Medicaid Provider Spending

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

JEFFERSON COUNTY HMA LLC

NPI: 1972585347 · JEFFERSON CITY, TN 37760 · General Acute Care Hospital · NPI assigned 11/18/2005

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

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

$14.31M
Total Medicaid Paid
255,577
Total Claims
212,666
Beneficiaries
89
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLALOR, PAULA (DIRECTOR/DELEGATED OFFICIAL)
NPI Enumeration Date11/18/2005

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
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 24,851 $1.75M
2019 46,315 $2.23M
2020 42,845 $1.71M
2021 42,398 $2.43M
2022 36,555 $2.51M
2023 40,227 $2.45M
2024 22,386 $1.23M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 29,535 26,304 $6.23M
99284 19,936 16,946 $4.94M
99285 4,556 3,635 $1.11M
99282 4,343 3,935 $586K
87428 6,733 6,061 $293K
42820 148 134 $275K
69436 143 135 $118K
96374 9,224 7,810 $100K
G0378 Hospital observation service, per hour 1,009 578 $87K
85025 27,403 21,839 $66K
96375 4,591 3,806 $41K
80053 20,332 16,685 $41K
74176 1,699 1,435 $40K
87426 1,670 1,492 $37K
96361 5,679 4,747 $30K
99281 251 233 $28K
84484 5,563 3,787 $26K
87635 719 671 $24K
87880 5,730 5,348 $23K
J2405 Injection, ondansetron hydrochloride, per 1 mg 3,671 3,119 $22K
70450 1,079 872 $20K
96372 5,084 4,303 $20K
71045 6,964 5,760 $17K
93005 8,016 5,861 $16K
87804 4,561 4,046 $16K
83690 5,411 4,659 $14K
87081 4,982 4,623 $13K
36415 18,063 13,236 $12K
74177 244 204 $9K
71046 1,319 1,131 $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 978 880 $7K
43239 25 16 $6K
81025 3,406 3,126 $6K
80048 4,330 3,353 $6K
81001 8,616 7,462 $4K
84443 1,284 1,099 $4K
80061 1,904 1,635 $4K
80307 273 223 $3K
87086 850 719 $3K
96365 137 117 $2K
83735 805 634 $1K
83036 697 608 $982.39
85610 974 756 $847.24
85730 744 573 $835.61
94640 507 404 $809.15
76700 32 26 $783.09
87807 200 191 $748.51
83880 184 147 $608.02
96360 60 48 $546.03
82306 90 79 $508.44
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,879 1,600 $453.62
85027 238 177 $307.00
82550 267 215 $298.12
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 15 13 $266.37
85379 59 51 $199.20
82607 88 65 $193.80
83605 54 40 $166.16
86900 62 44 $132.36
86850 61 43 $126.89
80076 62 51 $113.88
J2250 Injection, midazolam hydrochloride, per 1 mg 2,183 1,819 $106.19
87040 55 27 $101.45
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 79 64 $88.45
J7030 Infusion, normal saline solution , 1000 cc 3,421 2,809 $84.42
81003 243 209 $72.90
86141 28 25 $72.70
J1885 Injection, ketorolac tromethamine, per 15 mg 5,804 4,980 $64.45
73610 13 12 $60.76
84439 31 30 $58.92
72100 13 12 $57.39
86901 62 44 $56.20
J3010 Injection, fentanyl citrate, 0.1 mg 2,230 1,820 $38.02
94760 140 57 $37.56
C1889 Implantable/insertable device, not otherwise classified 74 63 $36.53
82553 46 39 $27.76
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 46 40 $19.96
L8699 Prosthetic implant, not otherwise specified 27 26 $18.81
82962 89 15 $6.53
J2270 Injection, morphine sulfate, up to 10 mg 62 55 $2.88
J2704 Injection, propofol, 10 mg 1,408 1,098 $0.00
96376 43 12 $0.00
J0690 Injection, cefazolin sodium, 500 mg 251 174 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 61 49 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 116 92 $0.00
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 587 504 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 501 449 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 132 99 $0.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 129 97 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 164 156 $0.00