Medicaid Provider Spending

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

CAMPBELL COUNTY HMA, LLC

NPI: 1639151301 · LAFOLLETTE, TN 37766 · General Acute Care Hospital · NPI assigned 11/17/2005

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

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

$10.07M
Total Medicaid Paid
215,045
Total Claims
171,132
Beneficiaries
105
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLALOR, PAULA (DIRECTOR/DELEGATED OFFICIAL)
NPI Enumeration Date11/17/2005

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
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 36,868 $1.62M
2019 41,966 $1.65M
2020 28,755 $1.23M
2021 27,035 $1.48M
2022 29,414 $1.60M
2023 29,617 $1.42M
2024 21,390 $1.07M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 20,696 18,126 $4.01M
99284 Emergency department visit for the evaluation and management, high severity 13,408 11,221 $2.98M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 5,765 4,653 $1.36M
99282 Emergency department visit for the evaluation and management, low to moderate severity 3,025 2,698 $386K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 4,975 1,805 $275K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1,852 1,698 $184K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 5,644 5,044 $123K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 8,503 7,064 $110K
G0378 Hospital observation service, per hour 1,000 441 $80K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 346 238 $72K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 23,453 18,050 $61K
84484 8,963 6,028 $54K
80053 Comprehensive metabolic panel 21,088 16,664 $45K
71045 Radiologic examination, chest; single view 10,382 8,137 $30K
70450 Computed tomography, head or brain; without contrast material 1,537 1,268 $28K
96375 Therapeutic injection; each additional sequential IV push 3,753 3,071 $25K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 4,796 4,305 $23K
96361 Intravenous infusion, hydration; each additional hour 2,914 2,391 $22K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 9,538 7,336 $22K
J2405 Injection, ondansetron hydrochloride, per 1 mg 3,003 2,465 $19K
74177 Computed tomography, abdomen and pelvis; with contrast material 308 264 $16K
36415 Collection of venous blood by venipuncture 16,201 11,799 $13K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 737 652 $12K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,726 2,354 $12K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,935 1,799 $7K
83690 2,697 2,285 $7K
94060 199 162 $6K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 581 380 $6K
81001 8,818 7,588 $5K
87070 1,354 1,252 $4K
71046 Radiologic examination, chest; 2 views 953 735 $4K
81025 2,229 2,051 $4K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 270 168 $4K
97530 Therapeutic activities, direct patient contact, each 15 minutes 103 36 $4K
97597 135 67 $3K
83880 670 510 $3K
80048 Basic metabolic panel (calcium, ionized) 1,466 1,153 $3K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 313 246 $3K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 88 72 $3K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 56 25 $2K
87040 600 371 $2K
94729 217 183 $2K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 85 37 $2K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 302 264 $2K
80061 Lipid panel 868 787 $2K
86403 414 396 $2K
74176 Computed tomography, abdomen and pelvis; without contrast material 109 86 $2K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 13 12 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 46 43 $1K
94727 176 146 $1K
83605 487 375 $1K
74178 17 14 $1K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 31 25 $1K
84443 Thyroid stimulating hormone (TSH) 288 264 $954.82
85027 991 789 $953.52
72100 61 44 $872.80
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 453 351 $865.85
93017 55 39 $770.77
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 20 12 $600.36
87400 73 49 $598.61
87081 235 220 $595.53
82550 409 321 $585.20
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 32 32 $513.15
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 329 264 $504.97
83735 298 217 $493.19
85610 315 255 $404.42
85379 107 86 $399.92
82150 111 94 $323.11
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 13 12 $316.58
83036 Hemoglobin; glycosylated (A1C) 210 192 $291.32
84439 136 123 $261.79
82803 70 52 $242.46
96376 70 25 $227.68
71260 Computed tomography, thorax, diagnostic; with contrast material 19 12 $220.82
77067 Screening mammography, bilateral, including computer-aided detection 78 48 $193.99
85730 162 125 $167.21
82962 128 24 $159.83
82607 110 101 $155.99
36600 70 52 $122.64
71271 21 15 $103.13
74022 17 15 $89.12
94761 16 12 $88.48
87086 Culture, bacterial; quantitative colony count, urine 27 24 $72.29
86140 25 20 $63.57
87807 12 12 $55.36
82728 27 27 $44.52
82746 12 12 $24.03
J1100 Injection, dexamethasone sodium phosphate, 1 mg 34 30 $22.02
81003 13 12 $17.05
82565 15 13 $11.16
J2270 Injection, morphine sulfate, up to 10 mg 66 46 $9.89
84100 18 12 $7.68
J7030 Infusion, normal saline solution , 1000 cc 5,383 4,273 $4.60
J1885 Injection, ketorolac tromethamine, per 15 mg 1,840 1,573 $0.00
88342 53 41 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 519 453 $0.00
J2704 Injection, propofol, 10 mg 1,122 801 $0.00
V2632 Posterior chamber intraocular lens 14 12 $0.00
88305 Level IV - Surgical pathology, gross and microscopic examination 190 146 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 33 26 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 110 82 $0.00
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 725 575 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 32 29 $0.00
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 19 16 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 14 12 $0.00