Clinic
Oro Valley Hospital LLC
Oro Valley Hospital LLC was paid $2.45M by Medicaid between Jun 2018 and Dec 2024, across 46 billing codes. Its largest line is 99283, emergency room visit (moderate) — 51% of everything it billed.
33Billing provider infoORO VALLEY HOSPITAL LLC
TUCSON, AZ 85742
TUCSON, AZ 85742
33aNPI1750889820assigned 01/24/2018
33bProvider typeEmergency Care Clinic/Center
28Total paid$2.45M
24GClaims57,325
24DCodes billed46
24AFirst – last monthJun 2018 – Dec 2024
Compared with peers
Next to other Emergency Care Clinic/Center providers in Arizona
Rank by total paid#14 of 28
Median peer was paid$2.32M
This provider vs. median1.1×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,620 | $156K | |
| 2019 | 8,032 | $341K | |
| 2020 | 7,656 | $316K | |
| 2021 | 14,966 | $674K | |
| 2022 | 12,639 | $559K | |
| 2023 | 6,051 | $224K | |
| 2024incomplete | 4,361 | $177K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 51% | 8,305 | 7,879 | $1.24M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 22% | 3,919 | 3,653 | $539K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 12% | 600 | 572 | $282K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 6.9% | 578 | 553 | $169K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 6.5% | 2,137 | 2,042 | $158K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | 1.2% | 73 | 71 | $29K |
| 70450 | Computed tomography, head or brain; without contrast material | 1.0% | 77 | 75 | $25K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 186 | 150 | $3K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 17 | 14 | $772.15 |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 2,169 | 1,984 | $623.57 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,291 | 1,260 | $461.58 |
| 84484 | <1% | 948 | 828 | $433.43 |
34 more codes
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 1,610 | $123.74 |
| 80053 | Comprehensive metabolic panel | <1% | 3,242 | $85.98 |
| 96360 | Intravenous infusion, hydration; initial, 31 minutes to 1 hour | <1% | 240 | $51.30 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 4,177 | $6.75 |
| 81001 | <1% | 1,511 | $6.74 | |
| 81003 | <1% | 1,071 | $1.96 | |
| 71045 | Radiologic examination, chest; single view | 0% | 1,258 | $0.00 |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 0% | 2,554 | $0.00 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 2,131 | $0.00 |
| 87086 | Culture, bacterial; quantitative colony count, urine | 0% | 676 | $0.00 |
| 83690 | 0% | 1,708 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 1,476 | $0.00 |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 0% | 52 | $0.00 |
| 96375 | Therapeutic injection; each additional sequential IV push | 0% | 1,666 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 519 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 4,506 | $0.00 |
| 80048 | Basic metabolic panel (calcium, ionized) | 0% | 730 | $0.00 |
| 82150 | 0% | 13 | $0.00 | |
| 84703 | 0% | 1,106 | $0.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 158 | $0.00 |
| 83735 | 0% | 15 | $0.00 | |
| 85027 | 0% | 12 | $0.00 | |
| 87807 | 0% | 17 | $0.00 | |
| 85379 | 0% | 24 | $0.00 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | 0% | 1,276 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 673 | $0.00 |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 0% | 2,032 | $0.00 |
| 81025 | 0% | 619 | $0.00 | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 0% | 1,024 | $0.00 |
| 71046 | Radiologic examination, chest; 2 views | 0% | 384 | $0.00 |
| J2270 | Injection, morphine sulfate, up to 10 mg | 0% | 126 | $0.00 |
| J1200 | Injection, diphenhydramine hcl, up to 50 mg | 0% | 39 | $0.00 |
| J7030 | Infusion, normal saline solution , 1000 cc | 0% | 354 | $0.00 |
| 73130 | 0% | 26 | $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)
Parent organizationORO VALLEY HOSPITAL LLC
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.