Behavioral
Norton Hospitals INC
Norton Hospitals INC was paid $3.38M by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 44% of everything it billed.
33Billing provider infoNORTON HOSPITALS INC
LOUISVILLE, KY 40202
LOUISVILLE, KY 40202
33aNPI1073568879assigned 05/23/2006
33bProvider typeClinical Social Worker
28Total paid$3.38M
24GClaims101,782
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinical Social Worker providers in Kentucky
Rank by total paid#17 of 275
Median peer was paid$57K
This provider vs. median59×
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
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 | |
|---|---|---|---|
| 2018 | 8,673 | $243K | |
| 2019 | 13,830 | $390K | |
| 2020 | 13,696 | $439K | |
| 2021 | 19,394 | $648K | |
| 2022 | 16,589 | $591K | |
| 2023 | 15,877 | $593K | |
| 2024incomplete | 13,723 | $472K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 44% | 38,800 | 32,331 | $1.50M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 19% | 12,573 | 9,846 | $658K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.5% | 13,053 | 10,455 | $322K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 6.5% | 8,165 | 3,352 | $220K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 5.9% | 11,329 | 2,893 | $201K |
| 77427 | 2.1% | 874 | 442 | $70K | |
| 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 | 1.8% | 851 | 733 | $61K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 1.6% | 3,175 | 1,957 | $56K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.6% | 1,784 | 804 | $52K |
| G6002 | Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | 1.5% | 4,339 | 694 | $51K |
| 77334 | <1% | 393 | 257 | $28K | |
| 99205 | Prolong outpt/office vis | <1% | 292 | 270 | $28K |
18 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 554 | $25K |
| 99254 | <1% | 223 | $23K | |
| 77014 | <1% | 787 | $17K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 255 | $12K |
| 0001A | <1% | 278 | $10K | |
| 31575 | <1% | 275 | $8K | |
| 0002A | <1% | 222 | $8K | |
| 77300 | <1% | 82 | $5K | |
| 99253 | <1% | 73 | $5K | |
| 99223 | Prolong inpt eval add15 m | <1% | 87 | $5K |
| 77263 | <1% | 58 | $5K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 2,954 | $4K |
| 99221 | <1% | 105 | $4K | |
| 0003A | <1% | 53 | $2K | |
| 0054A | <1% | 13 | $170.87 | |
| 99024 | 0% | 108 | $0.00 | |
| 91305 | 0% | 13 | $0.00 | |
| 96040 | 0% | 14 | $0.00 |
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 (SYST VP OF MNGD CARE & PAYOR STRAT)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.