Medicaid Provider Spending

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

EPHRAIM MCDOWELL HEALTH RESOURCE, INC

NPI: 1063971414 · DANVILLE, KY 40422 · Plastic Surgery Physician · NPI assigned 03/15/2019

$196K
Total Medicaid Paid
5,742
Total Claims
4,270
Beneficiaries
15
Codes Billed
2019-06
First Month
2024-11
Last Month

Provider Details

Authorized OfficialKINMAN, AMANDA (CFO/EVP)
NPI Enumeration Date03/15/2019

Related Entities

Other providers sharing the same authorized official: KINMAN, AMANDA

ProviderCityStateTotal Paid
EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER INCORPORATED DANVILLE KY $2.72M
EPHRAIM MCDOWELL HEALTH RESOURCE, INC. STANFORD KY $1.56M
EPHRAIM MCDOWELL HEALTH RESOURCE, INC. DANVILLE KY $1.45M
EPHRAIM MCDOWELL HEALTH RESOURCE, INC DANVILLE KY $213K
EPHRAIM MCDOWELL HEALTH RESOURCE, INC DANVILLE KY $20K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 375 $22K
2020 1,117 $61K
2021 945 $30K
2022 902 $24K
2023 1,558 $41K
2024 845 $18K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,900 2,007 $60K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,009 809 $49K
99205 Prolong outpt/office vis 271 253 $29K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 732 599 $26K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 188 171 $10K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 41 39 $5K
47563 14 12 $5K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 252 127 $4K
99215 Prolong outpt/office vis 50 49 $4K
99223 Prolong inpt eval add15 m 39 29 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 104 89 $2K
17250 55 36 $457.10
99232 Subsequent hospital care, per day, moderate complexity 26 13 $338.40
11055 44 25 $251.39
97597 17 12 $221.13