Medicaid Provider Spending

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

POPLAR BLUFF REGIONAL MEDICAL CENTER LLC

NPI: 1801839147 · MALDEN, MO 63863 · Rural Health Clinic/Center · NPI assigned 06/14/2006

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

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

$2.53M
Total Medicaid Paid
22,693
Total Claims
20,219
Beneficiaries
8
Codes Billed
2018-01
First Month
2024-07
Last Month

Provider Details

Authorized OfficialLALOR, PAULA (DIRECTOR/DELEGATED OFFICIAL)
NPI Enumeration Date06/14/2006

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 7,817 $973K
2019 7,142 $907K
2020 3,119 $334K
2021 874 $34K
2022 1,217 $71K
2023 1,743 $138K
2024 781 $72K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16,732 14,542 $1.81M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,258 4,011 $464K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 689 673 $79K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 335 332 $59K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 282 265 $47K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 166 165 $32K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 168 168 $30K
99215 Prolong outpt/office vis 63 63 $6K