Methodist Health, INC.
Methodist Health, INC. was paid $68K by Medicaid between Jun 2019 and Apr 2024, across 10 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 38% of everything it billed.
HENDERSON, KY 42420
Next to other Neurology Physician providers in Kentucky
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 120 | $3K | |
| 2020 | 247 | $10K | |
| 2021 | 547 | $38K | |
| 2022 | 236 | $14K | |
| 2023 | 48 | $2K | |
| 2024incomplete | 47 | $1K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 38% | 237 | 83 | $25K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 26% | 515 | 208 | $17K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 17% | 108 | 108 | $11K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 6.9% | 180 | 84 | $5K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.6% | 98 | 97 | $4K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 3.8% | 27 | 25 | $3K |
| 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 | 2.0% | 34 | 31 | $1K |
| 99223 | Prolong inpt eval add15 m | 1.6% | 15 | 12 | $1K |
| 94729 | <1% | 19 | 19 | $85.66 | |
| 94727 | <1% | 12 | 12 | $77.49 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Methodist Health, INC. | Henderson, KY | $2.61M |
| Methodist Health, INC. | Henderson, KY | $1.93M |
| Methodist Health, INC. | Henderson, KY | $1.16M |
| Methodist Health, INC. | Morganfield, KY | $350K |
| Methodist Health, INC. | Henderson, KY | $317K |
| Methodist Health, INC. | Morganfield, KY | $283K |
| Methodist Health, INC. | Henderson, KY | $192K |
| Methodist Health, INC. | Henderson, KY | $192K |
| Methodist Health, INC. | Dixon, KY | $76K |
| Methodist Health, INC. | Henderson, KY | $37K |
| Methodist Health, INC. | Henderson, KY | $29K |
| Methodist Health, INC. | Henderson, KY | $9K |
| Methodist Health, INC. | Henderson, KY | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.