Medicaid Provider Spending

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

ST CLAIRE MEDICAL CENTER INC.

NPI: 1063036119 · MOREHEAD, KY 40351 · Family Medicine Physician · NPI assigned 06/04/2020

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

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

$115K
Total Medicaid Paid
5,823
Total Claims
4,656
Beneficiaries
15
Codes Billed
2020-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLLOYD, DONALD (PRESIDENT/CEO)
NPI Enumeration Date06/04/2020

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 MEDICAL CENTER, INC. MOREHEAD KY $2.09M
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 $20K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 198 $3K
2021 836 $23K
2022 1,331 $28K
2023 1,739 $33K
2024 1,719 $29K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,164 980 $32K
99441 1,159 923 $30K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 539 486 $14K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 357 337 $12K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 887 409 $10K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 409 379 $5K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 81 79 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 183 160 $3K
87428 88 83 $2K
90686 67 46 $669.05
87301 87 76 $526.37
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 73 49 $513.66
36415 Collection of venous blood by venipuncture 25 25 $60.88
1125F 460 400 $2.19
1126F 244 224 $1.03