Medicaid Provider Spending

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

SCRANTON QUINCY HOSPITAL COMPANY LLC

NPI: 1922376136 · SCRANTON, PA 18510 · General Acute Care Hospital · NPI assigned 12/02/2011

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

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

$4.66M
Total Medicaid Paid
194,099
Total Claims
181,430
Beneficiaries
210
Codes Billed
2018-01
First Month
2022-11
Last Month

Provider Details

Authorized OfficialLALOR, PAULA (DIRECTOR/DELEGATED OFFICIAL)
NPI Enumeration Date12/02/2011

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
2018 143 $13K
2019 687 $29K
2020 27,131 $608K
2021 124,641 $2.95M
2022 41,497 $1.06M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 10,300 9,677 $899K
99283 Emergency department visit for the evaluation and management, moderate severity 12,827 12,377 $708K
G0378 Hospital observation service, per hour 321 306 $328K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,221 2,123 $236K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 6,823 6,626 $215K
74177 Computed tomography, abdomen and pelvis; with contrast material 974 958 $155K
80053 Comprehensive metabolic panel 13,258 12,432 $129K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 4,476 4,223 $112K
X0621 449 205 $94K
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 1,003 959 $75K
70450 Computed tomography, head or brain; without contrast material 1,248 1,215 $72K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 14,390 13,161 $70K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 6,239 5,960 $68K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 2,254 2,248 $68K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,146 1,080 $60K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,582 1,542 $60K
74176 Computed tomography, abdomen and pelvis; without contrast material 787 769 $59K
84443 Thyroid stimulating hormone (TSH) 2,822 2,759 $56K
76818 862 451 $49K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,799 1,775 $39K
96375 Therapeutic injection; each additional sequential IV push 2,376 2,201 $38K
96361 Intravenous infusion, hydration; each additional hour 3,329 3,065 $36K
80061 Lipid panel 2,433 2,400 $30K
71046 Radiologic examination, chest; 2 views 2,257 2,202 $29K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 749 624 $29K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 3,332 3,060 $27K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 502 436 $26K
45380 Colonoscopy, flexible; with biopsy, single or multiple 127 123 $26K
76830 Ultrasound, transvaginal 607 593 $26K
81001 9,267 8,807 $23K
77067 Screening mammography, bilateral, including computer-aided detection 293 293 $23K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,038 1,015 $22K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 638 632 $22K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,012 990 $22K
87086 Culture, bacterial; quantitative colony count, urine 3,267 3,096 $22K
71260 Computed tomography, thorax, diagnostic; with contrast material 321 316 $21K
78815 Positron emission tomography (PET) for limited area imaging 28 26 $20K
80050 General health panel 488 485 $19K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 783 752 $19K
71045 Radiologic examination, chest; single view 2,731 2,648 $19K
76705 Ultrasound, abdominal, real time with image documentation; limited 567 549 $19K
84702 1,176 896 $19K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,267 1,134 $17K
84484 2,177 1,941 $16K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 49 47 $16K
72125 Computed tomography, cervical spine; without contrast material 245 237 $15K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 531 527 $14K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 280 279 $14K
88305 Level IV - Surgical pathology, gross and microscopic examination 793 769 $14K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 471 414 $14K
86803 723 716 $13K
76801 323 304 $12K
84439 1,531 1,511 $11K
83690 2,566 2,471 $11K
76775 244 240 $11K
85027 1,524 1,460 $10K
93971 154 152 $10K
84703 1,088 1,063 $10K
86762 486 483 $9K
76642 241 238 $9K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 106 95 $9K
77066 Tomosynthesis, mammo 105 104 $9K
87040 858 557 $8K
88342 217 205 $8K
86850 1,088 1,005 $8K
99281 Emergency department visit for the evaluation and management, self-limited or minor 251 251 $8K
83880 336 320 $8K
83036 Hemoglobin; glycosylated (A1C) 1,281 1,259 $8K
84466 491 486 $7K
87807 616 603 $7K
87340 537 531 $7K
82607 634 624 $7K
83735 1,464 1,281 $7K
76700 Ultrasound, abdominal, real time with image documentation; complete 158 152 $7K
81025 2,222 2,119 $7K
80048 Basic metabolic panel (calcium, ionized) 1,082 999 $7K
71250 141 137 $7K
36415 Collection of venous blood by venipuncture 5,416 4,303 $7K
74018 494 477 $6K
77063 Screening digital breast tomosynthesis, bilateral 293 293 $6K
85730 1,148 1,080 $6K
85379 624 609 $6K
76536 131 126 $6K
73564 275 270 $5K
82728 472 469 $5K
86901 1,444 1,318 $5K
86900 1,443 1,317 $5K
84481 235 232 $5K
73610 299 296 $5K
85610 1,665 1,538 $5K
72131 75 72 $5K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 117 117 $5K
87077 382 357 $4K
93970 55 54 $4K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 31 30 $4K
83605 785 693 $4K
72100 225 220 $4K
73630 402 393 $4K
73030 290 281 $4K
83540 491 486 $4K
84100 791 706 $4K
87186 485 465 $4K
86592 920 907 $3K
73130 303 301 $3K
88313 117 109 $3K
82950 444 442 $3K
82043 414 408 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 420 411 $3K
85384 276 255 $2K
82248 366 266 $2K
73502 147 139 $2K
87081 439 436 $2K
87070 343 336 $2K
86780 146 143 $2K
0225U 35 35 $2K
J7030 Infusion, normal saline solution , 1000 cc 1,144 999 $2K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 51 51 $2K
82570 352 343 $2K
81003 729 698 $2K
82105 102 101 $2K
90715 130 130 $2K
84153 89 86 $2K
82746 174 174 $2K
12001 83 83 $2K
59025 Fetal non-stress test 239 165 $2K
84550 325 299 $2K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 39 39 $2K
83655 151 149 $2K
86480 19 19 $1K
82805 58 57 $1K
82550 257 253 $1K
12011 30 29 $1K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 15 14 $1K
87147 341 325 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg 2,354 2,184 $1K
86038 88 85 $1K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 46 43 $1K
85652 422 408 $1K
70486 13 13 $1K
84146 50 49 $1K
86140 392 374 $1K
82962 842 525 $1K
86618 46 45 $1K
77065 Tomosynthesis, mammo 16 15 $983.04
87486 51 49 $965.18
83615 149 142 $944.82
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 25 24 $934.63
82951 72 72 $931.52
73110 94 92 $916.08
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 53 51 $841.42
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 51 47 $828.81
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 99 91 $814.05
G0475 Hiv antigen/antibody, combination assay, screening 28 27 $786.60
85018 289 283 $753.09
J1170 Injection, hydromorphone, up to 4 mg 541 438 $692.10
J0696 Injection, ceftriaxone sodium, per 250 mg 539 509 $682.06
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,022 965 $680.88
80074 12 12 $610.83
J2704 Injection, propofol, 10 mg 1,305 1,134 $609.19
85014 205 203 $593.90
84145 28 28 $567.45
T1015 Clinic visit/encounter, all-inclusive 14 13 $554.00
86787 31 30 $553.88
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 79 78 $553.50
83021 26 26 $500.17
82077 160 139 $458.64
72040 30 29 $424.52
73590 27 26 $383.01
J2405 Injection, ondansetron hydrochloride, per 1 mg 1,963 1,812 $378.06
J2765 Injection, metoclopramide hcl, up to 10 mg 679 643 $375.31
J1200 Injection, diphenhydramine hcl, up to 50 mg 755 703 $360.36
87209 16 16 $327.44
86317 15 15 $295.45
84156 92 89 $287.22
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,047 993 $236.49
86704 15 15 $217.06
J0690 Injection, cefazolin sodium, 500 mg 338 295 $214.71
84460 28 28 $206.57
80069 55 48 $201.16
80076 24 24 $199.83
80179 65 55 $191.52
80143 68 57 $191.52
86430 27 27 $191.46
J3010 Injection, fentanyl citrate, 0.1 mg 926 850 $185.13
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 61 57 $183.68
J2270 Injection, morphine sulfate, up to 10 mg 173 152 $182.23
82150 40 40 $166.19
82247 22 13 $159.08
82952 46 46 $157.83
J2060 Injection, lorazepam, 2 mg 210 183 $142.53
86769 13 13 $135.04
73080 12 12 $121.95
84450 15 15 $105.13
A9576 Injection, gadoteridol, (prohance multipack), per ml 78 74 $104.34
85007 33 30 $99.98
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 93 80 $84.73
87177 14 14 $61.52
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 160 152 $57.88
82565 13 13 $54.69
85041 13 13 $42.00
87205 12 12 $37.15
J2250 Injection, midazolam hydrochloride, per 1 mg 968 851 $33.59
97161 23 18 $19.77
97165 23 18 $15.12
97116 35 15 $10.46
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 502 468 $8.83
97530 Therapeutic activities, direct patient contact, each 15 minutes 20 12 $5.39
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 17 12 $4.83
J1650 Injection, enoxaparin sodium, 10 mg 17 13 $0.00
97535 Self-care/home management training, each 15 minutes 26 12 $0.00