Medicaid Provider Spending

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

ATHENS REGIONAL MEDICAL CENTER LLC

NPI: 1669567319 · ATHENS, TN 37303 · General Acute Care Hospital · NPI assigned 10/04/2006

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

Authorized official LAWRENCE, CHARLOTTE controls 20+ related entities in our dataset. Read more

$12.22M
Total Medicaid Paid
346,597
Total Claims
278,800
Beneficiaries
108
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLAWRENCE, CHARLOTTE (SECRETARY)
NPI Enumeration Date10/04/2006

Related Entities

Other providers sharing the same authorized official: LAWRENCE, CHARLOTTE

ProviderCityStateTotal Paid
LAKE CUMBERLAND REGIONAL HOSPITAL LLC SOMERSET KY $77.77M
DANVILLE REGIONAL MEDICAL CENTER, LLC DANVILLE VA $65.11M
PHC-LAS CRUCES INC LAS CRUCES NM $64.77M
GEORGETOWN COMMUNITY HOSPITAL LLC GEORGETOWN KY $44.03M
PINELAKE REGIONAL HOSPITAL LLC MAYFIELD KY $43.34M
RALEIGH GENERAL HOSPITAL LLC BECKLEY WV $36.44M
LOURDES HOSPITAL LLC PASCO WA $33.94M
RCHP-SIERRA VISTA INC SIERRA VISTA AZ $29.77M
CLINCH VALLEY MEDICAL CENTER INC. RICHLANDS VA $26.28M
SPRING VIEW HOSPITAL LLC LEBANON KY $23.35M
HAVASU REGIONAL MEDICAL CENTER LLC LAKE HAVASU CITY AZ $23.19M
LAS CRUCES PHYSICIAN PRACTICES, LLC LAS CRUCES NM $22.78M
MEADOWVIEW REGIONAL MEDICAL CENTER LLC MAYSVILLE KY $22.57M
LOURDES HOSPITAL LLC RICHLAND WA $22.38M
DANVILLE REGIONAL MEDICAL CENTER LLC MARTINSVILLE VA $21.09M
PHC-FORT MOHAVE INC FORT MOHAVE AZ $19.95M
WYTHE COUNTY COMMUNITY HOSPITAL LLC WYTHEVILLE VA $18.30M
DLP CONEMAUGH MEMORIAL MEDICAL CENTER LLC JOHNSTOWN PA $18.22M
BOURBON COMMUNITY HOSPITAL LLC PARIS KY $18.14M
WILLAMETTE VALLEY MEDICAL CENTER LLC MCMINNVILLE OR $17.29M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 55,509 $1.99M
2019 58,186 $2.06M
2020 48,460 $1.53M
2021 49,539 $1.70M
2022 52,488 $1.82M
2023 51,231 $1.78M
2024 31,184 $1.34M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 41,608 35,926 $3.17M
99284 Emergency department visit for the evaluation and management, high severity 31,883 25,675 $2.81M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 12,787 10,794 $836K
96361 Intravenous infusion, hydration; each additional hour 7,640 6,263 $801K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 5,302 4,157 $568K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 13,006 10,018 $447K
99282 Emergency department visit for the evaluation and management, low to moderate severity 6,904 6,236 $426K
99281 Emergency department visit for the evaluation and management, self-limited or minor 5,161 4,651 $309K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 9,639 8,238 $260K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 40,058 29,988 $232K
96375 Therapeutic injection; each additional sequential IV push 7,354 6,012 $224K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2,781 2,279 $219K
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 4,147 2,972 $158K
70450 Computed tomography, head or brain; without contrast material 3,101 2,438 $147K
80053 Comprehensive metabolic panel 23,730 18,197 $117K
0240U 1,489 1,274 $113K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 2,581 903 $113K
84484 7,723 5,418 $110K
74176 Computed tomography, abdomen and pelvis; without contrast material 2,129 1,679 $109K
59025 Fetal non-stress test 1,289 992 $104K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 6,374 5,248 $102K
71045 Radiologic examination, chest; single view 8,285 6,458 $89K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 6,808 5,285 $60K
G0378 Hospital observation service, per hour 410 312 $50K
U0005 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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 3,177 2,722 $50K
71046 Radiologic examination, chest; 2 views 2,717 2,310 $49K
J2405 Injection, ondansetron hydrochloride, per 1 mg 3,507 2,977 $46K
74177 Computed tomography, abdomen and pelvis; with contrast material 445 351 $45K
87430 3,536 3,283 $40K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 346 326 $39K
95810 Polysomnography; sleep staging with 4 or more additional parameters 170 141 $35K
80048 Basic metabolic panel (calcium, ionized) 9,221 7,189 $35K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 353 310 $35K
81001 23,874 19,322 $33K
83690 5,197 4,137 $33K
95811 147 116 $22K
81025 3,792 3,284 $18K
87081 2,372 2,207 $17K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 728 627 $16K
87086 Culture, bacterial; quantitative colony count, urine 2,170 1,696 $15K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 215 76 $12K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 172 135 $9K
97597 237 97 $9K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 277 67 $8K
36415 Collection of venous blood by venipuncture 3,490 2,454 $8K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 486 391 $6K
85018 815 798 $5K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,362 1,143 $5K
36416 722 683 $4K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 123 104 $4K
83880 407 307 $4K
83655 102 101 $4K
83605 540 375 $3K
82150 592 455 $3K
96367 27 12 $3K
J0696 Injection, ceftriaxone sodium, per 250 mg 3,053 2,618 $3K
87040 280 165 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,262 1,140 $2K
85730 652 502 $2K
87186 224 193 $2K
J7030 Infusion, normal saline solution , 1000 cc 7,590 6,271 $2K
87807 111 106 $1K
85610 711 553 $1K
82728 248 208 $1K
97530 Therapeutic activities, direct patient contact, each 15 minutes 26 12 $1K
83550 273 230 $964.29
87077 224 193 $916.82
J1885 Injection, ketorolac tromethamine, per 15 mg 4,666 4,020 $862.47
82077 27 24 $717.55
83540 273 230 $685.48
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 15 14 $660.66
82550 206 153 $643.35
83735 131 87 $603.17
99232 Subsequent hospital care, per day, moderate complexity 77 15 $584.32
G0463 Hospital outpatient clinic visit for assessment and management of a patient 88 38 $570.54
84702 31 26 $555.84
85379 35 25 $380.95
83615 314 259 $375.95
J1030 Injection, methylprednisolone acetate, 40 mg 347 315 $327.00
84443 Thyroid stimulating hormone (TSH) 28 24 $325.88
86140 87 82 $316.81
99239 Hospital discharge day management, more than 30 minutes 27 17 $296.42
J1650 Injection, enoxaparin sodium, 10 mg 26 15 $294.98
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 234 214 $255.12
85652 100 94 $175.94
82962 83 28 $161.22
80061 Lipid panel 45 38 $144.22
87210 39 30 $135.34
73630 14 13 $130.71
C9113 Injection, pantoprazole sodium, per vial 13 12 $121.76
J2270 Injection, morphine sulfate, up to 10 mg 153 126 $104.59
82553 67 50 $100.26
82607 62 57 $98.50
82805 14 12 $91.01
J2175 Injection, meperidine hydrochloride, per 100 mg 70 62 $73.78
J2550 Injection, promethazine hcl, up to 50 mg 97 87 $73.11
82746 47 44 $50.85
85027 16 14 $14.84
J7120 Ringers lactate infusion, up to 1000 cc 225 159 $12.09
84439 16 12 $10.38
J2250 Injection, midazolam hydrochloride, per 1 mg 88 60 $8.96
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 184 151 $7.56
J1200 Injection, diphenhydramine hcl, up to 50 mg 12 12 $5.60
A9270 Non-covered item or service 197 185 $0.00
J2704 Injection, propofol, 10 mg 172 119 $0.00
87070 47 38 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 25 14 $0.00
85014 37 25 $0.00