Medicaid Provider Spending

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

NORTON CHILDREN'S MEDICAL GROUP, LLC

NPI: 1275174625 · LOUISVILLE, KY 40241 · Psychologist · NPI assigned 10/07/2019

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

Authorized official GAST, SHELLEY controls 20+ related entities in our dataset. Read more

$1.15M
Total Medicaid Paid
17,424
Total Claims
13,466
Beneficiaries
17
Codes Billed
2020-05
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGAST, SHELLEY (SYST VP MNGD CARE & PAYOR STRAT)
NPI Enumeration Date10/07/2019

Related Entities

Other providers sharing the same authorized official: GAST, SHELLEY

ProviderCityStateTotal Paid
NORTON HOSPITALS INC LOUISVILLE KY $419.58M
NORTON HOSPITALS, INC LOUISVILLE KY $299.00M
COMMUNITY MEDICAL ASSOCIATES, INC. LOUISVILLE KY $135.33M
NORTON CHILDRENS MEDICAL GROUP, LLC LOUISVILLE KY $107.36M
COMMUNITY MEDICAL ASSOCIATES, INC. LOUISVILLE KY $48.97M
NORTON CLARK HOSPITAL, LLC JEFFERSONVILLE IN $19.62M
NORTON - KINGS DAUGHTERS HEALTH INC MADISON IN $11.81M
NORTON SCOTT HOSPITAL, LLC SCOTTSBURG IN $9.17M
NORTON CLARK PHYSICIAN PRACTICES, LLC CLARKSVILLE IN $7.07M
NORTON HOSPITALS INC LOUISVILLE KY $3.38M
COMMUNITY MEDICAL ASSOCIATES, INC. LOUISVILLE KY $1.21M
COMMUNITY MEDICAL ASSOCIATES, INC. LOUISVILLE KY $957K
COMMUNITY MEDICAL ASSOCIATES, INC. LOUISVILLE KY $808K
NORTON SCOTT HOSPITAL, LLC SCOTTSBURG IN $560K
NORTON HOSPITALS, INC LOUISVILLE KY $438K
COMMUNITY MEDICAL ASSOCIATES, INC. LOUISVILLE KY $357K
NORTON CLARK PHYSICIAN PRACTICES, LLC SELLERSBURG IN $273K
NORTON CHILDREN'S MEDICAL GROUP, LLC LOUISVILLE KY $260K
NORTON CHILDREN'S MEDICAL GROUP, LLC LOUISVILLE KY $238K
NORTON CHILDREN'S MEDICAL GROUP, LLC LOUISVILLE KY $189K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 2,682 $84K
2021 3,433 $190K
2022 3,494 $240K
2023 4,363 $360K
2024 3,452 $276K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90791 Psychiatric diagnostic evaluation 6,742 5,642 $555K
96112 3,501 2,865 $231K
96113 2,112 1,793 $170K
96156 1,287 960 $59K
90837 Psychotherapy, 53 minutes with patient 612 219 $40K
90847 Family psychotherapy with the patient present, 50 minutes 465 403 $25K
96130 231 207 $14K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 348 243 $12K
90785 1,309 483 $9K
90834 Psychotherapy, 45 minutes with patient 151 117 $8K
96137 110 98 $7K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 235 161 $6K
96131 95 86 $5K
90846 Family psychotherapy without the patient present, 50 minutes 49 42 $3K
96136 108 99 $3K
90832 Psychotherapy, 30 minutes with patient 39 24 $2K
96167 30 24 $1K