Medicaid Provider Spending

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

MARY BLACK HEALTH SYSTEM LLC

NPI: 1669425963 · SPARTANBURG, SC 29307 · General Acute Care Hospital · 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

$2.31M
Total Medicaid Paid
85,457
Total Claims
73,380
Beneficiaries
143
Codes Billed
2018-01
First Month
2018-12
Last Month

Provider Details

Authorized OfficialLALOR, PAULA (DIREDTOR/DELEGATED OFFICIAL)
NPI Enumeration Date05/18/2006

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 85,457 $2.31M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
36415 Collection of venous blood by venipuncture 5,890 4,792 $648K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2,709 2,500 $279K
99281 Emergency department visit for the evaluation and management, self-limited or minor 928 863 $154K
87430 1,681 1,563 $140K
99283 Emergency department visit for the evaluation and management, moderate severity 5,847 5,280 $128K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 915 253 $51K
82962 1,094 577 $46K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 551 502 $45K
81001 4,081 3,591 $44K
71046 Radiologic examination, chest; 2 views 1,911 1,733 $43K
81025 2,042 1,843 $43K
87400 2,151 1,461 $40K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 115 53 $39K
99284 Emergency department visit for the evaluation and management, high severity 3,484 3,122 $38K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 630 579 $35K
87070 201 183 $32K
87420 445 411 $28K
73630 210 194 $25K
87086 Culture, bacterial; quantitative colony count, urine 1,144 1,056 $23K
70450 Computed tomography, head or brain; without contrast material 623 581 $23K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 819 575 $23K
59025 Fetal non-stress test 388 288 $23K
73610 190 179 $22K
84702 596 446 $18K
73562 203 188 $16K
87186 516 469 $16K
93971 90 84 $14K
80053 Comprehensive metabolic panel 3,739 3,204 $13K
86850 303 270 $13K
74018 459 362 $13K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 88 87 $13K
73130 102 97 $12K
72100 253 221 $11K
C8929 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography 76 72 $11K
88305 Level IV - Surgical pathology, gross and microscopic examination 351 324 $10K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 783 697 $10K
74176 Computed tomography, abdomen and pelvis; without contrast material 277 260 $10K
76705 Ultrasound, abdominal, real time with image documentation; limited 202 191 $9K
77067 Screening mammography, bilateral, including computer-aided detection 166 160 $9K
73030 117 106 $9K
73110 59 56 $8K
80048 Basic metabolic panel (calcium, ionized) 1,393 1,235 $8K
81003 470 429 $7K
10060 44 39 $6K
76830 Ultrasound, transvaginal 141 131 $6K
76700 Ultrasound, abdominal, real time with image documentation; complete 29 29 $5K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 175 71 $5K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 13 13 $5K
84112 39 30 $5K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 16 15 $5K
80306 470 431 $5K
71045 Radiologic examination, chest; single view 516 465 $4K
72050 58 51 $4K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1,706 1,466 $4K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 131 96 $4K
G0378 Hospital observation service, per hour 270 243 $3K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 1,038 952 $3K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 182 158 $3K
87210 541 494 $3K
97530 Therapeutic activities, direct patient contact, each 15 minutes 245 95 $3K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 997 880 $2K
87081 210 199 $2K
87077 213 199 $2K
J3010 Injection, fentanyl citrate, 0.1 mg 740 688 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 5,135 4,329 $2K
84443 Thyroid stimulating hormone (TSH) 266 240 $2K
74022 156 144 $2K
83880 279 250 $2K
97161 46 45 $2K
76642 42 38 $1K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 295 250 $1K
74177 Computed tomography, abdomen and pelvis; with contrast material 468 435 $1K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 561 479 $979.33
85379 323 299 $966.61
86901 649 562 $962.41
86738 347 318 $890.86
J2274 Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg 280 248 $704.46
87088 410 379 $645.79
J2270 Injection, morphine sulfate, up to 10 mg 226 191 $644.06
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 17 13 $555.84
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 713 667 $552.67
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 631 498 $552.66
77065 Tomosynthesis, mammo 13 12 $546.04
72125 Computed tomography, cervical spine; without contrast material 17 16 $497.84
J2765 Injection, metoclopramide hcl, up to 10 mg 118 103 $485.24
12001 27 24 $476.42
J1650 Injection, enoxaparin sodium, 10 mg 49 24 $392.98
84484 1,231 943 $392.12
97597 63 37 $374.54
96375 Therapeutic injection; each additional sequential IV push 775 701 $307.11
85027 608 532 $280.87
82553 714 612 $256.95
83605 297 257 $244.75
97162 14 12 $238.37
82272 17 14 $210.18
J1100 Injection, dexamethasone sodium phosphate, 1 mg 789 733 $161.72
80061 Lipid panel 64 61 $140.13
74021 27 25 $136.72
88304 58 57 $126.59
J1885 Injection, ketorolac tromethamine, per 15 mg 1,120 1,029 $114.35
84550 32 26 $112.03
84703 179 161 $65.97
87040 482 306 $13.84
J2704 Injection, propofol, 10 mg 592 569 $9.73
J2550 Injection, promethazine hcl, up to 50 mg 211 195 $8.12
J2405 Injection, ondansetron hydrochloride, per 1 mg 1,763 1,494 $4.88
83690 1,251 1,095 $4.05
86900 649 562 $3.69
82009 31 30 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 149 142 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 159 143 $0.00
J2300 Injection, nalbuphine hydrochloride, per 10 mg 48 42 $0.00
85610 468 407 $0.00
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 139 111 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 157 146 $0.00
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 108 94 $0.00
C9113 Injection, pantoprazole sodium, per vial 16 13 $0.00
90715 13 13 $0.00
82570 14 12 $0.00
J0690 Injection, cefazolin sodium, 500 mg 394 356 $0.00
45380 Colonoscopy, flexible; with biopsy, single or multiple 13 13 $0.00
86140 154 146 $0.00
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 552 503 $0.00
96361 Intravenous infusion, hydration; each additional hour 506 453 $0.00
J1170 Injection, hydromorphone, up to 4 mg 456 368 $0.00
J2060 Injection, lorazepam, 2 mg 226 206 $0.00
71275 Computed tomographic angiography, chest, with contrast material 95 91 $0.00
83735 610 511 $0.00
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 235 189 $0.00
82550 784 677 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 234 220 $0.00
85730 264 234 $0.00
J2360 Injection, orphenadrine citrate, up to 60 mg 42 39 $0.00
96376 90 85 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 748 693 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 432 375 $0.00
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 19 18 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 26 25 $0.00
V2632 Posterior chamber intraocular lens 71 66 $0.00
85652 40 37 $0.00
94760 63 27 $0.00
80349 15 15 $0.00
86308 16 13 $0.00