Medicaid Provider Spending

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

COCKE COUNTY HMA, LLC

NPI: 1972576247 · NEWPORT, TN 37821 · Long Term Care Pharmacy · NPI assigned 02/08/2006

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

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

$18.34M
Total Medicaid Paid
393,609
Total Claims
311,001
Beneficiaries
109
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLALOR, PAULA (DIRECTOR/DELEGATED OFFICIAL)
NPI Enumeration Date02/08/2006

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
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 60,760 $2.74M
2019 64,407 $2.73M
2020 50,004 $2.15M
2021 46,269 $2.74M
2022 52,404 $2.79M
2023 72,260 $3.07M
2024 47,505 $2.12M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 43,191 36,986 $7.69M
99284 Emergency department visit for the evaluation and management, high severity 23,153 19,220 $5.13M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 9,179 7,138 $2.11M
99282 Emergency department visit for the evaluation and management, low to moderate severity 8,535 7,510 $801K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2,132 1,527 $446K
87428 10,581 9,473 $426K
99281 Emergency department visit for the evaluation and management, self-limited or minor 4,318 3,855 $341K
G0378 Hospital observation service, per hour 2,592 1,916 $299K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 11,865 9,533 $138K
96375 Therapeutic injection; each additional sequential IV push 10,466 8,046 $121K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 32,379 23,496 $74K
84484 12,614 7,492 $59K
80053 Comprehensive metabolic panel 29,001 21,845 $55K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 11,115 10,246 $51K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 10,399 8,518 $46K
96361 Intravenous infusion, hydration; each additional hour 7,209 5,695 $44K
45380 Colonoscopy, flexible; with biopsy, single or multiple 157 122 $43K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,650 1,492 $37K
J2405 Injection, ondansetron hydrochloride, per 1 mg 6,262 5,077 $35K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 14,518 10,105 $32K
70450 Computed tomography, head or brain; without contrast material 1,655 1,317 $32K
74177 Computed tomography, abdomen and pelvis; with contrast material 540 432 $28K
36415 Collection of venous blood by venipuncture 39,250 28,286 $27K
71045 Radiologic examination, chest; single view 9,923 7,767 $26K
87081 8,894 8,210 $24K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,523 1,253 $24K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 555 466 $23K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 4,487 4,051 $18K
83690 6,542 5,420 $16K
74176 Computed tomography, abdomen and pelvis; without contrast material 577 477 $16K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 879 714 $10K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 283 269 $10K
87086 Culture, bacterial; quantitative colony count, urine 2,828 2,371 $9K
80048 Basic metabolic panel (calcium, ionized) 5,894 4,581 $9K
43450 80 54 $9K
85027 4,490 3,686 $8K
71046 Radiologic examination, chest; 2 views 2,154 1,851 $8K
81001 14,634 12,261 $8K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,129 926 $8K
81025 2,854 2,586 $6K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 16 13 $5K
45384 15 12 $4K
83735 3,156 2,009 $4K
87040 1,548 732 $4K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 296 272 $4K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,145 898 $4K
83880 880 622 $3K
86140 1,354 1,123 $2K
83605 874 584 $2K
84443 Thyroid stimulating hormone (TSH) 570 413 $2K
84702 119 108 $1K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 15 12 $1K
96376 339 166 $1K
85610 1,120 834 $1K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 681 539 $1K
85379 282 232 $966.29
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,223 1,028 $956.95
82962 600 177 $900.77
85730 403 322 $687.70
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 87 67 $678.80
J1610 Injection, glucagon hydrochloride, per 1 mg 13 12 $609.96
J1650 Injection, enoxaparin sodium, 10 mg 136 57 $604.80
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 42 27 $566.12
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 61 54 $515.37
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,240 982 $477.35
87807 108 103 $401.35
94760 476 304 $372.12
82550 197 138 $355.11
J2270 Injection, morphine sulfate, up to 10 mg 1,693 1,297 $330.75
80061 Lipid panel 152 118 $311.96
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 56 47 $298.90
73630 69 66 $291.27
J1885 Injection, ketorolac tromethamine, per 15 mg 4,900 4,099 $273.15
82150 121 98 $251.10
83036 Hemoglobin; glycosylated (A1C) 109 79 $206.72
J0696 Injection, ceftriaxone sodium, per 250 mg 1,964 1,631 $197.07
88305 Level IV - Surgical pathology, gross and microscopic examination 1,604 1,274 $172.34
73610 45 39 $152.46
82077 64 52 $129.67
87186 45 36 $118.79
73130 14 14 $91.98
73110 12 12 $76.65
87077 58 48 $73.65
73030 12 12 $48.90
73562 16 14 $48.90
J1170 Injection, hydromorphone, up to 4 mg 107 90 $44.87
J2470 Injection, pantoprazole sodium, 40 mg 14 13 $41.49
72100 13 12 $38.26
88342 1,091 875 $30.89
82553 23 15 $19.52
J7030 Infusion, normal saline solution , 1000 cc 282 208 $18.16
80179 16 13 $16.96
80143 17 14 $16.96
J2360 Injection, orphenadrine citrate, up to 60 mg 67 52 $9.55
J2550 Injection, promethazine hcl, up to 50 mg 17 14 $6.08
J1171 Injection, hydromorphone, 0.1 mg 20 14 $5.71
81003 16 13 $3.58
J7510 Prednisolone oral, per 5 mg 15 15 $1.26
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 16 13 $0.00
J3370 Injection, vancomycin hcl, 500 mg 16 13 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 16 13 $0.00
88313 12 12 $0.00
J1580 Injection, garamycin, gentamicin, up to 80 mg 16 13 $0.00
J2704 Injection, propofol, 10 mg 3,312 2,466 $0.00
94761 33 12 $0.00
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 12 12 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 14 13 $0.00
V2632 Posterior chamber intraocular lens 16 13 $0.00
J8540 Dexamethasone, oral, 0.25 mg 31 27 $0.00