Behavioral
Baptist Health Medical Group INC
Baptist Health Medical Group INC was paid $13.60M by Medicaid between Sep 2020 and Dec 2024, across 195 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 32% of everything it billed.
33Billing provider infoBAPTIST HEALTH MEDICAL GROUP INC
ELIZABETHTOWN, KY 42701
ELIZABETHTOWN, KY 42701
33aNPI1093338527assigned 05/19/2020
33bProvider typeProfessional Counselor
28Total paid$13.60M
24GClaims449,412
24DCodes billed195
24AFirst – last monthSep 2020 – Dec 2024
Compared with peers
Next to other Professional Counselor providers in Kentucky
Rank by total paid#6 of 255
Median peer was paid$129K
This provider vs. median106×
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 CLAY, DANYEL 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 | |
|---|---|---|---|
| 2020 | 45,540 | $623K | |
| 2021 | 112,359 | $2.31M | |
| 2022 | 98,985 | $3.47M | |
| 2023 | 109,271 | $3.88M | |
| 2024incomplete | 83,257 | $3.31M |
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 | 32% | 103,025 | 91,686 | $4.39M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 80,294 | 69,132 | $2.23M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.8% | 11,697 | 10,637 | $654K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 4.3% | 6,275 | 2,456 | $586K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 4.0% | 17,154 | 6,865 | $546K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 3.0% | 6,136 | 5,434 | $414K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 2.7% | 4,331 | 3,523 | $372K |
| 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 | 2.4% | 4,658 | 4,281 | $327K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 2.1% | 7,722 | 6,929 | $287K |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 2.1% | 675 | 300 | $279K |
| 99223 | Prolong inpt eval add15 m | 2.0% | 3,800 | 3,502 | $271K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.5% | 30,069 | 22,645 | $207K |
183 more codes
| 99232 | Hospital visit by a doctor, follow-up day | 1.5% | 8,924 | $207K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.4% | 1,914 | $187K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 1.4% | 1,217 | $184K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.2% | 3,794 | $161K |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.2% | 3,643 | $159K |
| 90837 | Psychotherapy session, about an hour | 1.2% | 2,671 | $157K |
| 20610 | 1.1% | 4,615 | $152K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.0% | 2,359 | $139K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 1,457 | $109K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,305 | $93K |
| 87428 | <1% | 2,814 | $89K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,415 | $81K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 573 | $70K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 3,440 | $68K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,211 | $62K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,371 | $54K |
| 90461 | <1% | 1,185 | $42K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 563 | $39K |
| 73562 | <1% | 2,395 | $39K | |
| 99243 | <1% | 366 | $31K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 264 | $31K |
| 11721 | <1% | 2,380 | $30K | |
| 93971 | <1% | 1,848 | $29K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 786 | $27K |
| 59025 | Fetal non-stress test | <1% | 1,041 | $26K |
| 99442 | <1% | 959 | $26K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,925 | $25K |
| 92557 | <1% | 1,157 | $25K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 254 | $24K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 446 | $23K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 335 | $23K |
| 90686 | <1% | 2,989 | $23K | |
| 71045 | Radiologic examination, chest; single view | <1% | 4,920 | $22K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 942 | $21K |
| 95886 | <1% | 320 | $21K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 904 | $21K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 867 | $19K |
| 90836 | <1% | 437 | $18K | |
| 95251 | <1% | 1,520 | $18K | |
| 64615 | <1% | 291 | $17K | |
| 92567 | <1% | 1,529 | $15K | |
| 77014 | <1% | 620 | $15K | |
| 93000 | <1% | 1,171 | $15K | |
| 73630 | <1% | 1,008 | $14K | |
| 94060 | <1% | 955 | $14K | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 723 | $14K |
| 93016 | <1% | 1,029 | $13K | |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 274 | $13K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 759 | $13K |
| 95910 | <1% | 108 | $13K | |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | <1% | 13 | $12K |
| 93970 | <1% | 714 | $12K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 3,140 | $12K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 249 | $12K |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,716 | $11K |
| 81025 | <1% | 1,589 | $11K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 139 | $10K |
| 51798 | <1% | 1,300 | $10K | |
| 99459 | <1% | 798 | $10K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 623 | $9K |
| 95909 | <1% | 124 | $9K | |
| 93880 | <1% | 644 | $9K | |
| 99205 | Prolong outpt/office vis | <1% | 89 | $8K |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | <1% | 222 | $8K |
| 94726 | <1% | 982 | $8K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 1,044 | $7K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 714 | $7K |
| 99443 | <1% | 174 | $7K | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 838 | $7K |
| 97597 | <1% | 420 | $7K | |
| 77427 | <1% | 81 | $5K | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 268 | $5K |
| 94729 | <1% | 939 | $5K | |
| 73100 | <1% | 259 | $4K | |
| 93018 | <1% | 293 | $3K | |
| 69210 | <1% | 160 | $3K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 48 | $3K |
| 90670 | <1% | 665 | $3K | |
| 99460 | <1% | 75 | $3K | |
| 99441 | <1% | 225 | $3K | |
| 99383 | <1% | 48 | $3K | |
| 90656 | <1% | 372 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 383 | $3K |
| J7323 | Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose | <1% | 22 | $3K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 122 | $3K |
| 95911 | <1% | 47 | $3K | |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | <1% | 67 | $3K |
| 87807 | <1% | 206 | $2K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 15 | $2K |
| 31624 | <1% | 75 | $2K | |
| 91200 | <1% | 291 | $2K | |
| 73010 | <1% | 143 | $2K | |
| 73610 | <1% | 228 | $2K | |
| 93923 | <1% | 140 | $2K | |
| 77263 | <1% | 28 | $2K | |
| 80305 | <1% | 242 | $2K | |
| 76830 | Ultrasound, transvaginal | <1% | 58 | $2K |
| 99490 | Ccm add 20min | <1% | 161 | $2K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 390 | $2K |
| 99406 | <1% | 337 | $2K | |
| 73502 | <1% | 81 | $2K | |
| 76642 | <1% | 55 | $2K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 40 | $1K |
| 74022 | <1% | 119 | $1K | |
| 76536 | <1% | 79 | $1K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 28 | $1K |
| 99382 | <1% | 13 | $1K | |
| 81001 | <1% | 951 | $1K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 48 | $1K |
| 11982 | <1% | 15 | $1K | |
| 73030 | <1% | 73 | $1K | |
| 99385 | <1% | 20 | $952.13 | |
| 99219 | <1% | 16 | $935.99 | |
| 52000 | <1% | 12 | $876.67 | |
| 93296 | <1% | 82 | $858.87 | |
| 93015 | <1% | 19 | $844.30 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 13 | $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 | <1% | 56 | $767.49 |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 373 | $759.42 |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | <1% | 13 | $741.97 |
| 93227 | <1% | 58 | $723.73 | |
| 93922 | <1% | 64 | $680.14 | |
| 73130 | <1% | 101 | $649.65 | |
| 73221 | <1% | 14 | $579.66 | |
| 74019 | <1% | 61 | $517.24 | |
| 74018 | <1% | 104 | $499.57 | |
| 90723 | <1% | 575 | $495.34 | |
| 77300 | <1% | 14 | $492.77 | |
| 29075 | <1% | 14 | $455.29 | |
| 71250 | <1% | 18 | $407.95 | |
| 92587 | <1% | 15 | $389.82 | |
| 81003 | <1% | 669 | $378.59 | |
| 77065 | Tomosynthesis, mammo | <1% | 17 | $347.40 |
| 95885 | <1% | 12 | $346.80 | |
| 90677 | <1% | 81 | $283.96 | |
| 90474 | <1% | 25 | $275.08 | |
| 73564 | <1% | 13 | $250.99 | |
| 99334 | <1% | 50 | $213.60 | |
| 94010 | <1% | 16 | $184.86 | |
| 72100 | <1% | 29 | $179.81 | |
| 72110 | <1% | 16 | $160.08 | |
| 90681 | <1% | 61 | $106.61 | |
| 73110 | <1% | 18 | $97.40 | |
| 73090 | <1% | 19 | $88.66 | |
| 96127 | <1% | 13 | $66.49 | |
| 3085F | <1% | 98 | $60.00 | |
| 90647 | <1% | 287 | $51.01 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 71 | $50.65 |
| 81002 | <1% | 14 | $38.28 | |
| 90648 | <1% | 62 | $26.21 | |
| 3008F | <1% | 5,292 | $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) | <1% | 103 | $8.38 |
| 2014F | <1% | 4,134 | $7.55 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 21,485 | $4.23 |
| 99307 | <1% | 13 | $2.65 | |
| 0503F | <1% | 81 | $0.35 | |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | <1% | 93 | $0.31 |
| 1159F | <1% | 19,171 | $0.25 | |
| 3046F | <1% | 179 | $0.15 | |
| 90680 | <1% | 37 | $0.07 | |
| G8482 | Influenza immunization administered or previously received | <1% | 1,906 | $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) | <1% | 2,781 | $0.01 |
| 1124F | 0% | 447 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 320 | $0.00 |
| 1160F | 0% | 2,288 | $0.00 | |
| G8404 | Lower extremity neurological exam performed and documented | 0% | 344 | $0.00 |
| 90633 | 0% | 38 | $0.00 | |
| 4004F | 0% | 498 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 220 | $0.00 |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 122 | $0.00 |
| 2028F | 0% | 290 | $0.00 | |
| 3051F | 0% | 25 | $0.00 | |
| 3078F | 0% | 13 | $0.00 | |
| 99024 | 0% | 1,807 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 628 | $0.00 |
| 1101F | 0% | 64 | $0.00 | |
| 3017F | 0% | 34 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 46 | $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) | 0% | 347 | $0.00 |
| 3044F | 0% | 50 | $0.00 | |
| 1126F | 0% | 57 | $0.00 | |
| 90651 | 0% | 21 | $0.00 | |
| 1125F | 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 officialCLAY, DANYEL (VICE PRESIDENT REVENUE CYCLE)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.