NP / PA
Ephraim Mcdowell Health Resource, INC
Ephraim Mcdowell Health Resource, INC was paid $213K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.
33Billing provider infoEPHRAIM MCDOWELL HEALTH RESOURCE, INC
DANVILLE, KY 40422
DANVILLE, KY 40422
33aNPI1194103937assigned 05/13/2015
33bProvider typeMedical Physician Assistant
28Total paid$213K
24GClaims12,177
24DCodes billed7
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Medical Physician Assistant providers in Kentucky
Rank by total paid#24 of 45
Median peer was paid$258K
This provider vs. median0.8×
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.
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 | 1,818 | $27K | |
| 2019 | 1,720 | $36K | |
| 2020 | 1,571 | $32K | |
| 2021 | 1,832 | $37K | |
| 2022 | 1,644 | $25K | |
| 2023 | 1,942 | $28K | |
| 2024incomplete | 1,650 | $29K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 54% | 5,196 | 4,522 | $115K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 19% | 1,023 | 957 | $40K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 14% | 645 | 555 | $30K |
| 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 | 9.7% | 531 | 466 | $21K |
| 51798 | 1.9% | 524 | 464 | $4K | |
| 81003 | 1.1% | 4,229 | 3,670 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 29 | 26 | $310.64 |
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 officialKINMAN, AMANDA (CFO)
| Provider | Location | Paid |
|---|---|---|
| Ephraim Mcdowell Regional Medical Center Incorporated | Danville, KY | $2.72M |
| Ephraim Mcdowell Health Resource, INC. | Stanford, KY | $1.56M |
| Ephraim Mcdowell Health Resource, INC. | Danville, KY | $1.45M |
| Ephraim Mcdowell Health Resource, INC | Danville, KY | $196K |
| Ephraim Mcdowell Health Resource, INC | Danville, KY | $20K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.