Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Baptist Health Medical Group INC

Baptist Health Medical Group INC was paid $73K by Medicaid between May 2023 and Nov 2024, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 66% of everything it billed.

33Billing provider infoBAPTIST HEALTH MEDICAL GROUP INC
SONORA, KY 42776
33aNPI1033714571assigned 12/02/2020
28Total paid$73K
24GClaims2,171
24DCodes billed8
24AFirst – last monthMay 2023 – Nov 2024
Compared with peers

Next to other Rural Health Clinic/Center providers in Kentucky

Rank by total paid#216 of 265
Median peer was paid$400K
This provider vs. median0.2×

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 CLAY, DANYEL controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
20231,004$32K
2024incomplete1,167$42K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 66% 1,180 1,095 $48K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 28% 746 677 $21K
87428 3.8% 105 101 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 27 27 $503.66
36415 Collection of venous blood by venipuncture <1% 76 68 $423.93
90686 <1% 12 12 $224.40
2014F 0% 12 12 $0.00
3008F 0% 13 13 $0.00

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 officialCLAY, DANYEL (VICE PRESIDENT REVENUE CYCLE)
Same official

Other billing entities under CLAY, DANYEL

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.