Medicaid Provider Spending

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

MIDWEST REGIONAL MEDICAL CENTER, LLC

NPI: 1730128836 · MIDWEST CITY, OK 73110 · Cardiovascular Disease Physician · NPI assigned 06/05/2006

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

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

$5.30M
Total Medicaid Paid
69,508
Total Claims
67,552
Beneficiaries
62
Codes Billed
2018-01
First Month
2021-09
Last Month

Provider Details

Authorized OfficialLALOR, PAULA (DIRECTOR)
NPI Enumeration Date06/05/2006

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 23,959 $1.57M
2019 18,915 $1.45M
2020 15,138 $1.33M
2021 11,496 $941K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 9,884 9,623 $2.16M
99283 Emergency department visit for the evaluation and management, moderate severity 8,790 8,586 $1.27M
D9999 Unspecified adjunctive procedure, by report 462 462 $411K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 3,440 3,343 $407K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 768 761 $213K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,675 1,621 $127K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,489 1,480 $126K
96375 Therapeutic injection; each additional sequential IV push 2,279 2,186 $87K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1,416 1,400 $73K
80053 Comprehensive metabolic panel 6,504 6,342 $64K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,270 1,258 $57K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 6,996 6,790 $52K
96361 Intravenous infusion, hydration; each additional hour 1,307 1,272 $50K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,641 1,632 $34K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 299 194 $30K
71045 Radiologic examination, chest; single view 1,604 1,590 $17K
87400 1,321 1,315 $16K
81001 4,914 4,763 $16K
71046 Radiologic examination, chest; 2 views 837 829 $13K
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 101 101 $10K
85027 1,111 1,071 $7K
36415 Collection of venous blood by venipuncture 2,806 2,613 $6K
80055 131 131 $6K
84443 Thyroid stimulating hormone (TSH) 359 358 $6K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 373 372 $5K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 63 63 $5K
83690 571 551 $4K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 120 120 $3K
80061 Lipid panel 212 212 $3K
84703 374 368 $3K
87081 306 305 $2K
87086 Culture, bacterial; quantitative colony count, urine 217 216 $2K
84439 209 209 $2K
70450 Computed tomography, head or brain; without contrast material 45 45 $2K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 12 12 $2K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 50 49 $2K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 227 220 $2K
97597 85 51 $919.78
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 14 14 $718.34
83735 106 103 $643.94
82247 124 76 $590.98
J2405 Injection, ondansetron hydrochloride, per 1 mg 1,366 1,320 $580.35
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 29 28 $450.94
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13 12 $437.43
84484 26 25 $433.25
83880 12 12 $420.20
J3010 Injection, fentanyl citrate, 0.1 mg 403 403 $316.33
J2274 Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg 13 13 $148.24
G0463 Hospital outpatient clinic visit for assessment and management of a patient 18 12 $87.12
82950 16 16 $77.12
J1170 Injection, hydromorphone, up to 4 mg 513 463 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 12 12 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 392 392 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 530 529 $0.00
J2175 Injection, meperidine hydrochloride, per 100 mg 214 214 $0.00
36416 18 15 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 443 443 $0.00
J7030 Infusion, normal saline solution , 1000 cc 784 756 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 152 141 $0.00
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 12 12 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 12 12 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 18 15 $0.00