Medicaid Provider Spending

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

ST. CLAIRE MEDICAL CENTER, INC

NPI: 1265493993 · FRENCHBURG, KY 40322 · Primary Care Clinic/Center · NPI assigned 03/31/2006

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

Authorized official LLOYD, DONALD controls 20+ related entities in our dataset. Read more

$877K
Total Medicaid Paid
36,982
Total Claims
28,394
Beneficiaries
36
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLLOYD, DONALD (PRESIDENT/CEO)
NPI Enumeration Date03/31/2006

Related Entities

Other providers sharing the same authorized official: LLOYD, DONALD

ProviderCityStateTotal Paid
ST CLAIRE MEDICAL CENTER INC MOREHEAD KY $71.27M
ST CLAIRE MEDICAL CENTER INC. MOREHEAD KY $4.05M
ST. CLAIRE MEDICAL CENTER, INC MOREHEAD KY $3.32M
ST CLAIRE MEDICAL CENTER, INC., MOREHEAD KY $3.31M
ST CLAIRE MEDICAL CENTER, INC MOREHEAD KY $3.29M
ST. CLAIRE MEDICAL CENTER, INC MOREHEAD KY $3.11M
ST CLAIRE MEDICAL CENTER, INC., MOREHEAD KY $2.42M
ST. CLAIRE MEDICAL CENTER MOREHEAD KY $2.40M
ST. CLAIRE MEDICAL CENTER, INC. MOREHEAD KY $2.09M
ST CLAIRE REGIONAL RADIOLOGY PHYSICIANS SERVICES MOREHEAD KY $1.83M
ST CLAIRE MEDICAL CENTER, INC., MOREHEAD KY $1.46M
ST. CLAIRE MEDICAL CENTER,INC OLIVE HILL KY $1.13M
ST. CLAIRE MEDICAL CENTER, INC OWINGSVILLE KY $964K
ST. CLAIRE MEDICAL CENTER,INC SANDY HOOK KY $948K
ST CLAIRE MEDICAL CENTER, INC MOREHEAD KY $760K
ST. CLAIRE MEDICAL CENTER, INC MOREHEAD KY $672K
ST. CLAIRE MEDICAL CENTER, INC. MOREHEAD KY $411K
ST. CLAIRE MEDICAL CENTER INC. MOREHEAD KY $371K
ST CLAIRE MEDICAL CENTER INC. MOREHEAD KY $115K
ST. CLAIRE MEDICAL CENTER, INC. MOREHEAD KY $20K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,930 $110K
2019 6,101 $157K
2020 4,752 $134K
2021 5,209 $131K
2022 5,483 $122K
2023 5,564 $121K
2024 4,943 $101K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17,695 12,363 $495K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,025 5,185 $228K
90832 Psychotherapy, 30 minutes with patient 1,747 834 $51K
D0330 Panoramic radiographic image 356 343 $12K
D0150 Comprehensive oral evaluation - new or established patient 488 462 $11K
36415 Collection of venous blood by venipuncture 3,648 3,226 $8K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 287 270 $8K
99442 197 152 $8K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 597 565 $8K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 571 480 $7K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 671 385 $6K
D0140 Limited oral evaluation - problem focused 194 183 $5K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 448 391 $5K
D0272 Bitewings - two radiographic images 328 310 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 251 201 $5K
D7140 Extraction, erupted tooth or exposed root 117 70 $4K
D1110 Prophylaxis - adult 102 97 $3K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 50 44 $2K
90686 272 252 $2K
D0220 Intraoral - periapical first radiographic image 280 251 $2K
0002A 18 18 $704.00
87428 22 22 $661.83
D1120 Prophylaxis - child 15 13 $567.58
D1206 Topical application of fluoride varnish 32 28 $393.75
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 20 18 $347.17
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 16 14 $161.29
81002 188 159 $136.25
Q3014 Telehealth originating site facility fee 14 14 $83.24
90633 71 67 $55.20
1126F 1,559 1,361 $7.85
87301 64 54 $4.60
1125F 463 408 $2.53
3078F 74 64 $0.22
3074F 29 28 $0.14
3077F 13 12 $0.06
91300 60 50 $0.00