Medicaid Provider Spending

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

BAPTIST HEALTH MEDICAL GROUP INC

NPI: 1265072946 · MADISONVILLE, KY 42431 · Rural Health Clinic/Center · NPI assigned 01/10/2020

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

Authorized official CLAY, DANYEL controls 20+ related entities in our dataset. Read more

$145K
Total Medicaid Paid
4,363
Total Claims
3,429
Beneficiaries
8
Codes Billed
2020-11
First Month
2021-08
Last Month

Provider Details

Authorized OfficialCLAY, DANYEL (EXECUTIVE DIRECTOR REVENUE CYCLE)
Parent OrganizationBAPTIST HEALTHCARE SYSTEM, INC
NPI Enumeration Date01/10/2020

Related Entities

Other providers sharing the same authorized official: CLAY, DANYEL

ProviderCityStateTotal Paid
BAPTIST HEALTH MEDICAL GROUP INC LEXINGTON KY $54.04M
BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY $28.00M
BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY $26.58M
BAPTIST HEALTH MEDICAL GROUP INC PADUCAH KY $21.94M
BAPTIST HEALTH MEDICAL GROUP INC ELIZABETHTOWN KY $13.60M
BAPTIST HEALTH MEDICAL GROUP INC CORBIN KY $1.91M
BAPTIST HEALTH MEDICAL GROUP INC RICHMOND KY $1.84M
BAPTIST HEALTH MEDICAL GROUP INC BARBOURVILLE KY $1.60M
BAPTIST HEALTH MEDICAL GROUP INC RICHMOND KY $1.59M
BAPTIST HEALTH DEACONESS MEDICAL GROUP INC MADISONVILLE KY $1.53M
BAPTIST HEALTH DEACONESS MEDICAL GROUP INC MADISONVILLE KY $1.41M
BAPTIST HEALTH MEDICAL GROUP INC POWDERLY KY $1.29M
BAPTIST HEALTH DEACONESS MEDICAL GROUP INC POWDERLY KY $1.14M
BAPTIST HEALTH MEDICAL GROUP INC RICHMOND KY $1.06M
BAPTIST HEALTH MEDICAL GROUP INC BRANDENBURG KY $925K
BAPTIST HEALTH MEDICAL GROUP INC BEREA KY $914K
BAPTIST HEALTH MEDICAL GROUP INC GEORGETOWN KY $758K
BAPTIST HEALTH DEACONESS MEDICAL GROUP INC HOPKINSVILLE KY $680K
BAPTIST HEALTH MEDICAL GROUP, INC. JEFFERSONVILLE IN $637K
BAPTIST HEALTH MEDICAL GROUP INC HOPKINSVILLE KY $514K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 681 $21K
2021 3,682 $124K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,004 2,323 $102K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 575 520 $30K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 250 223 $6K
59025 Fetal non-stress test 294 143 $5K
81025 191 179 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 20 13 $750.48
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 13 13 $169.28
0503F 16 15 $0.00