Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Billing entities under HERALD, JAMES

Every Medicaid billing NPI that lists HERALD, JAMES (billing manager) as its authorized official in NPPES: 11 entities in 2 states, paid $14.84M combined.

28Combined paid$14.84M
33Billing entities11
24GClaims866,988
States2

Auditor's note

Not evidence of wrongdoing.

Entity proliferationOne official on 11 billing entities. Large health systems and multi-site agencies legitimately register many NPIs; it is also a pattern investigators look at. Read more

Matched on the name exactly as typed into NPPES. Two different people with the same name will land on the same page.

Box 32 · Location

By state

  1. KYKentucky10 entities
    $14M
  2. TNTennessee1 entities
    $380K
Box 33 · Billing providers

All entities

#ProviderLocationTypePaid
1 Big Sandy Health Care INC Auxier, KY Federally Qualified Health Center (FQHC) $4.57M
2 Big Sandy Health Care, INC Inez, KY Federally Qualified Health Center (FQHC) $2.30M
3 Big Sandy Health Care INC Salyersville, KY Federally Qualified Health Center (FQHC) $1.99M
4 Big Sandy Health Care INC Grethel, KY Federally Qualified Health Center (FQHC) $1.74M
5 Big Sandy Health Care INC Pikeville, KY Federally Qualified Health Center (FQHC) $1.73M
6 Big Sandy Health Care INC Salyersville, KY Federally Qualified Health Center (FQHC) $1.01M
7 Big Sandy Health Care INC Pikeville, KY Federally Qualified Health Center (FQHC) $530K
8 Big Sandy Health Care INC Harold, KY Federally Qualified Health Center (FQHC) $416K
9 The Pathology Group PC Memphis, TN Anatomic Pathology & Clinical Pathology Physician $380K
10 Big Sandy Health Care INC Freeburn, KY Clinic/Center $114K
11 Big Sandy Health Care INC Paintsville, KY Federally Qualified Health Center (FQHC) $48K