Medicaid Provider Spending

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

ST. CLAIRE MEDICAL CENTER, INC.

NPI: 1013957620 · MOREHEAD, KY 40351 · Durable Medical Equipment & Medical Supplies · NPI assigned 06/08/2006

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

Authorized official LLOYD, DONALD controls 20+ related entities in our dataset. Read more

$2.09M
Total Medicaid Paid
83,159
Total Claims
76,944
Beneficiaries
40
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLLOYD, DONALD (PRESIDENT/CEO)
NPI Enumeration Date06/08/2006

Related Entities

Other providers sharing the same authorized official: LLOYD, DONALD

ProviderCityStateTotal Paid
ST CLAIRE MEDICAL CENTER INC MOREHEAD KY $71.27M
ST CLAIRE MEDICAL CENTER INC. MOREHEAD KY $4.05M
ST. CLAIRE MEDICAL CENTER, INC MOREHEAD KY $3.32M
ST CLAIRE MEDICAL CENTER, INC., MOREHEAD KY $3.31M
ST CLAIRE MEDICAL CENTER, INC MOREHEAD KY $3.29M
ST. CLAIRE MEDICAL CENTER, INC MOREHEAD KY $3.11M
ST CLAIRE MEDICAL CENTER, INC., MOREHEAD KY $2.42M
ST. CLAIRE MEDICAL CENTER MOREHEAD KY $2.40M
ST CLAIRE REGIONAL RADIOLOGY PHYSICIANS SERVICES MOREHEAD KY $1.83M
ST CLAIRE MEDICAL CENTER, INC., MOREHEAD KY $1.46M
ST. CLAIRE MEDICAL CENTER,INC OLIVE HILL KY $1.13M
ST. CLAIRE MEDICAL CENTER, INC OWINGSVILLE KY $964K
ST. CLAIRE MEDICAL CENTER,INC SANDY HOOK KY $948K
ST. CLAIRE MEDICAL CENTER, INC FRENCHBURG KY $877K
ST CLAIRE MEDICAL CENTER, INC MOREHEAD KY $760K
ST. CLAIRE MEDICAL CENTER, INC MOREHEAD KY $672K
ST. CLAIRE MEDICAL CENTER, INC. MOREHEAD KY $411K
ST. CLAIRE MEDICAL CENTER INC. MOREHEAD KY $371K
ST CLAIRE MEDICAL CENTER INC. MOREHEAD KY $115K
ST. CLAIRE MEDICAL CENTER, INC. MOREHEAD KY $20K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12,779 $346K
2019 13,306 $330K
2020 10,302 $240K
2021 11,848 $276K
2022 11,236 $259K
2023 13,764 $354K
2024 9,924 $289K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 16,048 14,934 $662K
E0570 Nebulizer, with compressor 4,901 4,552 $181K
L4361 Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf 873 799 $172K
E0601 Continuous positive airway pressure (cpap) device 4,795 4,449 $166K
E0470 Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) 2,318 2,103 $165K
E0431 Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing 10,452 9,750 $110K
A7031 Face mask interface, replacement for full face mask, each 3,794 3,607 $91K
A7030 Full face mask used with positive airway pressure device, each 1,923 1,794 $91K
E0562 Humidifier, heated, used with positive airway pressure device 6,930 6,418 $70K
E0260 Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress 2,900 2,555 $67K
E1392 Portable oxygen concentrator, rental 3,293 3,054 $50K
K0001 Standard wheelchair 2,894 2,639 $43K
L3984 Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment 137 129 $33K
A7037 Tubing used with positive airway pressure device 3,700 3,470 $31K
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 771 559 $26K
A7035 Headgear used with positive airway pressure device 2,022 1,903 $24K
A7038 Filter, disposable, used with positive airway pressure device 5,243 4,958 $14K
A7034 Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap 409 388 $14K
E0261 Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress 330 312 $13K
A4604 Tubing with integrated heating element for use with positive airway pressure device 371 360 $12K
E0143 Walker, folding, wheeled, adjustable or fixed height 478 428 $11K
A7039 Filter, non disposable, used with positive airway pressure device 1,808 1,698 $7K
A5500 For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe 175 103 $7K
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable 3,206 2,863 $7K
E0630 Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) 178 151 $5K
A7032 Cushion for use on nasal mask interface, replacement only, each 192 177 $4K
A5512 For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each 107 50 $4K
E0163 Commode chair, mobile or stationary, with fixed arms 100 91 $3K
A7046 Water chamber for humidifier, used with positive airway pressure device, replacement, each 405 381 $3K
L1820 Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 28 25 $2K
L3995 Addition to upper extremity orthosis, sock, fracture or equal, each 93 89 $2K
K0007 Extra heavy duty wheelchair 26 24 $2K
L1902 Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf 30 26 $1K
L1812 Knee orthosis, elastic with joints, prefabricated, off-the-shelf 13 12 $1K
A7013 Filter, disposable, used with aerosol compressor or ultrasonic generator 1,640 1,557 $719.33
A7015 Aerosol mask, used with dme nebulizer 454 426 $492.48
A7005 Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable 50 48 $457.85
E0156 Seat attachment, walker 46 38 $289.39
A4456 Adhesive remover, wipes, any type, each 13 12 $121.31
A4357 Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each 13 12 $20.78