Medicaid Provider Spending

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

KNOX HOSPITAL COMPANY LLC

NPI: 1679948319 · KNOX, IN 46534 · Rural Acute Care Hospital · NPI assigned 12/07/2015

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

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

$4.90M
Total Medicaid Paid
131,852
Total Claims
98,629
Beneficiaries
84
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLALOR, PAULA (DIRECTOR/DELEGATED OFFICIAL)
NPI Enumeration Date12/07/2015

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 25,502 $254K
2019 20,344 $509K
2020 11,687 $357K
2021 16,250 $754K
2022 23,628 $1.14M
2023 22,858 $1.13M
2024 11,583 $750K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 14,493 11,837 $2.16M
99284 Emergency department visit for the evaluation and management, high severity 8,241 6,241 $1.12M
71045 Radiologic examination, chest; single view 3,989 2,934 $377K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,287 1,657 $230K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 3,376 2,449 $150K
99282 Emergency department visit for the evaluation and management, low to moderate severity 883 763 $124K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,822 1,391 $104K
74177 Computed tomography, abdomen and pelvis; with contrast material 340 241 $69K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2,859 2,246 $67K
80053 Comprehensive metabolic panel 13,160 9,754 $64K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 16,235 11,817 $55K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 561 144 $52K
71046 Radiologic examination, chest; 2 views 366 303 $37K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,586 1,270 $32K
36415 Collection of venous blood by venipuncture 19,926 14,831 $30K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 2,702 2,076 $22K
80050 General health panel 168 152 $15K
96375 Therapeutic injection; each additional sequential IV push 2,415 1,857 $14K
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 213 196 $14K
96361 Intravenous infusion, hydration; each additional hour 1,640 1,225 $13K
70450 Computed tomography, head or brain; without contrast material 248 186 $13K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 617 478 $11K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 541 433 $10K
84484 2,207 1,347 $9K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 42 36 $9K
80061 Lipid panel 1,398 1,117 $9K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 381 267 $7K
85730 2,676 1,920 $7K
81001 3,485 2,660 $6K
83735 2,277 1,737 $6K
85610 2,819 2,007 $5K
84443 Thyroid stimulating hormone (TSH) 559 449 $5K
83690 1,860 1,387 $5K
80048 Basic metabolic panel (calcium, ionized) 2,033 1,533 $4K
83036 Hemoglobin; glycosylated (A1C) 964 768 $4K
82150 1,304 964 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 772 620 $3K
83605 743 503 $3K
87430 180 133 $3K
88305 Level IV - Surgical pathology, gross and microscopic examination 66 33 $2K
83880 136 103 $2K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 701 557 $2K
87040 667 280 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 382 252 $2K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 128 107 $2K
81025 296 245 $2K
84439 209 163 $1K
87400 76 47 $1K
81003 1,764 1,158 $1K
82550 593 400 $1K
87807 73 66 $737.53
87086 Culture, bacterial; quantitative colony count, urine 136 101 $575.60
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 15 12 $564.22
85027 120 105 $454.72
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 16 13 $421.08
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 16 13 $421.08
85379 68 50 $399.14
82553 341 209 $383.36
82607 33 27 $285.61
84481 20 16 $231.48
86800 20 16 $218.09
84432 19 15 $203.98
86376 20 16 $200.41
86803 17 14 $185.51
84482 18 14 $184.62
82077 21 13 $138.16
82728 17 13 $110.50
81000 80 44 $57.12
80069 17 12 $43.03
85007 24 19 $26.38
J2250 Injection, midazolam hydrochloride, per 1 mg 383 281 $3.94
J3010 Injection, fentanyl citrate, 0.1 mg 400 319 $3.83
J2270 Injection, morphine sulfate, up to 10 mg 177 127 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 194 160 $0.00
J7030 Infusion, normal saline solution , 1000 cc 421 309 $0.00
J2405 Injection, ondansetron hydrochloride, per 1 mg 293 205 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 44 21 $0.00
C9113 Injection, pantoprazole sodium, per vial 90 77 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 856 649 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 71 63 $0.00
J2360 Injection, orphenadrine citrate, up to 60 mg 42 24 $0.00
J2704 Injection, propofol, 10 mg 327 268 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 47 38 $0.00
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 30 26 $0.00