Clinic
Baptist Health Medical Group INC
Baptist Health Medical Group INC was paid $1.60M by Medicaid between Jan 2018 and Dec 2024, across 50 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 73% of everything it billed.
33Billing provider infoBAPTIST HEALTH MEDICAL GROUP INC
BARBOURVILLE, KY 40906
BARBOURVILLE, KY 40906
33aNPI1184119398assigned 06/29/2018
33bProvider typeRural Health Clinic/Center
28Total paid$1.60M
24GClaims50,558
24DCodes billed50
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Kentucky
Rank by total paid#34 of 265
Median peer was paid$400K
This provider vs. median4.0×
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.
Entity ProliferationAuthorized official CLAY, DANYEL controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 5,290 | $139K | |
| 2019 | 11,118 | $349K | |
| 2020 | 8,385 | $251K | |
| 2021 | 7,764 | $225K | |
| 2022 | 6,240 | $208K | |
| 2023 | 6,909 | $237K | |
| 2024incomplete | 4,852 | $190K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 73% | 31,727 | 25,795 | $1.17M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 7,876 | 6,697 | $225K |
| 99442 | 2.6% | 1,057 | 938 | $41K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2.4% | 2,978 | 2,288 | $38K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.7% | 418 | 368 | $28K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.0% | 1,204 | 1,099 | $16K |
| 90686 | <1% | 882 | 788 | $12K | |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 128 | 102 | $8K |
| 99441 | <1% | 351 | 291 | $8K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 494 | 409 | $7K |
| 90632 | <1% | 133 | 127 | $6K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 161 | 149 | $4K |
38 more codes
| 90674 | <1% | 152 | $3K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 65 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 140 | $3K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 83 | $3K |
| 90677 | <1% | 15 | $2K | |
| 69210 | <1% | 96 | $2K | |
| 99407 | <1% | 127 | $1K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 29 | $1K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 61 | $1K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 17 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 92 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 325 | $980.26 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 196 | $712.07 |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 36 | $672.71 |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 13 | $630.37 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 376 | $606.37 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 105 | $604.65 |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 36 | $555.08 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 53 | $524.28 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 43 | $520.79 |
| 90656 | <1% | 30 | $503.45 | |
| 99443 | <1% | 15 | $387.87 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 162 | $375.24 |
| 71045 | Radiologic examination, chest; single view | <1% | 59 | $299.10 |
| 86403 | <1% | 32 | $251.02 | |
| 90785 | <1% | 42 | $209.03 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 19 | $131.56 |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 43 | $130.86 |
| 96127 | <1% | 38 | $112.88 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 16 | $81.07 |
| 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% | 25 | $42.78 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 37 | $22.07 |
| 3074F | 0% | 31 | $0.00 | |
| 3044F | 0% | 43 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 15 | $0.00 |
| 1159F | 0% | 231 | $0.00 | |
| 1160F | 0% | 233 | $0.00 | |
| 3078F | 0% | 18 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialCLAY, DANYEL (VP REVENUE CYCLE)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.