Medicaid Provider Spending

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

BAPTIST HEALTH MEDICAL GROUP INC

NPI: 1093338527 · ELIZABETHTOWN, KY 42701 · Professional Counselor · NPI assigned 05/19/2020

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

Authorized official CLAY, DANYEL controls 20+ related entities in our dataset. Read more

$13.60M
Total Medicaid Paid
449,412
Total Claims
364,024
Beneficiaries
195
Codes Billed
2020-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCLAY, DANYEL (VICE PRESIDENT REVENUE CYCLE)
NPI Enumeration Date05/19/2020

Related Entities

Other providers sharing the same authorized official: CLAY, DANYEL

ProviderCityStateTotal Paid
BAPTIST HEALTH MEDICAL GROUP INC LEXINGTON KY $54.04M
BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY $28.00M
BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY $26.58M
BAPTIST HEALTH MEDICAL GROUP INC PADUCAH KY $21.94M
BAPTIST HEALTH MEDICAL GROUP INC CORBIN KY $1.91M
BAPTIST HEALTH MEDICAL GROUP INC RICHMOND KY $1.84M
BAPTIST HEALTH MEDICAL GROUP INC BARBOURVILLE KY $1.60M
BAPTIST HEALTH MEDICAL GROUP INC RICHMOND KY $1.59M
BAPTIST HEALTH DEACONESS MEDICAL GROUP INC MADISONVILLE KY $1.53M
BAPTIST HEALTH DEACONESS MEDICAL GROUP INC MADISONVILLE KY $1.41M
BAPTIST HEALTH MEDICAL GROUP INC POWDERLY KY $1.29M
BAPTIST HEALTH DEACONESS MEDICAL GROUP INC POWDERLY KY $1.14M
BAPTIST HEALTH MEDICAL GROUP INC RICHMOND KY $1.06M
BAPTIST HEALTH MEDICAL GROUP INC BRANDENBURG KY $925K
BAPTIST HEALTH MEDICAL GROUP INC BEREA KY $914K
BAPTIST HEALTH MEDICAL GROUP INC GEORGETOWN KY $758K
BAPTIST HEALTH DEACONESS MEDICAL GROUP INC HOPKINSVILLE KY $680K
BAPTIST HEALTH MEDICAL GROUP, INC. JEFFERSONVILLE IN $637K
BAPTIST HEALTH MEDICAL GROUP INC HOPKINSVILLE KY $514K
BAPTIST HEALTH MEDICAL GROUP INC MADISONVILLE KY $417K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 45,540 $623K
2021 112,359 $2.31M
2022 98,985 $3.47M
2023 109,271 $3.88M
2024 83,257 $3.31M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 103,025 91,686 $4.39M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 80,294 69,132 $2.23M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 11,697 10,637 $654K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 6,275 2,456 $586K
99233 Prolong inpt eval add15 m 17,154 6,865 $546K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 6,136 5,434 $414K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 4,331 3,523 $372K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 4,658 4,281 $327K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 7,722 6,929 $287K
J0585 Injection, onabotulinumtoxina, 1 unit 675 300 $279K
99223 Prolong inpt eval add15 m 3,800 3,502 $271K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 30,069 22,645 $207K
99232 Subsequent hospital care, per day, moderate complexity 8,924 4,150 $207K
90792 Psychiatric diagnostic evaluation with medical services 1,914 1,861 $187K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 1,217 931 $184K
90460 Immunization administration through 18 years of age via any route, first or only component 3,794 3,568 $161K
99239 Hospital discharge day management, more than 30 minutes 3,643 3,345 $159K
90837 Psychotherapy, 53 minutes with patient 2,671 1,671 $157K
20610 4,615 3,851 $152K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,359 1,982 $139K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,457 1,245 $109K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,305 1,267 $93K
87428 2,814 2,587 $89K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,415 1,347 $81K
45380 Colonoscopy, flexible; with biopsy, single or multiple 573 460 $70K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,440 2,876 $68K
99215 Prolong outpt/office vis 1,211 1,084 $62K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,371 3,046 $54K
90461 1,185 1,161 $42K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 563 530 $39K
73562 2,395 2,125 $39K
99243 366 356 $31K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 264 232 $31K
11721 2,380 2,163 $30K
93971 1,848 1,712 $29K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 786 673 $27K
59025 Fetal non-stress test 1,041 804 $26K
99442 959 678 $26K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,925 1,782 $25K
92557 1,157 974 $25K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 254 250 $24K
99222 Initial hospital care, per day, moderate complexity 446 430 $23K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 335 335 $23K
90686 2,989 2,796 $23K
71045 Radiologic examination, chest; single view 4,920 3,842 $22K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 942 871 $21K
95886 320 294 $21K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 904 790 $21K
70450 Computed tomography, head or brain; without contrast material 867 701 $19K
90836 437 375 $18K
95251 1,520 1,477 $18K
64615 291 261 $17K
92567 1,529 1,294 $15K
77014 620 127 $15K
93000 1,171 986 $15K
73630 1,008 800 $14K
94060 955 923 $14K
77063 Screening digital breast tomosynthesis, bilateral 723 611 $14K
93016 1,029 891 $13K
74176 Computed tomography, abdomen and pelvis; without contrast material 274 216 $13K
77067 Screening mammography, bilateral, including computer-aided detection 759 641 $13K
95910 108 106 $13K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 13 13 $12K
93970 714 662 $12K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 3,140 2,999 $12K
90834 Psychotherapy, 45 minutes with patient 249 193 $12K
36415 Collection of venous blood by venipuncture 3,716 2,594 $11K
81025 1,589 1,435 $11K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 139 137 $10K
51798 1,300 1,210 $10K
99459 798 762 $10K
90472 Immunization administration, each additional vaccine (list separately) 623 523 $9K
95909 124 115 $9K
93880 644 589 $9K
99205 Prolong outpt/office vis 89 86 $8K
71260 Computed tomography, thorax, diagnostic; with contrast material 222 182 $8K
94726 982 949 $8K
71046 Radiologic examination, chest; 2 views 1,044 891 $7K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 714 531 $7K
99443 174 103 $7K
J1040 Injection, methylprednisolone acetate, 80 mg 838 688 $7K
97597 420 370 $7K
77427 81 37 $5K
76705 Ultrasound, abdominal, real time with image documentation; limited 268 231 $5K
94729 939 907 $5K
73100 259 190 $4K
93018 293 264 $3K
69210 160 150 $3K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 48 46 $3K
90670 665 622 $3K
99460 75 71 $3K
99441 225 155 $3K
99383 48 35 $3K
90656 372 355 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 383 286 $3K
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose 22 12 $3K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 122 98 $3K
95911 47 42 $3K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 67 59 $3K
87807 206 197 $2K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 15 15 $2K
31624 75 65 $2K
91200 291 279 $2K
73010 143 132 $2K
73610 228 187 $2K
93923 140 129 $2K
77263 28 25 $2K
80305 242 210 $2K
76830 Ultrasound, transvaginal 58 53 $2K
99490 Ccm add 20min 161 160 $2K
99309 Subsequent nursing facility care, per day, low to moderate complexity 390 370 $2K
99406 337 302 $2K
73502 81 78 $2K
76642 55 46 $2K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 40 38 $1K
74022 119 101 $1K
76536 79 65 $1K
99238 Hospital discharge day management, 30 minutes or less 28 28 $1K
99382 13 13 $1K
81001 951 580 $1K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 48 40 $1K
11982 15 14 $1K
73030 73 66 $1K
99385 20 14 $952.13
99219 16 13 $935.99
52000 12 12 $876.67
93296 82 75 $858.87
93015 19 12 $844.30
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 13 12 $809.16
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results 56 54 $767.49
99308 Subsequent nursing facility care, per day, straightforward 373 324 $759.42
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 13 12 $741.97
93227 58 38 $723.73
93922 64 64 $680.14
73130 101 76 $649.65
73221 14 12 $579.66
74019 61 53 $517.24
74018 104 89 $499.57
90723 575 538 $495.34
77300 14 12 $492.77
29075 14 12 $455.29
71250 18 15 $407.95
92587 15 12 $389.82
81003 669 602 $378.59
77065 Tomosynthesis, mammo 17 12 $347.40
95885 12 12 $346.80
90677 81 81 $283.96
90474 25 24 $275.08
73564 13 12 $250.99
99334 50 43 $213.60
94010 16 16 $184.86
72100 29 26 $179.81
72110 16 14 $160.08
90681 61 54 $106.61
73110 18 17 $97.40
73090 19 15 $88.66
96127 13 13 $66.49
3085F 98 65 $60.00
90647 287 280 $51.01
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 71 37 $50.65
81002 14 12 $38.28
90648 62 62 $26.21
3008F 5,292 5,100 $14.30
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) 103 101 $8.38
2014F 4,134 3,965 $7.55
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 21,485 13,410 $4.23
99307 13 12 $2.65
0503F 81 60 $0.35
G0463 Hospital outpatient clinic visit for assessment and management of a patient 93 65 $0.31
1159F 19,171 12,691 $0.25
3046F 179 162 $0.15
90680 37 36 $0.07
G8482 Influenza immunization administered or previously received 1,906 1,255 $0.01
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 2,781 1,716 $0.01
1124F 447 326 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 320 215 $0.00
1160F 2,288 2,228 $0.00
G8404 Lower extremity neurological exam performed and documented 344 221 $0.00
90633 38 36 $0.00
4004F 498 333 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 220 146 $0.00
G8731 Pain assessment using a standardized tool is documented as negative, no follow-up plan required 122 111 $0.00
2028F 290 179 $0.00
3051F 25 25 $0.00
3078F 13 13 $0.00
99024 1,807 1,248 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 628 409 $0.00
1101F 64 43 $0.00
3017F 34 27 $0.00
G0008 Administration of influenza virus vaccine 46 42 $0.00
G9226 Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) 347 224 $0.00
3044F 50 50 $0.00
1126F 57 49 $0.00
90651 21 14 $0.00
1125F 14 13 $0.00