Medicaid Provider Spending

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

CAMPBELL COUNTY HMA LLC

NPI: 1639183353 · LA FOLLETTE, TN 37766 · Rural Health Clinic/Center · NPI assigned 07/28/2006

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

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

$19K
Total Medicaid Paid
4,569
Total Claims
3,830
Beneficiaries
20
Codes Billed
2020-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLALOR, PAULA (DIRECTOR/DELEGATED OFFICIAL)
NPI Enumeration Date07/28/2006

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
2020 30 $581.96
2021 821 $7K
2023 1,969 $4K
2024 1,749 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 277 232 $10K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 151 137 $7K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 14 12 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 14 12 $728.38
36415 Collection of venous blood by venipuncture 235 200 $0.02
3079F 63 55 $0.00
1126F 556 467 $0.00
3074F 457 383 $0.00
1036F 406 341 $0.00
3008F 772 642 $0.00
1125F 49 38 $0.00
1034F 46 38 $0.00
1170F 44 37 $0.00
3075F 12 12 $0.00
3288F 540 441 $0.00
3078F 381 326 $0.00
1159F 78 66 $0.00
3725F 138 111 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 186 155 $0.00
1160F 150 125 $0.00