Medicaid Provider Spending

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

POPLAR BLUFF REGIONAL MEDICAL CENTER LLC

NPI: 1700831724 · POPLAR BLUFF, MO 63901 · Psychiatric Hospital Unit · NPI assigned 05/24/2006

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

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

$71.58M
Total Medicaid Paid
850,270
Total Claims
704,616
Beneficiaries
244
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLALOR, PAULA (DIRECTOR/DELEGATED OFFICIAL)
NPI Enumeration Date05/24/2006

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
2018 125,318 $18.35M
2019 118,396 $17.62M
2020 108,928 $11.45M
2021 118,508 $3.44M
2022 135,464 $6.68M
2023 143,085 $7.81M
2024 100,571 $6.23M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
Y7506 21,146 16,313 $10.91M
X4011 State-specific procedure code 29,970 25,491 $7.16M
99284 Emergency department visit for the evaluation and management, high severity 36,372 33,212 $6.25M
99283 Emergency department visit for the evaluation and management, moderate severity 34,239 32,101 $4.68M
85025 Blood count; complete (CBC), automated, and automated differential WBC count 91,445 77,846 $4.21M
X4006 4,587 2,986 $3.89M
80053 Comprehensive metabolic panel 79,552 65,657 $2.81M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 10,970 9,689 $2.55M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 5,166 4,541 $1.48M
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 24,257 20,269 $1.37M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 12,257 11,094 $1.24M
G0378 Hospital observation service, per hour 1,922 1,441 $1.19M
D7999 387 346 $1.14M
71045 Radiologic examination, chest; single view 25,252 21,526 $1.13M
81001 24,229 20,348 $1.11M
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 24,944 19,579 $1.10M
45380 Colonoscopy, flexible; with biopsy, single or multiple 2,667 2,316 $1.08M
88305 Level IV - Surgical pathology, gross and microscopic examination 8,473 6,136 $995K
43249 1,750 1,537 $959K
81025 5,808 5,040 $912K
36415 Collection of venous blood by venipuncture 30,947 25,674 $892K
Y7507 2,186 1,241 $761K
87086 Culture, bacterial; quantitative colony count, urine 12,146 10,361 $754K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 3,485 2,721 $612K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 6,067 2,703 $581K
74177 Computed tomography, abdomen and pelvis; with contrast material 3,005 2,598 $533K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 1,395 1,222 $510K
80306 9,282 7,558 $509K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 7,952 5,380 $455K
70450 Computed tomography, head or brain; without contrast material 7,043 6,136 $447K
99282 Emergency department visit for the evaluation and management, low to moderate severity 4,497 4,255 $413K
86140 12,676 10,936 $392K
87430 6,682 6,153 $383K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 20,646 18,498 $348K
X4003 1,235 676 $314K
D2930 Prefabricated stainless steel crown - primary tooth 537 375 $297K
83735 17,872 13,784 $293K
81003 15,171 12,060 $281K
87040 5,139 3,629 $279K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 3,910 3,228 $265K
96375 Therapeutic injection; each additional sequential IV push 6,846 5,632 $257K
86756 1,898 1,761 $239K
80048 Basic metabolic panel (calcium, ionized) 2,313 2,045 $232K
85610 12,555 10,747 $226K
84484 13,296 10,507 $217K
84443 Thyroid stimulating hormone (TSH) 5,378 4,820 $211K
96361 Intravenous infusion, hydration; each additional hour 4,526 3,957 $208K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 2,819 1,458 $194K
71046 Radiologic examination, chest; 2 views 1,500 1,352 $188K
83690 9,682 8,550 $187K
99281 Emergency department visit for the evaluation and management, self-limited or minor 3,151 2,984 $182K
94664 863 735 $170K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,397 1,058 $168K
85730 8,188 6,879 $155K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 10,025 9,430 $151K
82962 7,595 4,286 $147K
97530 Therapeutic activities, direct patient contact, each 15 minutes 2,455 449 $137K
83880 6,047 5,089 $130K
82550 2,373 2,011 $115K
84439 2,320 1,968 $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 13,323 12,105 $114K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,062 1,708 $89K
83605 6,868 5,548 $84K
J3490 Unclassified drugs 25,094 14,763 $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 985 839 $74K
87076 192 173 $71K
00170 Anesthesia for intraoral procedures, including biopsy 29 27 $70K
71250 1,888 1,664 $69K
74176 Computed tomography, abdomen and pelvis; without contrast material 565 497 $66K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 537 479 $64K
84702 653 470 $60K
11043 429 229 $60K
87807 4,545 4,280 $59K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 29 15 $58K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 741 657 $56K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 799 702 $56K
73562 1,814 1,574 $52K
99156 1,105 1,047 $47K
87186 2,395 1,963 $45K
99157 1,079 1,022 $43K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 73 71 $42K
82553 1,098 940 $42K
82150 2,685 2,426 $42K
D7140 Extraction, erupted tooth or exposed root 173 117 $41K
94726 437 397 $41K
0000000 672 299 $38K
J7042 5% dextrose/normal saline (500 ml = 1 unit) 317 222 $33K
82784 2,148 1,954 $33K
83516 1,361 1,222 $33K
87077 1,360 1,182 $33K
80061 Lipid panel 2,769 2,579 $29K
81000 3,557 3,377 $28K
17250 411 219 $26K
87428 425 415 $24K
78815 Positron emission tomography (PET) for limited area imaging 39 37 $24K
87081 3,321 3,140 $24K
58558 18 12 $23K
83036 Hemoglobin; glycosylated (A1C) 1,657 1,564 $21K
95819 70 66 $21K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 66 12 $20K
91110 32 26 $19K
73110 470 353 $19K
94010 279 251 $18K
85651 1,644 1,451 $18K
D2390 46 30 $17K
88312 535 457 $16K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 188 162 $16K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 442 374 $16K
84145 1,490 1,268 $15K
94060 115 108 $14K
86803 204 170 $14K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 444 393 $14K
83655 1,244 1,191 $13K
94729 355 322 $13K
72114 219 193 $13K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 25 25 $13K
85379 710 612 $12K
82077 1,239 1,068 $12K
72125 Computed tomography, cervical spine; without contrast material 218 190 $11K
86787 174 141 $11K
62323 46 39 $10K
72110 131 118 $9K
88304 192 156 $9K
73030 401 354 $8K
76705 Ultrasound, abdominal, real time with image documentation; limited 186 160 $8K
74018 104 86 $8K
87280 539 505 $7K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 28 26 $7K
87641 246 207 $7K
86364 844 768 $7K
76830 Ultrasound, transvaginal 73 71 $6K
84703 278 255 $6K
82248 210 85 $6K
82247 209 84 $6K
99460 88 88 $6K
87581 163 159 $5K
87486 163 159 $5K
76700 Ultrasound, abdominal, real time with image documentation; complete 68 67 $5K
71260 Computed tomography, thorax, diagnostic; with contrast material 71 69 $5K
82105 407 357 $5K
81596 85 75 $5K
77336 101 41 $4K
80305 483 395 $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 338 326 $4K
84100 249 213 $4K
11045 701 322 $4K
80081 29 26 $4K
78226 12 12 $4K
83550 412 376 $3K
87070 1,146 916 $3K
83540 546 497 $3K
82728 354 316 $3K
00813 468 344 $3K
97597 67 51 $3K
80074 70 64 $3K
78264 14 12 $3K
99238 Hospital discharge day management, 30 minutes or less 51 51 $2K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 184 160 $2K
82803 171 115 $2K
J7030 Infusion, normal saline solution , 1000 cc 2,170 1,773 $2K
73502 71 63 $2K
73130 79 64 $2K
87205 1,201 880 $2K
71275 Computed tomographic angiography, chest, with contrast material 16 13 $2K
82607 205 187 $2K
82746 203 185 $2K
86235 98 87 $2K
73610 65 57 $2K
96417 257 186 $2K
96523 60 43 $1K
72141 18 16 $1K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 522 439 $1K
20610 19 12 $1K
93923 38 25 $1K
70486 12 12 $1K
82378 149 104 $1K
86003 165 101 $1K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 41 41 $950.55
81002 268 262 $932.10
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 18 12 $859.92
82950 55 54 $845.15
72131 13 13 $845.08
72052 12 12 $756.84
87075 231 183 $752.39
82104 57 51 $598.10
86255 71 63 $546.87
86008 35 33 $539.28
86038 71 64 $535.12
J2405 Injection, ondansetron hydrochloride, per 1 mg 1,076 793 $527.13
84466 57 51 $519.44
87522 Neg quan hep c or qual rna 13 12 $505.90
87400 15 12 $467.07
72100 35 31 $458.31
36591 156 80 $453.90
82390 57 51 $444.54
96415 25 12 $420.54
36600 98 64 $370.19
85018 28 28 $364.97
85014 28 28 $364.97
C1726 Catheter, balloon dilatation, non-vascular 403 308 $266.43
84134 77 64 $242.93
J7120 Ringers lactate infusion, up to 1000 cc 2,205 1,979 $205.92
86225 25 24 $204.69
85044 13 12 $157.42
73630 14 13 $148.07
86161 12 12 $144.48
J1885 Injection, ketorolac tromethamine, per 15 mg 189 163 $143.39
85027 42 40 $139.18
80143 12 12 $133.07
80179 12 12 $133.07
99152 342 256 $132.09
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 534 291 $131.68
84133 13 12 $84.00
85652 56 49 $79.81
20552 20 12 $68.94
80069 15 13 $62.15
80076 17 12 $60.70
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 14 12 $47.20
86901 13 12 $43.85
99153 Mod sedat endo service >5yrs 62 45 $36.16
83615 13 12 $26.09
J0696 Injection, ceftriaxone sodium, per 250 mg 174 154 $11.84
J2270 Injection, morphine sulfate, up to 10 mg 85 67 $6.36
J2550 Injection, promethazine hcl, up to 50 mg 60 47 $5.44
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 12 12 $0.42
J2704 Injection, propofol, 10 mg 2,937 2,660 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 350 278 $0.00
96377 77 53 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 494 267 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 2,438 1,187 $0.00
J7050 Infusion, normal saline solution, 250 cc 270 152 $0.00
C1889 Implantable/insertable device, not otherwise classified 198 159 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 350 285 $0.00
J1010 Injection, methylprednisolone acetate, 1 mg 14 14 $0.00
J2360 Injection, orphenadrine citrate, up to 60 mg 18 12 $0.00
80050 General health panel 18 18 $0.00
J1020 Injection, methylprednisolone acetate, 20 mg 285 170 $0.00
G1002 Clinical decision support mechanism medcurrent, as defined by the medicare appropriate use criteria program 76 73 $0.00
00731 66 60 $0.00
J1644 Injection, heparin sodium, per 1000 units 32 25 $0.00
J2916 Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg 25 12 $0.00
81401 19 12 $0.00
C9113 Injection, pantoprazole sodium, per vial 18 12 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 60 28 $0.00