Medicaid Provider Spending

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

SCRANTON HOSPITAL COMPANY LLC

NPI: 1881983039 · SCRANTON, PA 18510 · Ambulatory Surgical Clinic/Center · NPI assigned 03/28/2011

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

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

$4.28M
Total Medicaid Paid
162,584
Total Claims
152,938
Beneficiaries
136
Codes Billed
2019-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLALOR, PAULA (DIRECTOR/DELEGATED OFFICIAL)
NPI Enumeration Date03/28/2011

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
2019 149 $2K
2020 11,224 $217K
2021 46,972 $1.13M
2022 26,261 $706K
2023 49,982 $1.38M
2024 27,996 $842K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 11,844 11,398 $1.11M
99283 Emergency department visit for the evaluation and management, moderate severity 14,962 14,371 $1.07M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 3,855 3,700 $424K
G0378 Hospital observation service, per hour 195 192 $189K
74177 Computed tomography, abdomen and pelvis; with contrast material 937 910 $153K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 4,972 4,747 $151K
80053 Comprehensive metabolic panel 15,241 14,545 $138K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 5,202 4,939 $126K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 16,821 15,863 $78K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 437 207 $71K
70450 Computed tomography, head or brain; without contrast material 1,216 1,178 $64K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,294 1,270 $59K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 6,456 6,108 $49K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,062 2,021 $45K
96361 Intravenous infusion, hydration; each additional hour 3,097 2,862 $41K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 619 589 $34K
74176 Computed tomography, abdomen and pelvis; without contrast material 476 463 $33K
71045 Radiologic examination, chest; single view 5,111 4,943 $33K
84484 4,650 4,017 $33K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 3,030 2,868 $32K
96375 Therapeutic injection; each additional sequential IV push 1,922 1,808 $29K
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 316 307 $25K
81001 8,214 7,934 $21K
45380 Colonoscopy, flexible; with biopsy, single or multiple 84 83 $20K
71046 Radiologic examination, chest; 2 views 1,485 1,457 $18K
T1015 Clinic visit/encounter, all-inclusive 384 105 $16K
83735 2,964 2,802 $16K
83690 2,832 2,723 $12K
84443 Thyroid stimulating hormone (TSH) 638 624 $11K
87086 Culture, bacterial; quantitative colony count, urine 1,742 1,689 $11K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 442 423 $10K
71275 Computed tomographic angiography, chest, with contrast material 61 61 $10K
99281 Emergency department visit for the evaluation and management, self-limited or minor 289 282 $9K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 689 622 $7K
83880 347 329 $7K
80048 Basic metabolic panel (calcium, ionized) 1,115 1,024 $7K
87807 449 440 $6K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 200 199 $6K
80061 Lipid panel 536 525 $6K
85610 1,918 1,796 $5K
36415 Collection of venous blood by venipuncture 4,223 3,610 $5K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 94 93 $5K
85730 988 936 $4K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 29 29 $4K
83605 753 676 $4K
84703 401 387 $4K
81025 1,239 1,203 $4K
87040 365 237 $4K
84100 805 751 $4K
72125 Computed tomography, cervical spine; without contrast material 71 71 $3K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 107 106 $3K
80050 General health panel 66 66 $3K
85379 309 298 $3K
84702 151 142 $2K
85027 381 371 $2K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 73 71 $2K
93971 39 38 $2K
84439 304 297 $2K
88305 Level IV - Surgical pathology, gross and microscopic examination 341 325 $2K
83036 Hemoglobin; glycosylated (A1C) 327 320 $2K
86780 118 118 $2K
76705 Ultrasound, abdominal, real time with image documentation; limited 49 48 $2K
93017 39 39 $2K
J7030 Infusion, normal saline solution , 1000 cc 1,503 1,316 $1K
86762 71 71 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 186 186 $1K
86803 70 70 $1K
93970 16 15 $1K
72100 73 71 $1K
87070 206 201 $1K
87077 153 124 $1K
73030 73 72 $926.52
82550 190 177 $921.72
86850 132 124 $883.45
87186 155 146 $824.20
73630 90 88 $821.34
82962 718 431 $766.60
71250 14 12 $681.31
86901 203 194 $654.47
86900 203 194 $651.01
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 12 12 $627.78
74018 41 41 $566.15
76830 Ultrasound, transvaginal 15 12 $544.10
82077 133 111 $540.04
82607 58 56 $533.43
J3490 Unclassified drugs 650 413 $516.95
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 14 14 $500.58
97116 103 49 $498.09
J1885 Injection, ketorolac tromethamine, per 15 mg 2,919 2,750 $488.61
J2704 Injection, propofol, 10 mg 2,693 2,537 $463.54
88312 16 16 $461.26
86140 183 179 $452.45
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 14 14 $310.75
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 14 14 $310.75
97161 13 13 $292.60
90715 50 50 $290.18
85651 110 109 $268.37
73610 15 15 $259.43
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 39 12 $220.81
73560 13 13 $158.44
J2405 Injection, ondansetron hydrochloride, per 1 mg 1,900 1,746 $150.62
J1170 Injection, hydromorphone, up to 4 mg 326 270 $149.80
73130 13 12 $125.96
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 15 13 $124.74
J0690 Injection, cefazolin sodium, 500 mg 445 381 $123.33
J1100 Injection, dexamethasone sodium phosphate, 1 mg 971 903 $121.51
83540 17 17 $118.88
82150 26 26 $107.47
82728 12 12 $92.04
J3010 Injection, fentanyl citrate, 0.1 mg 1,613 1,532 $87.70
87147 30 27 $80.20
82043 15 15 $80.03
C1769 Guide wire 14 14 $76.14
82248 14 13 $72.45
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 2,083 2,003 $72.27
82570 14 14 $64.06
99152 14 12 $54.47
J2270 Injection, morphine sulfate, up to 10 mg 71 62 $47.14
83550 12 12 $43.60
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 112 104 $41.40
J2765 Injection, metoclopramide hcl, up to 10 mg 350 333 $40.75
J0696 Injection, ceftriaxone sodium, per 250 mg 87 81 $37.64
J1200 Injection, diphenhydramine hcl, up to 50 mg 471 446 $33.31
J1650 Injection, enoxaparin sodium, 10 mg 40 28 $31.08
J2250 Injection, midazolam hydrochloride, per 1 mg 1,837 1,774 $28.22
J2060 Injection, lorazepam, 2 mg 78 70 $21.77
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 44 39 $11.24
J3475 Injection, magnesium sulfate, per 500 mg 27 24 $1.89
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 204 193 $0.00
97165 12 12 $0.00
97535 Self-care/home management training, each 15 minutes 14 12 $0.00
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 12 12 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 31 29 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 77 73 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 33 33 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 13 13 $0.00