Medicaid Provider Spending

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

T J HEALTH COLUMBIA INC

NPI: 1235595653 · COLUMBIA, KY 42728 · Rural Health Clinic/Center · NPI assigned 01/14/2016

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

Authorized official THORNBURY, NEIL controls 17+ related entities in our dataset. Read more

$682K
Total Medicaid Paid
23,188
Total Claims
19,004
Beneficiaries
23
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTHORNBURY, NEIL (CEO)
Parent OrganizationTJ REGIONAL HEALTH INC
NPI Enumeration Date01/14/2016

Related Entities

Other providers sharing the same authorized official: THORNBURY, NEIL

ProviderCityStateTotal Paid
T J SAMSON COMMUNITY HOSPITAL GLASGOW KY $95.74M
T J SAMSON COMMUNITY HOSPITAL GLASGOW KY $15.53M
T J HEALTH COLUMBIA INC COLUMBIA KY $11.51M
T J HEALTH COLUMBIA INC COLUMBIA KY $1.40M
T J SAMSON COMMUNITY HOSPITAL GLASGOW KY $1.22M
T J HEALTH COLUMBIA INC EDMONTON KY $1.20M
T J HEALTH COLUMBIA INC RUSSELL SPRINGS KY $630K
T J HEALTH COLUMBIA INC SCOTTSVILLE KY $611K
T J SAMSON COMMUNITY HOSPITAL CAVE CITY KY $567K
T J SAMSON COMMUNITY HOSPITAL GLASGOW KY $549K
T J SAMSON COMMUNITY HOSPITAL GLASGOW KY $524K
T J HEALTH COLUMBIA INC TOMPKINSVILLE KY $312K
T J HEALTH COLUMBIA INC GREENSBURG KY $277K
T J HEALTH COLUMBIA INC COLUMBIA KY $125K
T J SAMSON COMMUNITY HOSPITAL GLASGOW KY $36K
T J SAMSON COMMUNITY HOSPITAL GLASGOW KY $1K
T J SAMSON COMMUNITY HOSPITAL GLASGOW KY $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 730 $24K
2019 1,455 $54K
2020 838 $33K
2021 3,325 $92K
2022 4,885 $137K
2023 6,579 $189K
2024 5,376 $154K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,437 6,850 $352K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,377 6,166 $217K
99442 998 845 $39K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,634 1,852 $37K
99443 207 190 $13K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 240 218 $5K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 81 73 $3K
J0696 Injection, ceftriaxone sodium, per 250 mg 224 190 $3K
J1030 Injection, methylprednisolone acetate, 40 mg 434 390 $3K
90460 Immunization administration through 18 years of age via any route, first or only component 117 112 $2K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 49 43 $2K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 462 385 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg 510 439 $984.28
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 15 15 $675.47
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 13 12 $638.49
J1010 Injection, methylprednisolone acetate, 1 mg 154 140 $636.77
J1100 Injection, dexamethasone sodium phosphate, 1 mg 966 854 $604.58
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 31 24 $558.18
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 106 88 $401.15
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 15 12 $344.50
90461 13 12 $136.26
90670 13 13 $18.40
1126F 92 81 $0.24