Medicaid Provider Spending

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

TULLAHOMA HMA LLC

NPI: 1922052869 · TULLAHOMA, TN 37388 · General Acute Care Hospital · NPI assigned 05/22/2006

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

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

$4.03M
Total Medicaid Paid
131,981
Total Claims
114,759
Beneficiaries
75
Codes Billed
2018-01
First Month
2020-12
Last Month

Provider Details

Authorized OfficialLALOR, PAULA (DIRECTOR/DELEGATED OFFICIAL)
NPI Enumeration Date05/22/2006

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 47,152 $1.33M
2019 45,531 $1.51M
2020 39,298 $1.18M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 14,064 12,677 $1.14M
99284 Emergency department visit for the evaluation and management, high severity 7,991 6,959 $779K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,343 1,971 $301K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 4,150 3,619 $208K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 5,165 4,531 $202K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2,657 2,140 $196K
71045 Radiologic examination, chest; single view 2,980 2,519 $130K
96375 Therapeutic injection; each additional sequential IV push 3,390 2,888 $130K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 3,628 3,054 $103K
99281 Emergency department visit for the evaluation and management, self-limited or minor 2,206 2,046 $97K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,848 1,714 $91K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,330 1,149 $86K
71046 Radiologic examination, chest; 2 views 1,284 1,165 $81K
96361 Intravenous infusion, hydration; each additional hour 2,973 2,604 $71K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 9,255 7,927 $41K
80053 Comprehensive metabolic panel 9,598 8,206 $36K
70450 Computed tomography, head or brain; without contrast material 485 420 $36K
87430 4,394 4,164 $33K
84484 2,763 2,224 $22K
94664 331 304 $22K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 301 267 $21K
87400 5,429 5,061 $20K
36415 Collection of venous blood by venipuncture 12,786 10,772 $17K
59025 Fetal non-stress test 485 276 $16K
74177 Computed tomography, abdomen and pelvis; with contrast material 84 74 $15K
84703 2,328 2,146 $14K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 265 72 $12K
81001 8,730 7,531 $10K
83690 2,225 1,933 $9K
87420 767 739 $9K
J2405 Injection, ondansetron hydrochloride, per 1 mg 2,615 2,272 $8K
74176 Computed tomography, abdomen and pelvis; without contrast material 106 91 $8K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 103 89 $8K
83880 889 740 $8K
87086 Culture, bacterial; quantitative colony count, urine 1,343 1,203 $7K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 273 237 $7K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 390 349 $5K
83735 1,072 879 $3K
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 43 40 $3K
87040 370 281 $3K
74018 26 24 $2K
83655 110 109 $2K
85027 460 410 $2K
82550 497 431 $1K
J0696 Injection, ceftriaxone sodium, per 250 mg 846 752 $1K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 71 25 $1K
82150 390 335 $1K
80048 Basic metabolic panel (calcium, ionized) 346 306 $1K
93017 12 12 $936.65
85007 450 398 $904.14
J1100 Injection, dexamethasone sodium phosphate, 1 mg 607 557 $779.26
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 127 116 $615.24
J2550 Injection, promethazine hcl, up to 50 mg 789 654 $577.31
J1885 Injection, ketorolac tromethamine, per 15 mg 1,923 1,720 $517.06
87070 247 236 $436.45
85014 125 123 $422.66
85018 126 124 $402.44
87186 77 63 $401.09
J2270 Injection, morphine sulfate, up to 10 mg 354 300 $360.48
36600 14 12 $249.02
85610 222 173 $245.29
99156 43 27 $244.98
85730 143 111 $180.77
82803 15 13 $107.44
86140 26 24 $94.74
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 125 89 $84.25
96376 14 12 $40.95
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 53 40 $37.20
J1170 Injection, hydromorphone, up to 4 mg 44 36 $30.32
J3010 Injection, fentanyl citrate, 0.1 mg 101 69 $22.74
J2250 Injection, midazolam hydrochloride, per 1 mg 84 59 $15.66
J0780 Injection, prochlorperazine, up to 10 mg 15 12 $14.67
J7030 Infusion, normal saline solution , 1000 cc 16 14 $8.96
J0690 Injection, cefazolin sodium, 500 mg 13 12 $0.00
J2704 Injection, propofol, 10 mg 31 28 $0.00