Medicaid Provider Spending

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

KEY WEST HMA LLC

NPI: 1619922077 · KEY WEST, FL 33040 · General Acute Care Hospital · NPI assigned 05/24/2006

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

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

$4.77M
Total Medicaid Paid
174,200
Total Claims
130,086
Beneficiaries
108
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLALOR, PAULA (DIRECTOR/DELEGATED OFFICIAL)
NPI Enumeration Date05/24/2006

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 13,821 $197K
2019 30,545 $464K
2020 25,162 $553K
2021 35,423 $906K
2022 39,604 $1.41M
2023 20,986 $875K
2024 8,659 $363K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 14,022 11,277 $1.30M
99284 Emergency department visit for the evaluation and management, high severity 7,827 6,206 $618K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 4,217 1,156 $562K
99281 Emergency department visit for the evaluation and management, self-limited or minor 2,686 2,332 $289K
96361 Intravenous infusion, hydration; each additional hour 3,366 2,545 $187K
80053 Comprehensive metabolic panel 13,274 9,440 $184K
74177 Computed tomography, abdomen and pelvis; with contrast material 875 718 $178K
70450 Computed tomography, head or brain; without contrast material 1,704 1,296 $159K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,341 1,212 $124K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,661 2,039 $106K
97530 Therapeutic activities, direct patient contact, each 15 minutes 349 137 $80K
36415 Collection of venous blood by venipuncture 6,094 4,358 $73K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2,124 1,440 $66K
74176 Computed tomography, abdomen and pelvis; without contrast material 261 205 $57K
87420 2,000 1,785 $40K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 12,722 9,280 $39K
71046 Radiologic examination, chest; 2 views 2,224 1,867 $31K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 898 245 $30K
87430 3,902 3,513 $29K
84443 Thyroid stimulating hormone (TSH) 1,880 1,547 $26K
71045 Radiologic examination, chest; single view 4,051 3,097 $26K
81003 2,993 2,491 $23K
81001 4,638 3,733 $22K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 4,836 3,409 $21K
J7030 Infusion, normal saline solution , 1000 cc 3,390 2,538 $21K
87086 Culture, bacterial; quantitative colony count, urine 2,691 2,142 $20K
84703 1,617 1,407 $20K
96375 Therapeutic injection; each additional sequential IV push 3,407 2,475 $18K
J2405 Injection, ondansetron hydrochloride, per 1 mg 2,847 2,183 $18K
86900 439 317 $18K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 3,724 2,921 $15K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 442 352 $15K
84484 3,453 2,121 $15K
87400 7,786 5,192 $14K
85610 3,115 2,277 $13K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,493 1,242 $13K
83690 2,162 1,683 $13K
85730 2,816 2,132 $13K
85027 2,486 1,850 $13K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 301 252 $12K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 5,504 4,717 $12K
83735 2,555 1,721 $12K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 292 192 $11K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 36 13 $11K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 138 117 $11K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 414 343 $11K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 703 526 $10K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,486 1,826 $10K
80048 Basic metabolic panel (calcium, ionized) 842 631 $9K
72125 Computed tomography, cervical spine; without contrast material 100 66 $9K
J2704 Injection, propofol, 10 mg 584 477 $8K
80061 Lipid panel 1,498 1,239 $8K
92523 13 13 $8K
87186 1,047 822 $7K
J1885 Injection, ketorolac tromethamine, per 15 mg 1,550 1,202 $7K
88305 Level IV - Surgical pathology, gross and microscopic examination 148 134 $7K
82962 723 326 $7K
J1170 Injection, hydromorphone, up to 4 mg 1,046 672 $7K
J3010 Injection, fentanyl citrate, 0.1 mg 334 267 $7K
83874 223 165 $5K
83880 468 326 $5K
J2274 Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg 874 619 $5K
J2250 Injection, midazolam hydrochloride, per 1 mg 123 93 $5K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 602 533 $5K
96376 695 455 $4K
G0378 Hospital observation service, per hour 196 136 $4K
87040 616 305 $4K
84702 79 49 $4K
80305 74 65 $4K
87070 199 178 $3K
87077 926 730 $3K
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 61 52 $3K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 28 26 $3K
82150 305 228 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 16 13 $2K
83036 Hemoglobin; glycosylated (A1C) 968 804 $2K
J0696 Injection, ceftriaxone sodium, per 250 mg 703 541 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 551 444 $2K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 247 194 $2K
83605 337 239 $2K
76830 Ultrasound, transvaginal 29 28 $1K
86901 436 317 $1K
J2060 Injection, lorazepam, 2 mg 349 250 $953.83
73610 24 24 $842.22
77067 Screening mammography, bilateral, including computer-aided detection 37 31 $639.65
85379 97 82 $542.72
72110 13 12 $471.88
86850 55 37 $430.36
86140 154 136 $321.71
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 280 253 $305.57
97161 17 12 $276.65
84439 421 359 $269.28
84100 62 50 $180.39
92653 22 12 $161.23
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 301 265 $153.46
73030 16 14 $143.11
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 28 26 $52.64
85652 42 38 $14.30
83655 31 28 $12.14
87899 13 12 $3.54
C9113 Injection, pantoprazole sodium, per vial 24 15 $0.00
99218 14 12 $0.00
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 13 12 $0.00
77063 Screening digital breast tomosynthesis, bilateral 34 28 $0.00
82746 16 13 $0.00
92609 186 59 $0.00
82607 46 38 $0.00
82550 22 12 $0.00