Hospital
Shelbyville Hospital Company LLC
Shelbyville Hospital Company LLC was paid $2.46M by Medicaid between Jan 2018 and Dec 2020, across 68 billing codes. Its largest line is 99283, emergency room visit (moderate) — 35% of everything it billed.
33Billing provider infoSHELBYVILLE HOSPITAL COMPANY LLC
SHELBYVILLE, TN 37160
SHELBYVILLE, TN 37160
33aNPI1932170750assigned 01/30/2006
33bProvider typeGeneral Acute Care Hospital
28Total paid$2.46M
24GClaims64,338
24DCodes billed68
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers
Next to other General Acute Care Hospital providers in Tennessee
Rank by total paid#56 of 71
Median peer was paid$6.96M
This provider vs. median0.4×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official LALOR, PAULA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 21,714 | $923K | |
| 2019 | 23,422 | $850K | |
| 2020 | 19,202 | $687K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 35% | 7,543 | 7,040 | $867K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 30% | 4,846 | 4,410 | $738K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 16% | 1,865 | 1,602 | $385K |
| G0378 | Hospital observation service, per hour | 3.1% | 716 | 548 | $76K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 2.4% | 1,927 | 1,660 | $59K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 2.4% | 1,889 | 393 | $59K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | 1.5% | 739 | 697 | $36K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 1.4% | 471 | 445 | $34K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 8,611 | 7,451 | $24K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 696 | 629 | $24K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 1,507 | 322 | $15K |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 1,103 | 966 | $13K |
56 more codes
| 80053 | Comprehensive metabolic panel | <1% | 6,092 | $13K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 839 | $12K |
| 84484 | <1% | 2,026 | $12K | |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 947 | $12K |
| 71045 | Radiologic examination, chest; single view | <1% | 1,663 | $11K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 3,272 | $8K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 420 | $7K |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | <1% | 27 | $6K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 304 | $5K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 243 | $5K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 83 | $4K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,008 | $3K |
| 87400 | <1% | 1,912 | $3K | |
| C1713 | Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) | <1% | 38 | $3K |
| 86403 | <1% | 620 | $3K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 475 | $2K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 12 | $2K |
| 81025 | <1% | 1,312 | $2K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 1,364 | $2K |
| 81003 | <1% | 4,170 | $2K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 30 | $1K |
| 80061 | Lipid panel | <1% | 358 | $1K |
| 87081 | <1% | 433 | $1K | |
| 83690 | <1% | 371 | $1K | |
| 83735 | <1% | 563 | $1K | |
| 97016 | <1% | 109 | $757.80 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 236 | $750.82 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 260 | $659.52 |
| 36415 | Collection of venous blood by venipuncture | <1% | 587 | $602.41 |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | <1% | 114 | $503.48 |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 193 | $430.78 |
| 87420 | <1% | 50 | $317.63 | |
| 97035 | <1% | 51 | $264.95 | |
| 82550 | <1% | 161 | $254.20 | |
| 85379 | <1% | 42 | $208.44 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 88 | $190.34 |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 15 | $148.77 |
| 82150 | <1% | 45 | $125.91 | |
| 82553 | <1% | 121 | $124.92 | |
| 87040 | <1% | 25 | $121.74 | |
| 83880 | <1% | 26 | $110.55 | |
| 85027 | <1% | 113 | $94.94 | |
| 83605 | <1% | 32 | $41.54 | |
| 82962 | <1% | 91 | $39.18 | |
| 94760 | <1% | 31 | $31.32 | |
| 85610 | <1% | 27 | $15.46 | |
| 86141 | <1% | 12 | $14.54 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 432 | $0.00 |
| J2795 | Injection, ropivacaine hydrochloride, 1 mg | 0% | 91 | $0.00 |
| J0690 | Injection, cefazolin sodium, 500 mg | 0% | 88 | $0.00 |
| J2704 | Injection, propofol, 10 mg | 0% | 226 | $0.00 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | 0% | 74 | $0.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 95 | $0.00 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | 0% | 32 | $0.00 |
| J7030 | Infusion, normal saline solution , 1000 cc | 0% | 363 | $0.00 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 0% | 13 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialLALOR, PAULA (DIRECTOR/DELEGATED OFFICIAL)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.