Ephraim Mcdowell Health Resource, INC
Ephraim Mcdowell Health Resource, INC was paid $139K by Medicaid between Jan 2018 and Mar 2020, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.
33Billing provider infoEPHRAIM MCDOWELL HEALTH RESOURCE, INC
DANVILLE, KY 40422
DANVILLE, KY 40422
33aNPI1043615248assigned 10/30/2014
33bProvider typeSleep Specialist (PhD)
28Total paid$139K
24GClaims3,778
24DCodes billed9
24AFirst – last monthJan 2018 – Mar 2020
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official SNAPP, WILLIAM 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 | 1,750 | $70K | |
| 2019 | 1,562 | $49K | |
| 2020 | 466 | $20K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 49% | 2,596 | 2,375 | $68K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 14% | 286 | 266 | $20K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 12% | 288 | 272 | $17K |
| 95886 | 8.1% | 235 | 209 | $11K | |
| 99205 | Prolong outpt/office vis | 4.8% | 65 | 60 | $7K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 4.8% | 71 | 66 | $7K |
| 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 | 4.5% | 165 | 151 | $6K |
| 95806 | 1.8% | 27 | 25 | $2K | |
| 95819 | <1% | 45 | 41 | $1K |
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 officialSNAPP, WILLIAM (EVP/CFO)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.