Medicaid Provider Spending

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

ST. CLAIRE MEDICAL CENTER, INC

NPI: 1134180920 · OWINGSVILLE, KY 40360 · Primary Care Clinic/Center · NPI assigned 03/31/2006

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

Authorized official LLOYD, DONALD controls 20+ related entities in our dataset. Read more

$964K
Total Medicaid Paid
41,826
Total Claims
34,932
Beneficiaries
39
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLLOYD, DONALD (PRESIDENT/CEO)
NPI Enumeration Date03/31/2006

Related Entities

Other providers sharing the same authorized official: LLOYD, DONALD

ProviderCityStateTotal Paid
ST CLAIRE MEDICAL CENTER INC MOREHEAD KY $71.27M
ST CLAIRE MEDICAL CENTER INC. MOREHEAD KY $4.05M
ST. CLAIRE MEDICAL CENTER, INC MOREHEAD KY $3.32M
ST CLAIRE MEDICAL CENTER, INC., MOREHEAD KY $3.31M
ST CLAIRE MEDICAL CENTER, INC MOREHEAD KY $3.29M
ST. CLAIRE MEDICAL CENTER, INC MOREHEAD KY $3.11M
ST CLAIRE MEDICAL CENTER, INC., MOREHEAD KY $2.42M
ST. CLAIRE MEDICAL CENTER MOREHEAD KY $2.40M
ST. CLAIRE MEDICAL CENTER, INC. MOREHEAD KY $2.09M
ST CLAIRE REGIONAL RADIOLOGY PHYSICIANS SERVICES MOREHEAD KY $1.83M
ST CLAIRE MEDICAL CENTER, INC., MOREHEAD KY $1.46M
ST. CLAIRE MEDICAL CENTER,INC OLIVE HILL KY $1.13M
ST. CLAIRE MEDICAL CENTER,INC SANDY HOOK KY $948K
ST. CLAIRE MEDICAL CENTER, INC FRENCHBURG KY $877K
ST CLAIRE MEDICAL CENTER, INC MOREHEAD KY $760K
ST. CLAIRE MEDICAL CENTER, INC MOREHEAD KY $672K
ST. CLAIRE MEDICAL CENTER, INC. MOREHEAD KY $411K
ST. CLAIRE MEDICAL CENTER INC. MOREHEAD KY $371K
ST CLAIRE MEDICAL CENTER INC. MOREHEAD KY $115K
ST. CLAIRE MEDICAL CENTER, INC. MOREHEAD KY $20K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,017 $141K
2019 5,395 $117K
2020 4,381 $100K
2021 5,785 $139K
2022 5,920 $142K
2023 7,486 $178K
2024 6,842 $146K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15,074 12,197 $422K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,009 8,544 $418K
90832 Psychotherapy, 30 minutes with patient 674 424 $28K
36415 Collection of venous blood by venipuncture 6,710 5,892 $18K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 488 443 $13K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 765 692 $10K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 911 788 $9K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 411 356 $9K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 902 459 $9K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 452 394 $4K
99442 91 76 $4K
90686 388 354 $4K
99232 Subsequent hospital care, per day, moderate complexity 144 71 $3K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 42 40 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 32 31 $2K
99233 Prolong inpt eval add15 m 44 12 $2K
99441 21 19 $1K
99238 Hospital discharge day management, 30 minutes or less 33 27 $1K
87428 20 20 $571.80
87301 67 53 $409.50
99217 17 13 $380.62
90472 Immunization administration, each additional vaccine (list separately) 33 29 $325.92
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 18 15 $220.90
81002 419 382 $209.84
99173 12 12 $144.00
J1040 Injection, methylprednisolone acetate, 80 mg 47 42 $94.54
90633 79 77 $73.63
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 16 12 $45.54
1125F 1,461 1,254 $6.95
1126F 1,388 1,239 $6.20
3077F 298 274 $1.23
3078F 294 264 $1.09
3074F 236 214 $1.02
3079F 144 135 $0.60
3080F 25 25 $0.15
3051F 15 13 $0.03
3044F 14 13 $0.03
90734 17 12 $0.00
91301 15 15 $0.00