Supplier
ST. Claire Medical Center, INC.
ST. Claire Medical Center, INC. was paid $2.09M by Medicaid between Jan 2018 and Dec 2024, across 40 billing codes. Its largest line is E1390, Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate — 32% of everything it billed.
33Billing provider infoST. CLAIRE MEDICAL CENTER, INC.
MOREHEAD, KY 40351
MOREHEAD, KY 40351
33aNPI1013957620assigned 06/08/2006
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$2.09M
24GClaims83,159
24DCodes billed40
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Kentucky
Rank by total paid#25 of 362
Median peer was paid$5K
This provider vs. median422×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official LLOYD, DONALD controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 9,924 | $289K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 32% | 16,048 | 14,934 | $662K |
| E0570 | Nebulizer, with compressor | 8.6% | 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 | 8.2% | 873 | 799 | $172K |
| E0601 | Continuous positive airway pressure (cpap) device | 7.9% | 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) | 7.9% | 2,318 | 2,103 | $165K |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | 5.2% | 10,452 | 9,750 | $110K |
| A7031 | Face mask interface, replacement for full face mask, each | 4.3% | 3,794 | 3,607 | $91K |
| A7030 | Full face mask used with positive airway pressure device, each | 4.3% | 1,923 | 1,794 | $91K |
| E0562 | Humidifier, heated, used with positive airway pressure device | 3.3% | 6,930 | 6,418 | $70K |
| E0260 | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress | 3.2% | 2,900 | 2,555 | $67K |
| E1392 | Portable oxygen concentrator, rental | 2.4% | 3,293 | 3,054 | $50K |
| K0001 | Standard wheelchair | 2.1% | 2,894 | 2,639 | $43K |
28 more codes
| L3984 | Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment | 1.6% | 137 | $33K |
| A7037 | Tubing used with positive airway pressure device | 1.5% | 3,700 | $31K |
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | 1.2% | 771 | $26K |
| A7035 | Headgear used with positive airway pressure device | 1.1% | 2,022 | $24K |
| A7038 | Filter, disposable, used with positive airway pressure device | <1% | 5,243 | $14K |
| A7034 | Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap | <1% | 409 | $14K |
| E0261 | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress | <1% | 330 | $13K |
| A4604 | Tubing with integrated heating element for use with positive airway pressure device | <1% | 371 | $12K |
| E0143 | Walker, folding, wheeled, adjustable or fixed height | <1% | 478 | $11K |
| A7039 | Filter, non disposable, used with positive airway pressure device | <1% | 1,808 | $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 | <1% | 175 | $7K |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 3,206 | $7K |
| E0630 | Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) | <1% | 178 | $5K |
| A7032 | Cushion for use on nasal mask interface, replacement only, each | <1% | 192 | $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 | <1% | 107 | $4K |
| E0163 | Commode chair, mobile or stationary, with fixed arms | <1% | 100 | $3K |
| A7046 | Water chamber for humidifier, used with positive airway pressure device, replacement, each | <1% | 405 | $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 | <1% | 28 | $2K |
| L3995 | Addition to upper extremity orthosis, sock, fracture or equal, each | <1% | 93 | $2K |
| K0007 | Extra heavy duty wheelchair | <1% | 26 | $2K |
| L1902 | Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf | <1% | 30 | $1K |
| L1812 | Knee orthosis, elastic with joints, prefabricated, off-the-shelf | <1% | 13 | $1K |
| A7013 | Filter, disposable, used with aerosol compressor or ultrasonic generator | <1% | 1,640 | $719.33 |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 454 | $492.48 |
| A7005 | Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable | <1% | 50 | $457.85 |
| E0156 | Seat attachment, walker | <1% | 46 | $289.39 |
| A4456 | Adhesive remover, wipes, any type, each | <1% | 13 | $121.31 |
| A4357 | Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each | <1% | 13 | $20.78 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialLLOYD, DONALD (PRESIDENT/CEO)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.