Medicaid Provider Spending

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

NORTON - KINGS DAUGHTERS HEALTH INC

NPI: 1114955093 · MADISON, IN 47250 · Nurse Practitioner · NPI assigned 06/29/2006

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

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

$11.81M
Total Medicaid Paid
376,545
Total Claims
324,345
Beneficiaries
144
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGAST, SHELLEY (VP, MANAGED CARE)
Parent OrganizationNORTON - KINGS DAUGHTERS HEALTH INC
NPI Enumeration Date06/29/2006

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 SCOTT HOSPITAL, LLC SCOTTSBURG IN $9.17M
NORTON CLARK PHYSICIAN PRACTICES, LLC CLARKSVILLE IN $7.07M
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 52,213 $847K
2019 52,159 $1.55M
2020 51,631 $1.55M
2021 59,762 $2.12M
2022 57,449 $1.79M
2023 62,435 $2.21M
2024 40,896 $1.75M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 69,778 60,628 $3.71M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 84,209 74,898 $3.70M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 8,979 7,812 $663K
59425 6,688 5,278 $440K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,584 5,125 $438K
59426 6,014 3,353 $397K
74177 Computed tomography, abdomen and pelvis; with contrast material 4,929 4,534 $255K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 7,230 6,438 $197K
90472 Immunization administration, each additional vaccine (list separately) 8,374 7,479 $187K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,212 2,941 $164K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 15,474 13,681 $159K
99232 Subsequent hospital care, per day, moderate complexity 6,076 2,754 $131K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 2,084 1,822 $129K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,564 1,437 $112K
70450 Computed tomography, head or brain; without contrast material 5,470 4,905 $98K
36415 Collection of venous blood by venipuncture 34,194 30,306 $90K
99215 Prolong outpt/office vis 1,225 1,085 $72K
71045 Radiologic examination, chest; single view 15,139 12,057 $56K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 659 588 $48K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 6,444 5,208 $45K
59025 Fetal non-stress test 2,075 1,180 $44K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,349 2,979 $40K
71046 Radiologic examination, chest; 2 views 6,291 5,690 $35K
77067 Screening mammography, bilateral, including computer-aided detection 1,650 1,485 $34K
96110 Developmental screening, with scoring and documentation, per standardized instrument 4,565 4,129 $33K
59430 303 205 $30K
99239 Hospital discharge day management, more than 30 minutes 879 765 $29K
90686 6,839 6,072 $28K
77063 Screening digital breast tomosynthesis, bilateral 1,427 1,352 $26K
20610 1,100 936 $25K
94010 2,396 2,183 $24K
99238 Hospital discharge day management, 30 minutes or less 908 811 $21K
20611 545 481 $19K
74176 Computed tomography, abdomen and pelvis; without contrast material 418 367 $18K
99309 Subsequent nursing facility care, per day, low to moderate complexity 2,424 1,912 $15K
99217 543 496 $15K
73564 2,323 1,828 $14K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 538 428 $13K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 619 559 $11K
71275 Computed tomographic angiography, chest, with contrast material 198 189 $10K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 30 24 $10K
90474 805 703 $9K
99233 Prolong inpt eval add15 m 303 161 $8K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 276 127 $8K
99223 Prolong inpt eval add15 m 140 118 $8K
73630 1,552 1,344 $7K
72125 Computed tomography, cervical spine; without contrast material 293 267 $7K
99222 Initial hospital care, per day, moderate complexity 174 154 $7K
99308 Subsequent nursing facility care, per day, straightforward 1,341 1,039 $7K
43235 101 91 $7K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 205 189 $6K
73610 1,203 1,037 $6K
96127 1,909 1,725 $6K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 3,308 2,805 $6K
J1040 Injection, methylprednisolone acetate, 80 mg 1,404 1,240 $6K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 44 38 $6K
90670 4,207 3,799 $6K
99307 1,418 1,082 $5K
99219 146 132 $5K
73030 1,014 864 $5K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 160 154 $5K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 66 54 $4K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 63 56 $4K
73110 705 582 $4K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 205 155 $4K
97597 302 157 $4K
99460 68 53 $4K
99406 271 243 $4K
95886 71 38 $4K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 378 292 $4K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 26 24 $4K
71250 160 156 $4K
72100 606 550 $3K
74018 686 615 $3K
90677 546 513 $3K
73130 515 423 $3K
71260 Computed tomography, thorax, diagnostic; with contrast material 87 84 $3K
99231 Subsequent hospital care, per day, straightforward or low complexity 202 103 $3K
81003 1,913 1,665 $2K
31575 44 41 $2K
92567 304 282 $2K
76705 Ultrasound, abdominal, real time with image documentation; limited 140 124 $2K
76857 119 114 $2K
94726 329 309 $2K
99220 25 24 $2K
52000 20 12 $2K
73502 365 323 $2K
90715 220 181 $1K
76830 Ultrasound, transvaginal 55 52 $1K
J1050 Injection, medroxyprogesterone acetate, 1 mg 167 131 $1K
94729 272 251 $1K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 15 14 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 24 24 $990.90
90656 154 145 $862.60
99225 32 25 $850.76
90460 Immunization administration through 18 years of age via any route, first or only component 46 45 $780.31
93970 40 39 $751.49
94060 115 105 $726.33
90723 2,840 2,556 $704.38
72148 Magnetic resonance imaging, lumbar spine; without contrast material 14 13 $668.20
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 12 12 $548.96
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 268 210 $543.23
93971 44 43 $533.35
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 292 248 $502.53
90732 16 14 $466.98
99462 17 12 $451.80
J1010 Injection, methylprednisolone acetate, 1 mg 83 75 $445.65
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 841 719 $383.13
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 20 15 $328.31
90648 4,523 4,087 $323.74
90681 853 753 $323.01
81025 47 41 $288.04
72110 13 12 $286.20
76642 12 12 $257.87
90685 181 160 $249.23
72050 45 45 $244.99
99407 13 12 $233.87
76775 14 13 $218.70
69210 16 13 $216.90
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 14 12 $204.06
J0696 Injection, ceftriaxone sodium, per 250 mg 175 157 $186.84
J1885 Injection, ketorolac tromethamine, per 15 mg 356 297 $175.09
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) 1,130 996 $171.23
93880 12 12 $169.16
90461 30 13 $156.16
90697 81 81 $112.85
90633 638 580 $74.33
90680 73 73 $63.92
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 25 24 $32.90
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 53 32 $20.40
G0444 Annual depression screening, 5 to 15 minutes 54 50 $17.75
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 167 145 $5.98
J1100 Injection, dexamethasone sodium phosphate, 1 mg 16 13 $1.98
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 20 15 $1.76
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 58 54 $0.00
90710 14 13 $0.00
90707 12 12 $0.00
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery 14 12 $0.00
G0008 Administration of influenza virus vaccine 702 671 $0.00
1111F 577 492 $0.00
90696 14 13 $0.00
G0009 Administration of pneumococcal vaccine 15 15 $0.00
99205 Prolong outpt/office vis 14 13 $0.00
90716 12 12 $0.00