Medicaid Provider Spending

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

NORTON CLARK HOSPITAL, LLC

NPI: 1134186315 · JEFFERSONVILLE, IN 47130 · General Acute Care Hospital · NPI assigned 04/29/2006

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

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

$19.62M
Total Medicaid Paid
418,872
Total Claims
317,385
Beneficiaries
108
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGAST, SHELLEY (VP MANAGED CARE)
NPI Enumeration Date04/29/2006

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 - KINGS DAUGHTERS HEALTH INC MADISON IN $11.81M
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 58,185 $889K
2019 69,628 $2.24M
2020 53,175 $2.47M
2021 64,294 $3.50M
2022 68,738 $4.10M
2023 57,869 $3.54M
2024 46,983 $2.88M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 37,044 29,413 $4.50M
99284 Emergency department visit for the evaluation and management, high severity 30,590 25,070 $3.72M
99283 Emergency department visit for the evaluation and management, moderate severity 25,139 20,953 $2.83M
71046 Radiologic examination, chest; 2 views 16,041 12,726 $1.54M
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 20,694 15,490 $1.07M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 21,209 16,564 $957K
99282 Emergency department visit for the evaluation and management, low to moderate severity 6,634 5,480 $818K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,256 365 $551K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 5,751 4,588 $463K
74177 Computed tomography, abdomen and pelvis; with contrast material 923 741 $303K
70450 Computed tomography, head or brain; without contrast material 3,997 2,847 $283K
71045 Radiologic examination, chest; single view 2,619 2,032 $267K
90837 Psychotherapy, 53 minutes with patient 3,370 1,357 $239K
90853 Group psychotherapy (other than of a multiple-family group) 12,534 1,764 $202K
80053 Comprehensive metabolic panel 41,147 31,470 $199K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 52,574 39,524 $186K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 5,222 4,061 $161K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2,356 2,094 $133K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 2,231 1,951 $122K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,100 863 $114K
97597 1,014 398 $112K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,713 1,190 $90K
84484 13,767 9,310 $81K
96375 Therapeutic injection; each additional sequential IV push 5,733 4,573 $80K
62323 117 94 $64K
83880 3,608 2,716 $59K
G0378 Hospital observation service, per hour 576 308 $51K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,862 1,570 $46K
96361 Intravenous infusion, hydration; each additional hour 1,566 1,273 $44K
83690 14,514 11,558 $40K
80048 Basic metabolic panel (calcium, ionized) 9,023 6,913 $34K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 1,884 1,665 $33K
81025 7,568 6,415 $32K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 15 14 $20K
87400 3,860 2,678 $19K
87430 2,680 2,291 $18K
81001 11,844 9,470 $17K
81003 13,088 10,315 $14K
94761 426 348 $13K
87086 Culture, bacterial; quantitative colony count, urine 3,198 2,495 $10K
88305 Level IV - Surgical pathology, gross and microscopic examination 105 77 $7K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 423 331 $6K
76830 Ultrasound, transvaginal 26 25 $6K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 26 25 $5K
36415 Collection of venous blood by venipuncture 3,520 2,367 $5K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,909 1,629 $5K
87081 1,241 1,056 $4K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 220 187 $3K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 220 187 $3K
84443 Thyroid stimulating hormone (TSH) 364 279 $3K
72125 Computed tomography, cervical spine; without contrast material 27 25 $3K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 51 38 $3K
80061 Lipid panel 310 244 $3K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 199 143 $2K
82075 197 168 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 14 13 $1K
85730 878 660 $1K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 64 54 $1K
83735 408 321 $1K
80361 38 12 $983.37
85610 996 748 $904.76
J7030 Infusion, normal saline solution , 1000 cc 2,905 2,578 $863.59
85027 203 162 $742.50
76000 27 19 $700.00
82962 1,017 684 $651.29
84436 95 79 $497.01
87070 136 113 $486.56
J2405 Injection, ondansetron hydrochloride, per 1 mg 4,782 4,116 $461.50
87150 12 12 $422.13
80076 78 65 $402.33
A9270 Non-covered item or service 3,012 2,146 $268.01
82948 538 417 $261.51
73630 15 12 $244.05
82550 45 40 $211.48
85379 48 39 $209.28
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 13 12 $199.51
90791 Psychiatric diagnostic evaluation 59 42 $166.10
83970 22 14 $159.29
73610 18 12 $126.08
83036 Hemoglobin; glycosylated (A1C) 32 26 $119.81
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 475 409 $112.41
84439 12 12 $108.33
84702 15 13 $93.36
87186 43 27 $77.47
87077 23 14 $69.27
J1885 Injection, ketorolac tromethamine, per 15 mg 869 749 $64.44
72110 17 14 $63.32
87210 13 12 $28.20
82570 23 15 $19.98
84100 23 15 $18.27
84156 23 15 $14.14
87205 15 12 $5.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 730 595 $0.00
J1170 Injection, hydromorphone, up to 4 mg 185 161 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 321 259 $0.00
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 15 13 $0.00
J2704 Injection, propofol, 10 mg 106 88 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 96 77 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 57 50 $0.00
A6257 Transparent film, sterile, 16 sq. in. or less, each dressing 71 45 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 16 14 $0.00
J1790 Injection, droperidol, up to 5 mg 50 44 $0.00
A6260 Wound cleansers, any type, any size 17 15 $0.00
80320 14 12 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 106 92 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 345 284 $0.00
A6402 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 357 153 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 55 52 $0.00