Medicaid Provider Spending

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

NORTON HOSPITALS INC

NPI: 1073568879 · LOUISVILLE, KY 40202 · Clinical Social Worker · NPI assigned 05/23/2006

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

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

$3.38M
Total Medicaid Paid
101,782
Total Claims
68,747
Beneficiaries
30
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGAST, SHELLEY (SYST VP OF MNGD CARE & PAYOR STRAT)
NPI Enumeration Date05/23/2006

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
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 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
2018 8,673 $243K
2019 13,830 $390K
2020 13,696 $439K
2021 19,394 $648K
2022 16,589 $591K
2023 15,877 $593K
2024 13,723 $472K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 38,800 32,331 $1.50M
99215 Prolong outpt/office vis 12,573 9,846 $658K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13,053 10,455 $322K
99232 Subsequent hospital care, per day, moderate complexity 8,165 3,352 $220K
99231 Subsequent hospital care, per day, straightforward or low complexity 11,329 2,893 $201K
77427 874 442 $70K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 851 733 $61K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 3,175 1,957 $56K
99233 Prolong inpt eval add15 m 1,784 804 $52K
G6002 Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy 4,339 694 $51K
77334 393 257 $28K
99205 Prolong outpt/office vis 292 270 $28K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 554 514 $25K
99254 223 205 $23K
77014 787 143 $17K
99222 Initial hospital care, per day, moderate complexity 255 237 $12K
0001A 278 262 $10K
31575 275 234 $8K
0002A 222 212 $8K
77300 82 67 $5K
99253 73 68 $5K
99223 Prolong inpt eval add15 m 87 79 $5K
77263 58 50 $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) 2,954 2,416 $4K
99221 105 84 $4K
0003A 53 52 $2K
0054A 13 12 $170.87
99024 108 53 $0.00
91305 13 12 $0.00
96040 14 13 $0.00