Physician
Ephraim Mcdowell Health Resource, INC
Ephraim Mcdowell Health Resource, INC was paid $196K by Medicaid between Jun 2019 and Nov 2024, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
33Billing provider infoEPHRAIM MCDOWELL HEALTH RESOURCE, INC
DANVILLE, KY 40422
DANVILLE, KY 40422
33aNPI1063971414assigned 03/15/2019
33bProvider typePlastic Surgery Physician
28Total paid$196K
24GClaims5,742
24DCodes billed15
24AFirst – last monthJun 2019 – Nov 2024
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 | |
|---|---|---|---|
| 2019 | 375 | $22K | |
| 2020 | 1,117 | $61K | |
| 2021 | 945 | $30K | |
| 2022 | 902 | $24K | |
| 2023 | 1,558 | $41K | |
| 2024incomplete | 845 | $18K |
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 | 30% | 2,900 | 2,007 | $60K |
| 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 | 25% | 1,009 | 809 | $49K |
| 99205 | Prolong outpt/office vis | 15% | 271 | 253 | $29K |
| 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 | 13% | 732 | 599 | $26K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.3% | 188 | 171 | $10K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 2.4% | 41 | 39 | $5K |
| 47563 | 2.3% | 14 | 12 | $5K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 2.1% | 252 | 127 | $4K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.8% | 50 | 49 | $4K |
| 99223 | Prolong inpt eval add15 m | <1% | 39 | 29 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 104 | 89 | $2K |
| 17250 | <1% | 55 | 36 | $457.10 |
3 more codes
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 officialKINMAN, AMANDA (CFO/EVP)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.