Medicaid Provider Spending

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

NORTON SCOTT HOSPITAL, LLC

NPI: 1013251594 · SCOTTSBURG, IN 47170 · Critical Access Hospital · NPI assigned 11/21/2012

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

Authorized official GAST, SHELLEY controls 20+ related entities in our dataset. Read more

$9.17M
Total Medicaid Paid
249,396
Total Claims
182,803
Beneficiaries
84
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGAST, SHELLEY (VP MANAGED CARE)
NPI Enumeration Date11/21/2012

Related Entities

Other providers sharing the same authorized official: GAST, SHELLEY

ProviderCityStateTotal Paid
NORTON HOSPITALS INC LOUISVILLE KY $419.58M
NORTON HOSPITALS, INC LOUISVILLE KY $299.00M
COMMUNITY MEDICAL ASSOCIATES, INC. LOUISVILLE KY $135.33M
NORTON CHILDRENS MEDICAL GROUP, LLC LOUISVILLE KY $107.36M
COMMUNITY MEDICAL ASSOCIATES, INC. LOUISVILLE KY $48.97M
NORTON CLARK HOSPITAL, LLC JEFFERSONVILLE IN $19.62M
NORTON - KINGS DAUGHTERS HEALTH INC MADISON IN $11.81M
NORTON CLARK PHYSICIAN PRACTICES, LLC CLARKSVILLE IN $7.07M
NORTON HOSPITALS INC LOUISVILLE KY $3.38M
COMMUNITY MEDICAL ASSOCIATES, INC. LOUISVILLE KY $1.21M
NORTON CHILDREN'S MEDICAL GROUP, LLC LOUISVILLE KY $1.15M
COMMUNITY MEDICAL ASSOCIATES, INC. LOUISVILLE KY $957K
COMMUNITY MEDICAL ASSOCIATES, INC. LOUISVILLE KY $808K
NORTON SCOTT HOSPITAL, LLC SCOTTSBURG IN $560K
NORTON HOSPITALS, INC LOUISVILLE KY $438K
COMMUNITY MEDICAL ASSOCIATES, INC. LOUISVILLE KY $357K
NORTON CLARK PHYSICIAN PRACTICES, LLC SELLERSBURG IN $273K
NORTON CHILDREN'S MEDICAL GROUP, LLC LOUISVILLE KY $260K
NORTON CHILDREN'S MEDICAL GROUP, LLC LOUISVILLE KY $238K
NORTON CHILDREN'S MEDICAL GROUP, LLC LOUISVILLE KY $189K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 34,710 $468K
2019 30,498 $933K
2020 26,835 $920K
2021 36,401 $1.42M
2022 51,129 $2.00M
2023 43,981 $2.01M
2024 25,842 $1.42M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 23,819 20,217 $3.40M
99284 Emergency department visit for the evaluation and management, high severity 9,440 7,608 $933K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 10,873 8,140 $889K
71045 Radiologic examination, chest; single view 7,481 5,471 $691K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 9,686 6,674 $490K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2,384 2,094 $355K
G0378 Hospital observation service, per hour 3,455 1,294 $279K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 5,885 4,840 $274K
96361 Intravenous infusion, hydration; each additional hour 3,800 1,858 $219K
87428 10,163 8,117 $180K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 4,194 3,241 $157K
80053 Comprehensive metabolic panel 27,013 19,565 $154K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,863 1,455 $133K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 27,943 18,870 $125K
71046 Radiologic examination, chest; 2 views 1,245 971 $115K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 934 867 $107K
99281 Emergency department visit for the evaluation and management, self-limited or minor 711 637 $93K
36415 Collection of venous blood by venipuncture 32,201 22,255 $78K
84484 7,914 5,073 $61K
87650 3,507 3,057 $38K
80306 4,320 3,343 $38K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 940 684 $33K
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 814 566 $32K
86403 5,132 4,469 $32K
81001 9,739 7,160 $25K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,105 1,443 $23K
83735 4,281 2,879 $20K
96375 Therapeutic injection; each additional sequential IV push 2,577 1,718 $19K
76376 919 572 $19K
80061 Lipid panel 2,562 2,166 $15K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 493 472 $15K
87086 Culture, bacterial; quantitative colony count, urine 3,212 2,315 $14K
84443 Thyroid stimulating hormone (TSH) 1,283 1,072 $10K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 427 186 $9K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 164 140 $9K
U0005 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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 690 470 $8K
74177 Computed tomography, abdomen and pelvis; with contrast material 19 14 $7K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 154 132 $7K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 245 99 $6K
87040 572 298 $6K
80048 Basic metabolic panel (calcium, ionized) 1,389 722 $5K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 178 153 $5K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 448 348 $5K
81025 964 749 $4K
81003 1,361 1,048 $4K
70450 Computed tomography, head or brain; without contrast material 42 36 $4K
83880 260 197 $3K
83036 Hemoglobin; glycosylated (A1C) 763 634 $3K
74176 Computed tomography, abdomen and pelvis; without contrast material 13 13 $3K
83690 453 336 $2K
84439 477 385 $2K
86756 320 283 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 98 76 $2K
82948 346 115 $2K
83605 149 107 $1K
94762 33 25 $1K
96376 490 193 $856.17
84436 124 115 $532.09
85730 128 104 $365.87
84703 82 62 $362.56
85379 46 39 $291.53
85610 129 105 $282.73
82550 155 105 $269.51
96367 16 13 $242.52
85027 43 35 $231.68
84481 17 17 $197.16
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 16 13 $186.70
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 16 13 $186.70
82150 32 24 $148.47
83970 13 13 $148.29
87070 34 29 $142.10
J1650 Injection, enoxaparin sodium, 10 mg 131 54 $125.89
J3490 Unclassified drugs 67 40 $76.08
82570 42 39 $41.34
82043 16 14 $17.34
84100 13 13 $17.01
84156 12 12 $5.14
J2405 Injection, ondansetron hydrochloride, per 1 mg 1,549 1,116 $0.13
J7120 Ringers lactate infusion, up to 1000 cc 318 234 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 17 12 $0.00
Q9962 High osmolar contrast material, 300-349 mg/ml iodine concentration, per ml 32 26 $0.00
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 31 24 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 3,016 2,352 $0.00
A9270 Non-covered item or service 358 258 $0.00