Medicaid Provider Spending

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

VENICE HMA LLC

NPI: 1760427157 · VENICE, FL 34285 · General Acute Care Hospital · NPI assigned 06/18/2006

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

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

$1.20M
Total Medicaid Paid
93,387
Total Claims
65,716
Beneficiaries
101
Codes Billed
2018-01
First Month
2022-09
Last Month

Provider Details

Authorized OfficialLALOR, PAULA (DIRECTRO/DELEGATED OFFICIAL)
NPI Enumeration Date06/18/2006

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 13,134 $117K
2019 27,245 $367K
2020 19,012 $237K
2021 24,774 $334K
2022 9,222 $150K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 3,955 3,236 $146K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,809 1,409 $128K
36415 Collection of venous blood by venipuncture 6,625 4,164 $113K
99284 Emergency department visit for the evaluation and management, high severity 4,002 3,003 $113K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1,196 1,001 $72K
96361 Intravenous infusion, hydration; each additional hour 1,679 1,238 $61K
70450 Computed tomography, head or brain; without contrast material 1,769 1,245 $58K
74177 Computed tomography, abdomen and pelvis; with contrast material 852 691 $56K
99282 Emergency department visit for the evaluation and management, low to moderate severity 843 739 $50K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,005 1,531 $50K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1,326 259 $46K
80048 Basic metabolic panel (calcium, ionized) 6,425 4,041 $38K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,094 854 $32K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 7,337 4,816 $18K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 745 414 $16K
87077 1,212 913 $13K
J7030 Infusion, normal saline solution , 1000 cc 2,146 1,252 $12K
84484 2,275 1,246 $12K
87070 851 665 $11K
G0378 Hospital observation service, per hour 1,066 598 $9K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 3,548 2,534 $8K
71046 Radiologic examination, chest; 2 views 598 506 $8K
71045 Radiologic examination, chest; single view 2,392 1,785 $8K
80076 1,406 1,062 $8K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 1,422 1,102 $7K
86885 130 84 $7K
87400 295 267 $7K
J2250 Injection, midazolam hydrochloride, per 1 mg 923 728 $6K
J0696 Injection, ceftriaxone sodium, per 250 mg 245 138 $6K
J3010 Injection, fentanyl citrate, 0.1 mg 1,028 798 $6K
82962 1,136 474 $5K
87086 Culture, bacterial; quantitative colony count, urine 2,084 1,655 $5K
81001 3,160 2,492 $5K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,241 1,003 $4K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 272 203 $4K
J2405 Injection, ondansetron hydrochloride, per 1 mg 2,089 1,550 $4K
J2704 Injection, propofol, 10 mg 1,094 843 $4K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 508 373 $3K
85610 915 611 $3K
80053 Comprehensive metabolic panel 1,090 852 $3K
83735 2,201 1,399 $2K
0202U Oncology (prostate), multianalyte, gene expression profiling 122 115 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 121 79 $2K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 403 303 $2K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 2,696 1,987 $2K
84703 269 231 $2K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 530 421 $2K
J1170 Injection, hydromorphone, up to 4 mg 1,269 841 $2K
84443 Thyroid stimulating hormone (TSH) 376 300 $2K
97161 58 42 $2K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 197 51 $2K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 76 12 $1K
87186 792 595 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 405 302 $1K
72125 Computed tomography, cervical spine; without contrast material 370 261 $1K
80061 Lipid panel 108 91 $1K
85730 210 139 $1K
86900 156 108 $776.65
71275 Computed tomographic angiography, chest, with contrast material 16 12 $771.22
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 20 14 $720.67
87205 509 371 $649.95
83605 47 36 $641.37
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 46 37 $634.59
96375 Therapeutic injection; each additional sequential IV push 1,805 1,313 $578.32
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 58 49 $576.27
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 104 92 $571.71
J0690 Injection, cefazolin sodium, 500 mg 344 248 $565.19
88305 Level IV - Surgical pathology, gross and microscopic examination 40 36 $524.75
83690 1,175 933 $484.87
91301 87 75 $443.72
97530 Therapeutic activities, direct patient contact, each 15 minutes 155 52 $438.66
82330 541 436 $349.58
77067 Screening mammography, bilateral, including computer-aided detection 14 12 $327.03
82550 161 79 $286.15
87486 23 20 $174.89
71260 Computed tomography, thorax, diagnostic; with contrast material 48 36 $169.86
87430 127 115 $167.44
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 130 88 $166.17
J1644 Injection, heparin sodium, per 1000 units 85 51 $162.91
J2060 Injection, lorazepam, 2 mg 224 120 $155.27
83880 43 28 $120.40
87081 118 76 $113.00
96376 273 156 $109.32
J1885 Injection, ketorolac tromethamine, per 15 mg 749 570 $96.24
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 102 78 $81.67
0012A 61 50 $37.79
J1100 Injection, dexamethasone sodium phosphate, 1 mg 282 237 $36.00
87147 12 12 $26.32
86901 154 108 $4.14
81025 199 178 $1.77
84100 113 77 $1.48
82248 96 79 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 21 12 $0.00
80143 13 12 $0.00
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 24 21 $0.00
80179 13 12 $0.00
87040 86 36 $0.00
85027 56 40 $0.00
0011A 29 25 $0.00
87581 23 20 $0.00
77063 Screening digital breast tomosynthesis, bilateral 14 12 $0.00