Clinic
T J Health Columbia INC
T J Health Columbia INC was paid $682K by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 52% of everything it billed.
33Billing provider infoT J HEALTH COLUMBIA INC
COLUMBIA, KY 42728
COLUMBIA, KY 42728
33aNPI1235595653assigned 01/14/2016
33bProvider typeRural Health Clinic/Center
28Total paid$682K
24GClaims23,188
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Kentucky
Rank by total paid#84 of 265
Median peer was paid$400K
This provider vs. median1.7×
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 THORNBURY, NEIL controls 17+ 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 | 730 | $24K | |
| 2019 | 1,455 | $54K | |
| 2020 | 838 | $33K | |
| 2021 | 3,325 | $92K | |
| 2022 | 4,885 | $137K | |
| 2023 | 6,579 | $189K | |
| 2024incomplete | 5,376 | $154K |
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 | 52% | 8,437 | 6,850 | $352K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 32% | 7,377 | 6,166 | $217K |
| 99442 | 5.8% | 998 | 845 | $39K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 5.4% | 2,634 | 1,852 | $37K |
| 99443 | 1.9% | 207 | 190 | $13K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 240 | 218 | $5K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 81 | 73 | $3K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 224 | 190 | $3K |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 434 | 390 | $3K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 117 | 112 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 49 | 43 | $2K |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 462 | 385 | $1K |
11 more codes
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 510 | $984.28 |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 15 | $675.47 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 13 | $638.49 |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 154 | $636.77 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 966 | $604.58 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 31 | $558.18 |
| J2920 | Injection, methylprednisolone sodium succinate, up to 40 mg | <1% | 106 | $401.15 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 15 | $344.50 |
| 90461 | <1% | 13 | $136.26 | |
| 90670 | <1% | 13 | $18.40 | |
| 1126F | <1% | 92 | $0.24 |
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 officialTHORNBURY, NEIL (CEO)
Parent organizationTJ REGIONAL HEALTH INC
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.