Medicaid Provider Spending

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

SEMINOLE HMA, LLC

NPI: 1891980124 · SEMINOLE, OK 74868 · General Acute Care Hospital · NPI assigned 09/10/2007

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

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

$3.46M
Total Medicaid Paid
54,343
Total Claims
52,948
Beneficiaries
58
Codes Billed
2018-01
First Month
2022-06
Last Month

Provider Details

Authorized OfficialLALOR, PAULA (DIRECTOR/DELEGATED OFFICIAL)
NPI Enumeration Date09/10/2007

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 10,934 $646K
2019 9,405 $651K
2020 8,242 $517K
2021 16,340 $1.02M
2022 9,422 $626K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 8,983 8,838 $1.38M
99284 Emergency department visit for the evaluation and management, high severity 3,816 3,764 $854K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 1,201 1,176 $286K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1,514 1,474 $173K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2,044 2,002 $92K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,253 1,219 $77K
99282 Emergency department visit for the evaluation and management, low to moderate severity 696 691 $62K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2,859 2,793 $59K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,013 1,987 $56K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 371 365 $51K
99281 Emergency department visit for the evaluation and management, self-limited or minor 863 858 $43K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,883 2,866 $41K
80053 Comprehensive metabolic panel 4,019 3,895 $38K
96375 Therapeutic injection; each additional sequential IV push 844 809 $33K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 228 133 $33K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 3,898 3,767 $27K
71045 Radiologic examination, chest; single view 2,334 2,283 $24K
87428 377 377 $21K
74176 Computed tomography, abdomen and pelvis; without contrast material 221 220 $15K
87081 2,147 2,137 $13K
36415 Collection of venous blood by venipuncture 5,363 5,128 $12K
87430 804 793 $12K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 139 138 $8K
96361 Intravenous infusion, hydration; each additional hour 161 157 $7K
87420 448 445 $5K
97597 286 144 $5K
84443 Thyroid stimulating hormone (TSH) 340 340 $5K
70450 Computed tomography, head or brain; without contrast material 77 76 $3K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 463 454 $3K
85027 350 349 $2K
71046 Radiologic examination, chest; 2 views 123 120 $2K
83690 296 286 $2K
84439 233 233 $2K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 15 15 $2K
83036 Hemoglobin; glycosylated (A1C) 176 176 $1K
81001 512 505 $1K
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 20 20 $1K
81003 628 614 $1K
81025 151 151 $1K
74177 Computed tomography, abdomen and pelvis; with contrast material 12 12 $1K
80061 Lipid panel 83 83 $945.62
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 15 15 $769.65
G0463 Hospital outpatient clinic visit for assessment and management of a patient 79 58 $480.72
84484 25 25 $321.98
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 12 12 $315.96
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 12 12 $312.10
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 12 12 $304.10
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 20 20 $235.40
83655 14 14 $172.20
87040 12 12 $161.85
J2405 Injection, ondansetron hydrochloride, per 1 mg 234 225 $101.04
87086 Culture, bacterial; quantitative colony count, urine 14 14 $96.52
82550 12 12 $69.48
J2270 Injection, morphine sulfate, up to 10 mg 26 25 $0.00
J7510 Prednisolone oral, per 5 mg 119 118 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 25 25 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 451 441 $0.00
J1170 Injection, hydromorphone, up to 4 mg 17 15 $0.00