Medicaid Provider Spending

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

NORTON CLARK PHYSICIAN PRACTICES, LLC

NPI: 1063896637 · SELLERSBURG, IN 47172 · Urgent Care Clinic/Center · NPI assigned 07/14/2015

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

Authorized official GAST, SHELLEY controls 20+ related entities in our dataset. Read more

$273K
Total Medicaid Paid
14,994
Total Claims
9,855
Beneficiaries
18
Codes Billed
2018-01
First Month
2020-03
Last Month

Provider Details

Authorized OfficialGAST, SHELLEY (VP MANAGED CARE)
NPI Enumeration Date07/14/2015

Related Entities

Other providers sharing the same authorized official: GAST, SHELLEY

ProviderCityStateTotal Paid
NORTON HOSPITALS INC LOUISVILLE KY $419.58M
NORTON HOSPITALS, INC LOUISVILLE KY $299.00M
COMMUNITY MEDICAL ASSOCIATES, INC. LOUISVILLE KY $135.33M
NORTON CHILDRENS MEDICAL GROUP, LLC LOUISVILLE KY $107.36M
COMMUNITY MEDICAL ASSOCIATES, INC. LOUISVILLE KY $48.97M
NORTON CLARK HOSPITAL, LLC JEFFERSONVILLE IN $19.62M
NORTON - KINGS DAUGHTERS HEALTH INC MADISON IN $11.81M
NORTON SCOTT HOSPITAL, LLC SCOTTSBURG IN $9.17M
NORTON CLARK PHYSICIAN PRACTICES, LLC CLARKSVILLE IN $7.07M
NORTON HOSPITALS INC LOUISVILLE KY $3.38M
COMMUNITY MEDICAL ASSOCIATES, INC. LOUISVILLE KY $1.21M
NORTON CHILDREN'S MEDICAL GROUP, LLC LOUISVILLE KY $1.15M
COMMUNITY MEDICAL ASSOCIATES, INC. LOUISVILLE KY $957K
COMMUNITY MEDICAL ASSOCIATES, INC. LOUISVILLE KY $808K
NORTON SCOTT HOSPITAL, LLC SCOTTSBURG IN $560K
NORTON HOSPITALS, INC LOUISVILLE KY $438K
COMMUNITY MEDICAL ASSOCIATES, INC. LOUISVILLE KY $357K
NORTON CHILDREN'S MEDICAL GROUP, LLC LOUISVILLE KY $260K
NORTON CHILDREN'S MEDICAL GROUP, LLC LOUISVILLE KY $238K
NORTON CHILDREN'S MEDICAL GROUP, LLC LOUISVILLE KY $189K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,833 $77K
2019 5,473 $148K
2020 1,688 $48K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,336 3,453 $120K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 4,040 1,508 $42K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 598 494 $34K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 793 588 $28K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,848 2,213 $27K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 880 673 $19K
99201 46 39 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 139 109 $743.14
71046 Radiologic examination, chest; 2 views 207 127 $487.80
99000 168 154 $380.49
87807 46 24 $249.05
81003 447 255 $174.65
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 80 41 $92.92
85025 Blood count; complete (CBC), automated, and automated differential WBC count 90 47 $46.43
81025 62 24 $45.30
36415 Collection of venous blood by venipuncture 106 53 $29.52
80053 Comprehensive metabolic panel 30 13 $14.70
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 78 40 $1.11