Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Norton Clark Physician Practices, LLC

Norton Clark Physician Practices, LLC was paid $273K by Medicaid between Jan 2018 and Mar 2020, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.

33Billing provider infoNORTON CLARK PHYSICIAN PRACTICES, LLC
SELLERSBURG, IN 47172
33aNPI1063896637assigned 07/14/2015
28Total paid$273K
24GClaims14,994
24DCodes billed18
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers

Next to other Urgent Care Clinic/Center providers in Indiana

Rank by total paid#15 of 27
Median peer was paid$365K
This provider vs. median0.7×

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

Paid by month

$0$10K$20K$30K2018201920202021202220232024
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
20187,833$77K
20195,473$148K
20201,688$48K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 44% 4,336 3,453 $120K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 15% 4,040 1,508 $42K
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 12% 598 494 $34K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 10% 793 588 $28K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 10% 2,848 2,213 $27K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 6.9% 880 673 $19K
99201 <1% 46 39 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 139 109 $743.14
71046 Radiologic examination, chest; 2 views <1% 207 127 $487.80
99000 <1% 168 154 $380.49
87807 <1% 46 24 $249.05
81003 <1% 447 255 $174.65
6 more codes
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 80 $92.92
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 90 $46.43
81025 <1% 62 $45.30
36415 Collection of venous blood by venipuncture <1% 106 $29.52
80053 Comprehensive metabolic panel <1% 30 $14.70
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 78 $1.11

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 officialGAST, SHELLEY (VP MANAGED CARE)
Same official

Other billing entities under GAST, SHELLEY

Full network →
ProviderLocationPaid
Norton Hospitals INCLouisville, KY$419.58M
Norton Hospitals, INCLouisville, KY$299.00M
Community Medical Associates, INC.Louisville, KY$135.33M
Norton Childrens Medical Group, LLCLouisville, KY$107.36M
Community Medical Associates, INC.Louisville, KY$48.97M
Norton Clark Hospital, LLCJeffersonville, IN$19.62M
Norton - Kings Daughters Health INCMadison, IN$11.81M
Norton Scott Hospital, LLCScottsburg, IN$9.17M
Norton Clark Physician Practices, LLCClarksville, IN$7.07M
Norton Hospitals INCLouisville, KY$3.38M
Community Medical Associates, INC.Louisville, KY$1.21M
Norton Children's Medical Group, LLCLouisville, KY$1.15M
Community Medical Associates, INC.Louisville, KY$957K
Community Medical Associates, INC.Louisville, KY$808K
Norton Scott Hospital, LLCScottsburg, IN$560K
Norton Hospitals, INCLouisville, KY$438K
Community Medical Associates, INC.Louisville, KY$357K
Norton Children's Medical Group, LLCLouisville, KY$260K
Norton Children's Medical Group, LLCLouisville, KY$238K
Norton Children's Medical Group, LLCLouisville, KY$189K

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