Ephraim Mcdowell Health Resource, INC
Ephraim Mcdowell Health Resource, INC was paid $671K by Medicaid between Nov 2020 and Dec 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.
DANVILLE, KY 40422
Next to other Family Nurse Practitioner providers in Kentucky
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 218 | $25K | |
| 2021 | 2,332 | $144K | |
| 2022 | 3,492 | $220K | |
| 2023 | 3,096 | $163K | |
| 2024incomplete | 2,426 | $118K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 6,790 | 6,025 | $190K |
| 99205 | Prolong outpt/office vis | 20% | 1,271 | 1,171 | $133K |
| 43775 | 15% | 272 | 157 | $100K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 13% | 1,263 | 1,124 | $90K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 12% | 710 | 610 | $83K |
| 43281 | 3.1% | 69 | 43 | $21K | |
| 49905 | 3.0% | 207 | 119 | $20K | |
| 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 | 2.9% | 445 | 392 | $19K |
| 99223 | Prolong inpt eval add15 m | 1.1% | 146 | 125 | $7K |
| 94690 | <1% | 267 | 227 | $3K | |
| 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% | 36 | 30 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 88 | 79 | $2K |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.