Medicaid Provider Spending

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

QHG OF ENTERPRISE INC

NPI: 1720039712 · ENTERPRISE, AL 36330 · General Acute Care Hospital · NPI assigned 05/13/2006

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

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

$3.94M
Total Medicaid Paid
194,033
Total Claims
170,246
Beneficiaries
72
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLALOR, PAULA (DIRECTOR/DELEGATED OFFICIAL)
NPI Enumeration Date05/13/2006

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 31,179 $559K
2019 36,434 $583K
2020 19,652 $321K
2021 24,098 $453K
2022 33,375 $673K
2023 31,595 $814K
2024 17,700 $536K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 32,730 29,137 $1.23M
99284 Emergency department visit for the evaluation and management, high severity 14,709 12,835 $869K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 14,985 13,584 $220K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 945 840 $182K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 13,529 12,250 $157K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 4,982 4,577 $128K
80053 Comprehensive metabolic panel 13,031 11,271 $122K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 15,718 13,601 $119K
99281 Emergency department visit for the evaluation and management, self-limited or minor 3,124 2,742 $119K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3,089 2,796 $118K
87081 11,351 10,327 $105K
81001 19,415 16,743 $69K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,369 1,225 $57K
70450 Computed tomography, head or brain; without contrast material 709 605 $51K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 243 178 $48K
74177 Computed tomography, abdomen and pelvis; with contrast material 313 272 $44K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2,489 2,368 $41K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 3,709 3,027 $31K
59025 Fetal non-stress test 4,971 3,901 $24K
87420 1,259 1,144 $20K
87086 Culture, bacterial; quantitative colony count, urine 2,006 1,686 $20K
81025 6,019 5,413 $19K
71046 Radiologic examination, chest; 2 views 1,766 1,575 $17K
83735 2,601 2,273 $15K
71045 Radiologic examination, chest; single view 2,954 2,594 $15K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 234 204 $14K
84484 1,945 1,503 $12K
42820 Tonsillectomy and adenoidectomy; younger than age 12 26 25 $11K
82553 844 714 $8K
83690 1,173 1,045 $7K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,049 506 $6K
82550 888 756 $5K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 226 208 $5K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 169 148 $4K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 78 78 $3K
J1885 Injection, ketorolac tromethamine, per 15 mg 3,147 2,781 $3K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 307 262 $3K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 167 51 $3K
J0696 Injection, ceftriaxone sodium, per 250 mg 1,517 1,331 $2K
80048 Basic metabolic panel (calcium, ionized) 296 252 $2K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 24 24 $2K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 73 66 $1K
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 50 33 $1K
81003 311 280 $1K
84443 Thyroid stimulating hormone (TSH) 39 38 $706.42
87340 60 53 $684.90
80061 Lipid panel 44 41 $680.55
J2405 Injection, ondansetron hydrochloride, per 1 mg 2,309 2,016 $602.43
76819 Fetal biophysical profile; without non-stress testing 18 12 $569.66
86592 78 71 $387.84
76801 14 12 $377.44
86762 18 16 $306.74
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 32 31 $278.38
J1100 Injection, dexamethasone sodium phosphate, 1 mg 349 292 $248.08
84702 14 13 $206.28
86850 38 31 $183.30
84550 43 31 $174.72
87186 36 26 $171.87
83615 42 30 $168.00
87077 37 27 $152.66
84439 12 12 $121.08
84156 40 30 $107.76
81002 28 25 $86.71
86900 38 31 $85.54
86901 34 29 $81.50
82570 23 17 $80.64
87210 14 13 $72.60
J1170 Injection, hydromorphone, up to 4 mg 19 15 $51.25
85027 12 12 $16.11
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 60 54 $0.00
82962 29 25 $0.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13 12 $0.00