Medicaid Provider Spending

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

EPHRAIM MCDOWELL HEALTH RESOURCE, INC.

NPI: 1174678643 · HARRODSBURG, KY 40330 · Family Medicine Physician · NPI assigned 01/24/2007

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

Authorized official SNAPP, WILLIAM controls 20+ related entities in our dataset. Read more

$359K
Total Medicaid Paid
14,988
Total Claims
12,673
Beneficiaries
17
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSNAPP, WILLIAM (CFO)
NPI Enumeration Date01/24/2007

Related Entities

Other providers sharing the same authorized official: SNAPP, WILLIAM

ProviderCityStateTotal Paid
EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER INCORPORATED DANVILLE KY $59.95M
THE JAMES B. HAGGIN MEMORIAL HOSPITAL INC HARRODSBURG KY $13.83M
EPHRAIM MCDOWELL HEALTH RESOURCE, INC DANVILLE KY $995K
EPHRAIM MCDOWELL HEALTH RESOURCE,INC DANVILLE KY $869K
EPHRAIM MCDOWELL HEALTH RESOURCE, INC DANVILLE KY $671K
MCDOWELL HOME HEALTH AGENCY, INC. DANVILLE KY $631K
EPHRAIM MCDOWELL HEALTH RESOURCE, INC. LIBERTY KY $623K
EPHRAIM MCDOWELL HEALTH RESOURCE, INC. LANCASTER KY $517K
EPHRAIM MCDOWELL HEALTH RESOURCE, INC. SPRINGFIELD KY $478K
EPHRAIM MCDOWELL HEALTH RESOURCE, INC LANCASTER KY $434K
EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, INCORPPORATED DANVILLE KY $324K
EPHRAIM MCDOWELL HEALTH RESOURCE, INC. DANVILLE KY $324K
THE JAMES B. HAGGIN MEMORIAL HOSPITAL INC. HARRODSBURG KY $257K
EPHRAIM MCDOWELL HEALTH RESOURCE, INC DANVILLE KY $139K
EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER INCORPORATED DANVILLE KY $134K
TRH ANESTHESIA LLC CAMPBELLSVILLE KY $30K
EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER INCORPORATED STANFORD KY $26K
THE JAMES B. HAGGIN MEMORIAL HOSPITAL INC HARRODSBURG KY $14K
TAYLOR REGIONAL MEDICAL GROUP,LLC GREENSBURG KY $11K
EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, INCORPORATED LIBERTY KY $168.69

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,455 $99K
2019 3,671 $83K
2020 2,796 $76K
2021 2,040 $60K
2022 501 $10K
2023 1,107 $20K
2024 418 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,799 7,443 $267K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 804 699 $33K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 942 849 $20K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 760 379 $12K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 646 611 $9K
36415 Collection of venous blood by venipuncture 1,819 1,595 $7K
83036 Hemoglobin; glycosylated (A1C) 632 582 $4K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 56 54 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 25 19 $2K
85027 185 162 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 15 12 $749.44
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 15 13 $727.98
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 15 15 $699.40
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 17 17 $336.81
90686 17 17 $317.53
36416 103 91 $57.25
81003 138 115 $56.53