citrate, up to 60 mg 14 14 $0.00
G0378 Hospital observation service, per hour 361 342 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 97 95 $0.00
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 18 12 $0.00
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 12 12 $0.00
J0360 Injection, hydralazine hcl, up to 20 mg 18 12 $0.00