Medicaid Provider Spending

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

MARSHALL COUNTY HMA LLC

NPI: 1992246565 · MADILL, OK 73446 · Rural Health Clinic/Center · NPI assigned 03/16/2017

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

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

$4.33M
Total Medicaid Paid
25,114
Total Claims
23,182
Beneficiaries
16
Codes Billed
2018-02
First Month
2024-07
Last Month

Provider Details

Authorized OfficialLALOR, PAULA (DIRECTOR/DELEGATED OFFICIAL)
NPI Enumeration Date03/16/2017

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 2,147 $205K
2019 3,243 $438K
2020 4,834 $918K
2021 9,105 $1.71M
2022 4,842 $902K
2023 734 $124K
2024 209 $36K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17,089 15,498 $2.95M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,080 3,862 $679K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,359 1,308 $276K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,120 1,089 $230K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 721 720 $148K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 100 100 $21K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 56 56 $11K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 347 313 $9K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 45 45 $9K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 15 13 $3K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 26 26 $0.00
36415 Collection of venous blood by venipuncture 25 25 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 14 14 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 76 75 $0.00
99406 26 24 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 15 14 $0.00