Medicaid Provider Spending

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

METHODIST HEALTH, INC.

NPI: 1215491311 · HENDERSON, KY 42420 · Nurse Practitioner · NPI assigned 01/23/2019

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

Authorized official NOLEN, BENNY controls 14+ related entities in our dataset. Read more

$110K
Total Medicaid Paid
4,126
Total Claims
3,376
Beneficiaries
10
Codes Billed
2019-03
First Month
2020-06
Last Month

Provider Details

Authorized OfficialNOLEN, BENNY (PRESIDENT AND CEO)
NPI Enumeration Date01/23/2019

Related Entities

Other providers sharing the same authorized official: NOLEN, BENNY

ProviderCityStateTotal Paid
METHODIST HEALTH, INC. HENDERSON KY $470K
METHODIST HEALTH, INC. HENDERSON KY $435K
METHODIST HEALTH, INC. HENDERSON KY $215K
METHODIST HEALTH, INC. HENDERSON KY $123K
METHODIST HEALTH, INC. MORGANFIELD KY $118K
METHODIST HEALTH, INC. HENDERSON KY $94K
METHODIST HEALTH, INC. HENDERSON KY $88K
METHODIST HEALTH, INC. SEBREE KY $64K
METHODIST HEALTH, INC. HENDERSON KY $55K
METHODIST HEALTH, INC. HENDERSON KY $29K
COMMUNITY UNITED METHODIST HOSPITAL INC MADISONVILLE KY $22K
METHODIST HEALTH, INC. HENDERSON KY $17K
METHODIST HEALTH, INC. HENDERSON KY $6K
METHODIST HEALTH, INC. HENDERSON KY $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 2,782 $70K
2020 1,344 $41K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,161 1,811 $56K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,282 1,050 $49K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 13 12 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 73 73 $1K
99309 Subsequent nursing facility care, per day, low to moderate complexity 385 236 $804.70
90686 52 50 $760.50
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 13 13 $655.91
83036 Hemoglobin; glycosylated (A1C) 92 76 $448.74
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 37 37 $318.82
90688 18 18 $241.80