Medicaid Provider Spending

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

NORTON CLARK PHYSICIAN PRACTICES, LLC

NPI: 1083098651 · CLARKSVILLE, IN 47129 · Physician Assistant · NPI assigned 07/14/2015

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

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

$7.07M
Total Medicaid Paid
249,967
Total Claims
196,251
Beneficiaries
131
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGAST, SHELLEY (VP MANAGED CARE)
NPI Enumeration Date07/14/2015

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 HOSPITALS INC LOUISVILLE KY $3.38M
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 41,941 $489K
2019 39,081 $1.11M
2020 31,690 $906K
2021 35,928 $1.32M
2022 38,017 $1.41M
2023 46,269 $1.41M
2024 17,041 $419K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 44,087 36,250 $2.49M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 50,249 41,358 $1.81M
59426 6,355 3,057 $431K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,160 2,970 $275K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,069 2,724 $258K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,924 2,421 $188K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,568 3,068 $136K
59425 2,265 1,843 $133K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,229 1,144 $103K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 9,385 8,128 $100K
90472 Immunization administration, each additional vaccine (list separately) 4,512 4,065 $96K
20610 4,467 3,147 $93K
99232 Subsequent hospital care, per day, moderate complexity 5,308 1,845 $78K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3,492 2,941 $78K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 5,755 5,145 $74K
99223 Prolong inpt eval add15 m 1,418 1,160 $73K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 792 683 $60K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 20,400 14,668 $60K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 550 506 $44K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,768 1,331 $37K
99308 Subsequent nursing facility care, per day, straightforward 2,889 2,420 $32K
81003 20,364 13,819 $31K
90792 Psychiatric diagnostic evaluation with medical services 360 308 $27K
74177 Computed tomography, abdomen and pelvis; with contrast material 623 478 $23K
70450 Computed tomography, head or brain; without contrast material 1,262 1,022 $19K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 470 351 $17K
99222 Initial hospital care, per day, moderate complexity 632 536 $16K
71046 Radiologic examination, chest; 2 views 3,213 2,643 $15K
95816 616 530 $15K
99233 Prolong inpt eval add15 m 449 266 $14K
71045 Radiologic examination, chest; single view 4,247 3,252 $12K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 149 132 $12K
90473 958 849 $11K
83036 Hemoglobin; glycosylated (A1C) 2,538 2,193 $11K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 960 399 $10K
77067 Screening mammography, bilateral, including computer-aided detection 1,326 1,000 $9K
95251 555 456 $9K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 381 298 $8K
87428 228 196 $8K
99231 Subsequent hospital care, per day, straightforward or low complexity 772 390 $7K
59430 303 218 $7K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,036 986 $7K
77063 Screening digital breast tomosynthesis, bilateral 1,328 1,002 $7K
76830 Ultrasound, transvaginal 135 109 $6K
93000 1,091 916 $6K
95886 110 103 $6K
99442 434 312 $6K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 193 168 $6K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 1,629 1,227 $5K
76801 74 69 $5K
97597 398 169 $5K
81025 1,140 883 $5K
72110 225 177 $4K
90670 1,895 1,704 $4K
99238 Hospital discharge day management, 30 minutes or less 266 241 $4K
71260 Computed tomography, thorax, diagnostic; with contrast material 189 144 $4K
99215 Prolong outpt/office vis 48 40 $4K
J1030 Injection, methylprednisolone acetate, 40 mg 1,389 1,101 $3K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 88 80 $3K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 93 37 $3K
76705 Ultrasound, abdominal, real time with image documentation; limited 347 232 $3K
90688 445 359 $3K
96127 787 549 $2K
93018 365 315 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 214 157 $2K
74176 Computed tomography, abdomen and pelvis; without contrast material 56 41 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 541 379 $2K
72050 55 39 $1K
99305 32 27 $1K
90686 3,777 3,368 $1K
72170 80 68 $1K
90674 134 91 $1K
87210 477 402 $1K
99441 236 156 $1K
71250 57 51 $1K
0071A 42 13 $1K
99152 128 118 $993.11
90698 1,120 986 $906.85
93971 95 69 $866.31
93976 62 37 $829.04
73630 194 145 $748.48
90680 852 749 $707.42
76536 42 37 $653.82
99354 134 118 $600.00
87807 52 50 $599.42
90715 92 73 $592.44
93016 76 64 $589.69
74018 127 101 $517.74
90633 213 184 $431.72
73030 75 56 $421.14
J1020 Injection, methylprednisolone acetate, 20 mg 145 122 $412.55
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 62 42 $386.58
72100 28 24 $364.38
0072A 15 12 $344.19
73562 33 31 $338.71
94760 174 143 $297.43
99307 90 80 $257.84
76642 64 42 $245.59
73610 52 38 $238.21
76770 39 26 $217.53
71271 12 12 $198.40
93970 41 27 $197.08
96110 Developmental screening, with scoring and documentation, per standardized instrument 32 26 $182.88
93880 13 13 $181.30
90685 104 83 $174.28
J1040 Injection, methylprednisolone acetate, 80 mg 37 36 $165.08
90744 118 100 $95.08
73110 16 15 $83.58
76937 13 12 $24.88
36415 Collection of venous blood by venipuncture 17 14 $23.70
90677 104 93 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 54 39 $0.00
90697 314 303 $0.00
3008F 2,288 1,859 $0.00
3079F 741 621 $0.00
3074F 1,417 1,170 $0.00
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 28 17 $0.00
90632 36 24 $0.00
99385 46 26 $0.00
90716 13 13 $0.00
G9637 Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) 102 83 $0.00
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 19 16 $0.00
91307 68 29 $0.00
4004F 1,904 1,533 $0.00
3078F 900 725 $0.00
59025 Fetal non-stress test 19 13 $0.00
99221 30 25 $0.00
90672 13 13 $0.00
90707 13 13 $0.00
99051 20 14 $0.00
3077F 17 12 $0.00