NAVARRO HOSPITAL LP

NPI: 1730635202 · CORSICANA, TX 75110 · Rural Health Clinic/Center · NPI assigned 08/25/2016

Billing Flags · Automated signals — not evidence of fraud

Single-Code Concentration

99% of spending on code T1015 with only 2 total codes billed. Highly concentrated billing profile.

Entity Proliferation

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

$4.21M

Total Medicaid Paid

11,837

Total Claims

10,791

Beneficiaries

Codes Billed

2020-11

First Month

2024-12

Last Month

Provider Details

Authorized Official	LALOR, PAULA (SR. DIRECTOR)
NPI Enumeration Date	08/25/2016

Other providers sharing the same authorized official: LALOR, PAULA

Provider	City	State	Total 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

Code	Description	Claims	Beneficiaries	Total Paid
T1015	Clinic visit/encounter, all-inclusive	11,494	10,462	$4.18M
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	343	329	$26K