Medicaid Provider Spending

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

DUKES HEALTH SYSTEM LLC

NPI: 1619920949 · PERU, IN 46970 · Ambulance · 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

$8.87M
Total Medicaid Paid
194,329
Total Claims
137,405
Beneficiaries
98
Codes Billed
2018-01
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
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 15,516 $286K
2019 20,787 $748K
2020 24,735 $898K
2021 30,737 $1.44M
2022 39,436 $2.06M
2023 40,437 $2.13M
2024 22,681 $1.31M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 16,571 13,196 $2.68M
99284 Emergency department visit for the evaluation and management, high severity 12,063 8,870 $1.84M
71045 Radiologic examination, chest; single view 6,127 4,530 $679K
A0427 Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) 6,701 5,057 $580K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 4,498 3,147 $529K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 6,089 4,005 $331K
A0425 Ground mileage, per statute mile 11,597 7,652 $321K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 3,848 2,906 $216K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,502 1,223 $192K
A0429 Ambulance service, basic life support, emergency transport (bls-emergency) 1,404 1,012 $139K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 5,426 4,127 $134K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 17,154 11,751 $91K
80053 Comprehensive metabolic panel 11,472 8,041 $82K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 4,681 2,586 $77K
74176 Computed tomography, abdomen and pelvis; without contrast material 420 336 $73K
36415 Collection of venous blood by venipuncture 26,139 17,611 $70K
70450 Computed tomography, head or brain; without contrast material 774 581 $67K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,857 1,586 $54K
A0426 Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) 668 496 $54K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,832 1,561 $53K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 1,769 1,522 $51K
74177 Computed tomography, abdomen and pelvis; with contrast material 149 105 $48K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 679 468 $41K
84484 5,479 3,225 $40K
80050 General health panel 356 303 $35K
96361 Intravenous infusion, hydration; each additional hour 2,096 1,391 $35K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 882 646 $34K
A0428 Ambulance service, basic life support, non-emergency transport, (bls) 511 373 $30K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 2,124 1,538 $27K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 599 418 $22K
71046 Radiologic examination, chest; 2 views 148 112 $20K
80048 Basic metabolic panel (calcium, ionized) 3,481 2,253 $16K
81001 4,957 3,624 $15K
85610 4,196 2,881 $14K
83605 1,715 1,072 $13K
96375 Therapeutic injection; each additional sequential IV push 1,364 937 $13K
83690 2,906 1,973 $13K
84443 Thyroid stimulating hormone (TSH) 1,077 826 $10K
83880 606 403 $10K
72125 Computed tomography, cervical spine; without contrast material 73 55 $10K
94760 269 80 $9K
80061 Lipid panel 1,177 943 $9K
87430 685 539 $8K
J7030 Infusion, normal saline solution , 1000 cc 2,125 1,647 $6K
85730 1,377 935 $6K
83735 1,190 792 $6K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 422 351 $6K
86140 1,187 796 $5K
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 75 51 $5K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 371 289 $5K
99218 18 12 $4K
85652 1,507 1,014 $3K
87400 718 284 $3K
82077 245 183 $3K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 233 172 $3K
81025 393 305 $3K
82607 287 221 $3K
83036 Hemoglobin; glycosylated (A1C) 475 357 $2K
82746 251 192 $2K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 52 51 $2K
85379 302 195 $2K
86141 207 148 $1K
87086 Culture, bacterial; quantitative colony count, urine 388 303 $1K
G0378 Hospital observation service, per hour 16 12 $1K
85027 246 145 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg 1,041 737 $996.65
80076 461 302 $982.45
87807 85 69 $969.40
81003 533 393 $919.47
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 43 31 $880.58
84702 75 53 $758.96
73630 21 12 $592.20
86850 103 84 $451.98
87040 92 42 $419.45
84100 142 110 $372.82
J2704 Injection, propofol, 10 mg 46 36 $347.70
82150 106 71 $318.82
J0696 Injection, ceftriaxone sodium, per 250 mg 205 147 $229.13
86901 104 85 $198.85
86900 104 85 $195.86
84481 13 12 $193.96
86803 15 13 $170.51
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 12 12 $158.55
87088 112 79 $156.12
82550 32 28 $116.22
J2405 Injection, ondansetron hydrochloride, per 1 mg 503 358 $114.74
84439 13 12 $93.86
82248 47 36 $92.92
82043 19 17 $86.70
86701 14 12 $66.99
84703 12 12 $63.47
82570 15 13 $56.98
85651 61 42 $48.29
86592 13 12 $38.43
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 30 26 $34.25
J1170 Injection, hydromorphone, up to 4 mg 26 24 $10.13
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 12 12 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 13 12 $0.00