Medicaid Provider Spending

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

SHELBYVILLE HOSPITAL COMPANY LLC

NPI: 1932170750 · SHELBYVILLE, TN 37160 · General Acute Care Hospital · NPI assigned 01/30/2006

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

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

$2.46M
Total Medicaid Paid
64,338
Total Claims
52,615
Beneficiaries
68
Codes Billed
2018-01
First Month
2020-12
Last Month

Provider Details

Authorized OfficialLALOR, PAULA (DIRECTOR/DELEGATED OFFICIAL)
NPI Enumeration Date01/30/2006

Related Entities

Other providers sharing the same authorized official: LALOR, PAULA

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 21,714 $923K
2019 23,422 $850K
2020 19,202 $687K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 7,543 7,040 $867K
99284 Emergency department visit for the evaluation and management, high severity 4,846 4,410 $738K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 1,865 1,602 $385K
G0378 Hospital observation service, per hour 716 548 $76K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1,927 1,660 $59K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1,889 393 $59K
99281 Emergency department visit for the evaluation and management, self-limited or minor 739 697 $36K
99282 Emergency department visit for the evaluation and management, low to moderate severity 471 445 $34K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 8,611 7,451 $24K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 696 629 $24K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,507 322 $15K
96375 Therapeutic injection; each additional sequential IV push 1,103 966 $13K
80053 Comprehensive metabolic panel 6,092 5,351 $13K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 839 747 $12K
84484 2,026 1,366 $12K
96361 Intravenous infusion, hydration; each additional hour 947 772 $12K
71045 Radiologic examination, chest; single view 1,663 1,400 $11K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 3,272 2,641 $8K
71046 Radiologic examination, chest; 2 views 420 386 $7K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 27 25 $6K
97530 Therapeutic activities, direct patient contact, each 15 minutes 304 63 $5K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 243 188 $5K
70450 Computed tomography, head or brain; without contrast material 83 81 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,008 829 $3K
87400 1,912 1,062 $3K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 38 30 $3K
86403 620 593 $3K
84443 Thyroid stimulating hormone (TSH) 475 442 $2K
74177 Computed tomography, abdomen and pelvis; with contrast material 12 12 $2K
81025 1,312 1,217 $2K
80048 Basic metabolic panel (calcium, ionized) 1,364 1,018 $2K
81003 4,170 3,782 $2K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 30 14 $1K
80061 Lipid panel 358 334 $1K
87081 433 413 $1K
83690 371 345 $1K
83735 563 377 $1K
97016 109 24 $757.80
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 236 187 $750.82
J2405 Injection, ondansetron hydrochloride, per 1 mg 260 220 $659.52
36415 Collection of venous blood by venipuncture 587 428 $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 114 29 $503.48
87086 Culture, bacterial; quantitative colony count, urine 193 176 $430.78
87420 50 46 $317.63
97035 51 13 $264.95
82550 161 136 $254.20
85379 42 40 $208.44
83036 Hemoglobin; glycosylated (A1C) 88 80 $190.34
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 15 12 $148.77
82150 45 42 $125.91
82553 121 105 $124.92
87040 25 12 $121.74
83880 26 26 $110.55
85027 113 78 $94.94
83605 32 26 $41.54
82962 91 24 $39.18
94760 31 13 $31.32
85610 27 24 $15.46
86141 12 12 $14.54
J1885 Injection, ketorolac tromethamine, per 15 mg 432 386 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 91 74 $0.00
J0690 Injection, cefazolin sodium, 500 mg 88 70 $0.00
J2704 Injection, propofol, 10 mg 226 192 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 74 62 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 95 73 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 32 29 $0.00
J7030 Infusion, normal saline solution , 1000 cc 363 313 $0.00
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 13 12 $0.00