Medicaid Provider Spending

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

CLEVELAND TENNESSEE HOSPITAL COMPANY LLC

NPI: 1790756203 · CLEVELAND, TN 37311 · General Acute Care Hospital · NPI assigned 02/01/2006

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

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

$16.31M
Total Medicaid Paid
438,210
Total Claims
374,463
Beneficiaries
117
Codes Billed
2018-01
First Month
2024-07
Last Month

Provider Details

Authorized OfficialLALOR, PAULA (DIRECTOR/DELEGATED OFFICIAL)
NPI Enumeration Date02/01/2006

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
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 79,131 $2.77M
2019 84,749 $3.04M
2020 58,983 $2.30M
2021 55,056 $2.43M
2022 52,693 $2.09M
2023 70,928 $2.39M
2024 36,670 $1.28M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 40,110 37,254 $4.93M
99284 Emergency department visit for the evaluation and management, high severity 32,248 29,304 $4.86M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 13,865 12,308 $2.40M
99282 Emergency department visit for the evaluation and management, low to moderate severity 9,172 8,658 $802K
0202U Oncology (prostate), multianalyte, gene expression profiling 1,056 992 $285K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 46,025 39,068 $229K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 10,346 9,048 $192K
84484 14,262 8,941 $189K
80053 Comprehensive metabolic panel 43,089 37,001 $170K
G0378 Hospital observation service, per hour 1,480 1,182 $162K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 5,790 5,204 $148K
70450 Computed tomography, head or brain; without contrast material 3,985 3,569 $140K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,534 1,361 $127K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 2,819 1,521 $122K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 9,795 9,071 $102K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 2,607 812 $101K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 338 300 $94K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1,525 473 $87K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2,963 2,768 $85K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 18,900 15,518 $83K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 8,816 8,176 $81K
96361 Intravenous infusion, hydration; each additional hour 7,553 5,872 $78K
J2405 Injection, ondansetron hydrochloride, per 1 mg 5,840 5,093 $76K
41899 Unlisted procedure, dentoalveolar structures 144 140 $72K
36415 Collection of venous blood by venipuncture 50,564 41,747 $72K
96375 Therapeutic injection; each additional sequential IV push 5,951 4,777 $61K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 7,485 5,880 $52K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2,060 1,951 $51K
71046 Radiologic examination, chest; 2 views 6,731 6,341 $44K
83690 7,677 6,938 $40K
71045 Radiologic examination, chest; single view 8,599 7,638 $36K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 27 27 $35K
84703 4,452 4,196 $31K
74176 Computed tomography, abdomen and pelvis; without contrast material 757 683 $29K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4,025 3,873 $28K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 987 892 $22K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 784 724 $22K
97597 666 373 $17K
99281 Emergency department visit for the evaluation and management, self-limited or minor 237 230 $15K
88305 Level IV - Surgical pathology, gross and microscopic examination 2,384 2,117 $11K
81001 11,559 10,468 $11K
81003 12,645 11,626 $10K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 95 92 $9K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 321 276 $8K
83605 1,355 1,105 $8K
82550 1,391 1,139 $6K
84443 Thyroid stimulating hormone (TSH) 508 469 $6K
94761 1,103 577 $5K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 15 12 $4K
87040 604 350 $4K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1,118 730 $4K
81025 1,309 1,236 $4K
83735 1,287 753 $4K
87807 415 398 $3K
86003 24 14 $3K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 181 60 $2K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 43 42 $2K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 51 44 $2K
86900 292 272 $2K
71260 Computed tomography, thorax, diagnostic; with contrast material 12 12 $2K
86850 292 272 $2K
82553 850 696 $2K
59025 Fetal non-stress test 15 12 $2K
87086 Culture, bacterial; quantitative colony count, urine 271 259 $2K
82962 726 153 $2K
84145 290 252 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 315 258 $2K
29581 61 27 $1K
71250 27 26 $1K
80061 Lipid panel 89 76 $1K
82784 40 26 $1K
85610 487 393 $998.74
85027 230 212 $940.80
80048 Basic metabolic panel (calcium, ionized) 421 305 $873.28
85730 227 186 $872.11
94760 658 277 $849.04
86901 292 272 $772.85
J1650 Injection, enoxaparin sodium, 10 mg 133 71 $666.00
96376 55 29 $653.23
82077 115 106 $588.55
84100 327 191 $454.22
87634 14 12 $403.64
74022 28 27 $389.06
J2550 Injection, promethazine hcl, up to 50 mg 508 457 $333.01
87070 99 83 $315.12
J1170 Injection, hydromorphone, up to 4 mg 389 327 $274.49
88312 240 227 $271.39
84702 12 12 $254.04
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17 12 $252.42
J1100 Injection, dexamethasone sodium phosphate, 1 mg 340 307 $248.45
83036 Hemoglobin; glycosylated (A1C) 50 40 $246.70
86364 29 26 $245.69
83880 14 13 $244.55
J2270 Injection, morphine sulfate, up to 10 mg 609 506 $239.40
73630 28 26 $224.06
72125 Computed tomography, cervical spine; without contrast material 12 12 $221.72
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,754 1,545 $210.20
84439 29 28 $209.28
73562 27 25 $173.04
72110 41 36 $171.65
85651 29 28 $164.43
87186 13 12 $145.92
J7030 Infusion, normal saline solution , 1000 cc 2,464 1,916 $123.79
73610 25 24 $122.10
86140 14 14 $102.12
80143 13 13 $100.45
87077 13 12 $78.00
J2250 Injection, midazolam hydrochloride, per 1 mg 293 203 $53.33
J0690 Injection, cefazolin sodium, 500 mg 113 64 $28.83
J1885 Injection, ketorolac tromethamine, per 15 mg 733 672 $22.54
J2765 Injection, metoclopramide hcl, up to 10 mg 12 12 $17.85
J3010 Injection, fentanyl citrate, 0.1 mg 330 227 $15.00
87147 16 12 $14.56
J2704 Injection, propofol, 10 mg 1,442 1,218 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 455 420 $0.00
J2175 Injection, meperidine hydrochloride, per 100 mg 80 72 $0.00
L8699 Prosthetic implant, not otherwise specified 28 28 $0.00