Medicaid Provider Spending

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

COMMUNITY MEDICAL ASSOCIATES, INC.

NPI: 1073089850 · LOUISVILLE, KY 40241 · Family Medicine Physician · NPI assigned 10/18/2018

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

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

$1.21M
Total Medicaid Paid
20,667
Total Claims
18,976
Beneficiaries
18
Codes Billed
2019-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGAST, SHELLEY (VP MANAGED CARE)
NPI Enumeration Date10/18/2018

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
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 CLARK PHYSICIAN PRACTICES, LLC SELLERSBURG IN $273K
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
2019 140 $5K
2020 1,645 $83K
2021 2,625 $187K
2022 3,982 $272K
2023 7,045 $366K
2024 5,230 $293K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 5,155 4,678 $563K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,999 4,572 $284K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,384 5,933 $230K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 2,889 2,662 $82K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 254 220 $17K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 162 144 $9K
0002A 168 160 $5K
0001A 164 159 $5K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 48 44 $4K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 229 211 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 34 31 $2K
99284 Emergency department visit for the evaluation and management, high severity 17 14 $674.82
90686 60 53 $589.46
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 33 26 $399.02
0004A 12 12 $345.02
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 18 17 $235.72
99001 13 12 $18.90
91305 28 28 $0.00