Medicaid Provider Spending

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

T J SAMSON COMMUNITY HOSPITAL

NPI: 1245261858 · GLASGOW, KY 42141 · Home Health Agency · NPI assigned 07/05/2006

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

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

$1.22M
Total Medicaid Paid
25,316
Total Claims
7,422
Beneficiaries
15
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialTHORNBURY, NEIL (CEO)
Parent OrganizationT J REGIONAL HEALTH, INC.
NPI Enumeration Date07/05/2006

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 HEALTH COLUMBIA INC EDMONTON KY $1.20M
T J HEALTH COLUMBIA INC COLUMBIA KY $682K
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 2,063 $146K
2019 2,400 $162K
2020 1,840 $124K
2021 4,968 $158K
2022 5,922 $235K
2023 5,137 $243K
2024 2,986 $153K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0299 Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes 11,922 2,275 $572K
G0151 Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes 3,980 1,321 $184K
T4541 Incontinence product, disposable underpad, large, each 2,474 1,657 $163K
G0300 Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes 2,102 552 $91K
G0157 Services performed by a qualified physical therapist assistant in the home health or hospice setting, each 15 minutes 1,798 440 $82K
G0152 Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes 1,583 538 $60K
T4528 Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each 242 156 $25K
G0493 Skilled services of a registered nurse (rn) for the observation and assessment of the patient's condition, each 15 minutes (the change in the patient's condition requires skilled nursing personnel to identify and evaluate the patient's need for possible modification of treatment in the home health or hospice setting) 202 56 $13K
G0494 Skilled services of a licensed practical nurse (lpn) for the observation and assessment of the patient's condition, each 15 minutes (the change in the patient's condition requires skilled nursing personnel to identify and evaluate the patient's need for possible modification of treatment in the home health or hospice setting) 162 55 $12K
T4526 Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each 71 51 $8K
G0158 Services performed by a qualified occupational therapist assistant in the home health or hospice setting, each 15 minutes 112 40 $5K
T4527 Adult sized disposable incontinence product, protective underwear/pull-on, large size, each 58 40 $4K
A6402 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 544 189 $3K
A4452 Tape, waterproof, per 18 square inches 21 12 $10.17
Q5001 Hospice or home health care provided in patient's home/residence 45 40 $0.00