Medicaid Provider Spending

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

VICTORIA OF TEXAS LP

NPI: 1851343909 · VICTORIA, TX 77901 · Ambulatory Surgical Clinic/Center · NPI assigned 05/17/2006

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

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

$7.74M
Total Medicaid Paid
115,979
Total Claims
106,435
Beneficiaries
78
Codes Billed
2020-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLALOR, PAULA (DIRECTOR/DELEGATED OFFICIAL)
NPI Enumeration Date05/17/2006

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
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 2,043 $145K
2021 37,489 $2.36M
2022 37,572 $2.28M
2023 27,277 $2.09M
2024 11,598 $858K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 8,711 8,319 $3.71M
99283 Emergency department visit for the evaluation and management, moderate severity 21,424 20,640 $1.45M
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 1,518 1,482 $677K
99281 Emergency department visit for the evaluation and management, self-limited or minor 6,975 6,772 $482K
99282 Emergency department visit for the evaluation and management, low to moderate severity 4,761 4,634 $324K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 2,711 2,508 $113K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 716 550 $86K
87430 3,698 3,588 $81K
87400 3,220 1,765 $67K
80053 Comprehensive metabolic panel 7,592 6,763 $60K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 335 318 $59K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 3,350 3,171 $59K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 1,519 1,483 $57K
87486 1,519 1,483 $57K
87581 1,519 1,483 $57K
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 940 917 $55K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 8,613 7,692 $47K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,038 1,013 $39K
74177 Computed tomography, abdomen and pelvis; with contrast material 153 143 $38K
71045 Radiologic examination, chest; single view 2,048 1,932 $31K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 987 964 $31K
G0378 Hospital observation service, per hour 27 26 $27K
81001 9,084 8,580 $26K
81025 2,326 2,218 $19K
87081 1,959 1,895 $17K
U0005 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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 690 675 $11K
CP007 150 94 $11K
70450 Computed tomography, head or brain; without contrast material 192 183 $7K
76801 60 53 $5K
83690 1,024 954 $5K
87088 956 895 $4K
J1885 Injection, ketorolac tromethamine, per 15 mg 676 637 $3K
J7030 Infusion, normal saline solution , 1000 cc 1,085 1,024 $3K
84484 972 722 $3K
J0561 Injection, penicillin g benzathine, 100,000 units 55 55 $3K
71046 Radiologic examination, chest; 2 views 166 162 $2K
J2405 Injection, ondansetron hydrochloride, per 1 mg 435 385 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 48 24 $2K
J0696 Injection, ceftriaxone sodium, per 250 mg 182 169 $2K
87420 92 90 $2K
80048 Basic metabolic panel (calcium, ionized) 660 609 $2K
82553 540 396 $2K
93976 14 12 $1K
80305 79 76 $825.10
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 172 109 $551.74
82550 407 307 $542.44
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 375 293 $369.96
84702 30 25 $343.69
0202U Oncology (prostate), multianalyte, gene expression profiling 1,628 1,584 $323.92
J1100 Injection, dexamethasone sodium phosphate, 1 mg 77 70 $298.44
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 243 53 $296.11
88305 Level IV - Surgical pathology, gross and microscopic examination 25 25 $271.61
85027 193 183 $239.19
J3010 Injection, fentanyl citrate, 0.1 mg 226 206 $234.80
86901 178 153 $203.31
86900 179 153 $203.31
96361 Intravenous infusion, hydration; each additional hour 80 77 $198.73
86850 30 27 $177.95
85730 476 423 $159.48
84443 Thyroid stimulating hormone (TSH) 67 65 $155.92
85610 561 497 $130.91
87186 123 82 $101.78
96375 Therapeutic injection; each additional sequential IV push 180 161 $100.25
J1200 Injection, diphenhydramine hcl, up to 50 mg 49 48 $83.19
36415 Collection of venous blood by venipuncture 2,947 2,172 $65.75
87077 44 43 $61.11
82962 1,059 569 $57.35
0240U 218 208 $53.92
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 275 253 $49.82
J0780 Injection, prochlorperazine, up to 10 mg 13 13 $35.76
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 331 309 $26.00
85007 24 24 $19.14
J2250 Injection, midazolam hydrochloride, per 1 mg 127 117 $6.00
83735 15 13 $5.63
36416 704 520 $3.85
J2704 Injection, propofol, 10 mg 53 51 $0.00
83880 15 12 $0.00
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 36 36 $0.00