Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MO › Poplar Bluff › NPI 1700831724
Hospital

Poplar Bluff Regional Medical Center LLC

Poplar Bluff Regional Medical Center LLC was paid $71.58M by Medicaid between Jan 2018 and Dec 2024, across 244 billing codes. Its largest line is Y7506, — 15% of everything it billed.

33Billing provider infoPOPLAR BLUFF REGIONAL MEDICAL CENTER LLC
POPLAR BLUFF, MO 63901
33aNPI1700831724assigned 05/24/2006
28Total paid$71.58M
24GClaims850,270
24DCodes billed244
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Psychiatric Hospital Unit providers in Missouri

Rank by total paid#1 of 9
Median peer was paid$8.82M
This provider vs. median8.1×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official LALOR, PAULA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$1.0M$2.0M2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018125,318$18.35M
2019118,396$17.62M
2020108,928$11.45M
2021118,508$3.44M
2022135,464$6.68M
2023143,085$7.81M
2024incomplete100,571$6.23M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
Y7506 15% 21,146 16,313 $10.91M
X4011 State-specific procedure code 10% 29,970 25,491 $7.16M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 8.7% 36,372 33,212 $6.25M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 6.5% 34,239 32,101 $4.68M
85025 Blood count; complete (CBC), automated, and automated differential WBC count 5.9% 91,445 77,846 $4.21M
X4006 5.4% 4,587 2,986 $3.89M
80053 Comprehensive metabolic panel 3.9% 79,552 65,657 $2.81M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 3.6% 10,970 9,689 $2.55M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2.1% 5,166 4,541 $1.48M
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1.9% 24,257 20,269 $1.37M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1.7% 12,257 11,094 $1.24M
G0378 Hospital observation service, per hour 1.7% 1,922 1,441 $1.19M
232 more codes
D7999 1.6% 387 $1.14M
71045 Radiologic examination, chest; single view 1.6% 25,252 $1.13M
81001 1.6% 24,229 $1.11M
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1.5% 24,944 $1.10M
45380 Colonoscopy, flexible; with biopsy, single or multiple 1.5% 2,667 $1.08M
88305 Level IV - Surgical pathology, gross and microscopic examination 1.4% 8,473 $995K
43249 1.3% 1,750 $959K
81025 1.3% 5,808 $912K
36415 Collection of venous blood by venipuncture 1.2% 30,947 $892K
Y7507 1.1% 2,186 $761K
87086 Culture, bacterial; quantitative colony count, urine 1.1% 12,146 $754K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 3,485 $612K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 6,067 $581K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 3,005 $533K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 1,395 $510K
80306 <1% 9,282 $509K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 7,952 $455K
70450 Computed tomography, head or brain; without contrast material <1% 7,043 $447K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 4,497 $413K
86140 <1% 12,676 $392K
87430 <1% 6,682 $383K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 20,646 $348K
X4003 <1% 1,235 $314K
D2930 Prefabricated stainless steel crown - primary tooth <1% 537 $297K
83735 <1% 17,872 $293K
81003 <1% 15,171 $281K
87040 <1% 5,139 $279K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 3,910 $265K
96375 Therapeutic injection; each additional sequential IV push <1% 6,846 $257K
86756 <1% 1,898 $239K
80048 Basic metabolic panel (calcium, ionized) <1% 2,313 $232K
85610 <1% 12,555 $226K
84484 <1% 13,296 $217K
84443 Thyroid stimulating hormone (TSH) <1% 5,378 $211K
96361 Intravenous infusion, hydration; each additional hour <1% 4,526 $208K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 2,819 $194K
71046 Radiologic examination, chest; 2 views <1% 1,500 $188K
83690 <1% 9,682 $187K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 3,151 $182K
94664 <1% 863 $170K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 1,397 $168K
85730 <1% 8,188 $155K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 10,025 $151K
82962 <1% 7,595 $147K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 2,455 $137K
83880 <1% 6,047 $130K
82550 <1% 2,373 $115K
84439 <1% 2,320 $114K
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% 13,323 $114K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 2,062 $89K
83605 <1% 6,868 $84K
J3490 Unclassified drugs <1% 25,094 $79K
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 <1% 985 $74K
87076 <1% 192 $71K
00170 Anesthesia for intraoral procedures, including biopsy <1% 29 $70K
71250 <1% 1,888 $69K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 565 $66K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 537 $64K
84702 <1% 653 $60K
11043 <1% 429 $60K
87807 <1% 4,545 $59K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 29 $58K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 741 $56K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 799 $56K
73562 <1% 1,814 $52K
99156 <1% 1,105 $47K
87186 <1% 2,395 $45K
99157 <1% 1,079 $43K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 73 $42K
82553 <1% 1,098 $42K
82150 <1% 2,685 $42K
D7140 Extraction, erupted tooth or exposed root <1% 173 $41K
94726 <1% 437 $41K
0000000 <1% 672 $38K
J7042 5% dextrose/normal saline (500 ml = 1 unit) <1% 317 $33K
82784 <1% 2,148 $33K
83516 <1% 1,361 $33K
87077 <1% 1,360 $33K
80061 Lipid panel <1% 2,769 $29K
81000 <1% 3,557 $28K
17250 <1% 411 $26K
87428 <1% 425 $24K
78815 Positron emission tomography (PET) for limited area imaging <1% 39 $24K
87081 <1% 3,321 $24K
58558 <1% 18 $23K
83036 Hemoglobin; glycosylated (A1C) <1% 1,657 $21K
95819 <1% 70 $21K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 66 $20K
91110 <1% 32 $19K
73110 <1% 470 $19K
94010 <1% 279 $18K
85651 <1% 1,644 $18K
D2390 <1% 46 $17K
88312 <1% 535 $16K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 188 $16K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 442 $16K
84145 <1% 1,490 $15K
94060 <1% 115 $14K
86803 <1% 204 $14K
99213 Doctor's office visit, returning patient (routine) <1% 444 $14K
83655 <1% 1,244 $13K
94729 <1% 355 $13K
72114 <1% 219 $13K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) <1% 25 $13K
85379 <1% 710 $12K
82077 <1% 1,239 $12K
72125 Computed tomography, cervical spine; without contrast material <1% 218 $11K
86787 <1% 174 $11K
62323 <1% 46 $10K
72110 <1% 131 $9K
88304 <1% 192 $9K
73030 <1% 401 $8K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 186 $8K
74018 <1% 104 $8K
87280 <1% 539 $7K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 28 $7K
87641 <1% 246 $7K
86364 <1% 844 $7K
76830 Ultrasound, transvaginal <1% 73 $6K
84703 <1% 278 $6K
82248 <1% 210 $6K
82247 <1% 209 $6K
99460 <1% 88 $6K
87581 <1% 163 $5K
87486 <1% 163 $5K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 68 $5K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 71 $5K
82105 <1% 407 $5K
81596 <1% 85 $5K
77336 <1% 101 $4K
80305 <1% 483 $4K
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 <1% 338 $4K
84100 <1% 249 $4K
11045 <1% 701 $4K
80081 <1% 29 $4K
78226 <1% 12 $4K
83550 <1% 412 $3K
87070 <1% 1,146 $3K
83540 <1% 546 $3K
82728 <1% 354 $3K
00813 <1% 468 $3K
97597 <1% 67 $3K
80074 <1% 70 $3K
78264 <1% 14 $3K
99238 Hospital discharge day management, 30 minutes or less <1% 51 $2K
99214 Doctor's office visit, returning patient (more involved) <1% 184 $2K
82803 <1% 171 $2K
J7030 Infusion, normal saline solution , 1000 cc <1% 2,170 $2K
73502 <1% 71 $2K
73130 <1% 79 $2K
87205 <1% 1,201 $2K
71275 Computed tomographic angiography, chest, with contrast material <1% 16 $2K
82607 <1% 205 $2K
82746 <1% 203 $2K
86235 <1% 98 $2K
73610 <1% 65 $2K
96417 <1% 257 $2K
96523 <1% 60 $1K
72141 <1% 18 $1K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 522 $1K
20610 <1% 19 $1K
93923 <1% 38 $1K
70486 <1% 12 $1K
82378 <1% 149 $1K
86003 <1% 165 $1K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 41 $950.55
81002 <1% 268 $932.10
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 18 $859.92
82950 <1% 55 $845.15
72131 <1% 13 $845.08
72052 <1% 12 $756.84
87075 <1% 231 $752.39
82104 <1% 57 $598.10
86255 <1% 71 $546.87
86008 <1% 35 $539.28
86038 <1% 71 $535.12
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 1,076 $527.13
84466 <1% 57 $519.44
87522 Neg quan hep c or qual rna <1% 13 $505.90
87400 <1% 15 $467.07
72100 <1% 35 $458.31
36591 <1% 156 $453.90
82390 <1% 57 $444.54
96415 <1% 25 $420.54
36600 <1% 98 $370.19
85018 <1% 28 $364.97
85014 <1% 28 $364.97
C1726 Catheter, balloon dilatation, non-vascular <1% 403 $266.43
84134 <1% 77 $242.93
J7120 Ringers lactate infusion, up to 1000 cc <1% 2,205 $205.92
86225 <1% 25 $204.69
85044 <1% 13 $157.42
73630 <1% 14 $148.07
86161 <1% 12 $144.48
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 189 $143.39
85027 <1% 42 $139.18
80143 <1% 12 $133.07
80179 <1% 12 $133.07
99152 <1% 342 $132.09
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 534 $131.68
84133 <1% 13 $84.00
85652 <1% 56 $79.81
20552 <1% 20 $68.94
80069 <1% 15 $62.15
80076 <1% 17 $60.70
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 14 $47.20
86901 <1% 13 $43.85
99153 Mod sedat endo service >5yrs <1% 62 $36.16
83615 <1% 13 $26.09
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 174 $11.84
J2270 Injection, morphine sulfate, up to 10 mg <1% 85 $6.36
J2550 Injection, promethazine hcl, up to 50 mg <1% 60 $5.44
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 12 $0.42
J2704 Injection, propofol, 10 mg 0% 2,937 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 0% 350 $0.00
96377 0% 77 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 0% 494 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 0% 2,438 $0.00
J7050 Infusion, normal saline solution, 250 cc 0% 270 $0.00
C1889 Implantable/insertable device, not otherwise classified 0% 198 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 0% 350 $0.00
J1010 Injection, methylprednisolone acetate, 1 mg 0% 14 $0.00
J2360 Injection, orphenadrine citrate, up to 60 mg 0% 18 $0.00
80050 General health panel 0% 18 $0.00
J1020 Injection, methylprednisolone acetate, 20 mg 0% 285 $0.00
G1002 Clinical decision support mechanism medcurrent, as defined by the medicare appropriate use criteria program 0% 76 $0.00
00731 0% 66 $0.00
J1644 Injection, heparin sodium, per 1000 units 0% 32 $0.00
J2916 Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg 0% 25 $0.00
81401 0% 19 $0.00
C9113 Injection, pantoprazole sodium, per vial 0% 18 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 0% 60 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialLALOR, PAULA (DIRECTOR/DELEGATED OFFICIAL)
Same official

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.