Medicaid Provider Spending

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

BAPTIST HEALTH MEDICAL GROUP INC

NPI: 1184119398 · BARBOURVILLE, KY 40906 · Rural Health Clinic/Center · NPI assigned 06/29/2018

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

Authorized official CLAY, DANYEL controls 20+ related entities in our dataset. Read more

$1.60M
Total Medicaid Paid
50,558
Total Claims
41,758
Beneficiaries
50
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCLAY, DANYEL (VP REVENUE CYCLE)
NPI Enumeration Date06/29/2018

Related Entities

Other providers sharing the same authorized official: CLAY, DANYEL

ProviderCityStateTotal Paid
BAPTIST HEALTH MEDICAL GROUP INC LEXINGTON KY $54.04M
BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY $28.00M
BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY $26.58M
BAPTIST HEALTH MEDICAL GROUP INC PADUCAH KY $21.94M
BAPTIST HEALTH MEDICAL GROUP INC ELIZABETHTOWN KY $13.60M
BAPTIST HEALTH MEDICAL GROUP INC CORBIN KY $1.91M
BAPTIST HEALTH MEDICAL GROUP INC RICHMOND KY $1.84M
BAPTIST HEALTH MEDICAL GROUP INC RICHMOND KY $1.59M
BAPTIST HEALTH DEACONESS MEDICAL GROUP INC MADISONVILLE KY $1.53M
BAPTIST HEALTH DEACONESS MEDICAL GROUP INC MADISONVILLE KY $1.41M
BAPTIST HEALTH MEDICAL GROUP INC POWDERLY KY $1.29M
BAPTIST HEALTH DEACONESS MEDICAL GROUP INC POWDERLY KY $1.14M
BAPTIST HEALTH MEDICAL GROUP INC RICHMOND KY $1.06M
BAPTIST HEALTH MEDICAL GROUP INC BRANDENBURG KY $925K
BAPTIST HEALTH MEDICAL GROUP INC BEREA KY $914K
BAPTIST HEALTH MEDICAL GROUP INC GEORGETOWN KY $758K
BAPTIST HEALTH DEACONESS MEDICAL GROUP INC HOPKINSVILLE KY $680K
BAPTIST HEALTH MEDICAL GROUP, INC. JEFFERSONVILLE IN $637K
BAPTIST HEALTH MEDICAL GROUP INC HOPKINSVILLE KY $514K
BAPTIST HEALTH MEDICAL GROUP INC MADISONVILLE KY $417K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 4,852 $190K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 31,727 25,795 $1.17M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,876 6,697 $225K
99442 1,057 938 $41K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,978 2,288 $38K
90792 Psychiatric diagnostic evaluation with medical services 418 368 $28K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,204 1,099 $16K
90686 882 788 $12K
90837 Psychotherapy, 53 minutes with patient 128 102 $8K
99441 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 494 409 $7K
90632 133 127 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 161 149 $4K
90674 152 147 $3K
99215 Prolong outpt/office vis 65 61 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 140 119 $3K
90834 Psychotherapy, 45 minutes with patient 83 59 $3K
90677 15 14 $2K
69210 96 81 $2K
99407 127 102 $1K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 29 28 $1K
90832 Psychotherapy, 30 minutes with patient 61 28 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 17 16 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 92 85 $1K
36415 Collection of venous blood by venipuncture 325 289 $980.26
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 196 119 $712.07
77067 Screening mammography, bilateral, including computer-aided detection 36 36 $672.71
74177 Computed tomography, abdomen and pelvis; with contrast material 13 13 $630.37
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 376 292 $606.37
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 105 94 $604.65
77063 Screening digital breast tomosynthesis, bilateral 36 36 $555.08
J1040 Injection, methylprednisolone acetate, 80 mg 53 51 $524.28
71046 Radiologic examination, chest; 2 views 43 43 $520.79
90656 30 29 $503.45
99443 15 13 $387.87
J1885 Injection, ketorolac tromethamine, per 15 mg 162 138 $375.24
71045 Radiologic examination, chest; single view 59 52 $299.10
86403 32 29 $251.02
90785 42 34 $209.03
J0696 Injection, ceftriaxone sodium, per 250 mg 19 17 $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 43 37 $130.86
96127 38 37 $112.88
83036 Hemoglobin; glycosylated (A1C) 16 14 $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) 25 24 $42.78
J1100 Injection, dexamethasone sodium phosphate, 1 mg 37 36 $22.07
3074F 31 31 $0.00
3044F 43 39 $0.00
G0008 Administration of influenza virus vaccine 15 15 $0.00
1159F 231 215 $0.00
1160F 233 216 $0.00
3078F 18 18 $0.00