Medicaid Provider Spending

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

COMMUNITY MEDICAL ASSOCIATES, INC.

NPI: 1306983762 · LOUISVILLE, KY 40241 · Clinical Neuropsychologist · NPI assigned 02/01/2007

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

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

$48.97M
Total Medicaid Paid
894,867
Total Claims
840,200
Beneficiaries
46
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGAST, SHELLEY (VP MANAGED CARE)
NPI Enumeration Date02/01/2007

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
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
NORTON CHILDREN'S MEDICAL GROUP, LLC LOUISVILLE KY $1.15M
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
2018 74,047 $3.42M
2019 79,448 $4.14M
2020 74,098 $3.80M
2021 139,175 $8.01M
2022 177,964 $10.81M
2023 194,886 $10.43M
2024 155,249 $8.37M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 162,108 151,854 $17.61M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 252,864 238,258 $15.39M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 223,951 212,086 $9.66M
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 125,280 118,913 $3.17M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 25,483 23,700 $1.68M
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 12,991 12,292 $430K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,797 3,453 $319K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 5,311 5,125 $221K
87631 836 790 $78K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 966 944 $67K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 8,231 7,944 $56K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,419 1,351 $53K
99215 Prolong outpt/office vis 641 595 $47K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 5,738 5,350 $46K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 8,115 3,953 $34K
81003 39,742 37,055 $34K
36415 Collection of venous blood by venipuncture 7,113 6,715 $22K
71046 Radiologic examination, chest; 2 views 1,362 1,310 $16K
87807 1,171 1,134 $13K
81025 2,494 2,356 $9K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 260 240 $5K
J0561 Injection, penicillin g benzathine, 100,000 units 14 12 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 938 888 $2K
J0696 Injection, ceftriaxone sodium, per 250 mg 399 367 $1K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 410 407 $382.20
A6449 Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard 12 12 $356.80
J1885 Injection, ketorolac tromethamine, per 15 mg 423 395 $265.56
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 148 141 $261.07
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 87 81 $174.93
J1040 Injection, methylprednisolone acetate, 80 mg 115 114 $169.60
86308 189 184 $156.07
82947 171 169 $74.84
J7510 Prednisolone oral, per 5 mg 66 64 $51.55
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 196 179 $25.30
93000 138 134 $22.27
73610 239 235 $17.43
73630 235 233 $17.43
J1100 Injection, dexamethasone sodium phosphate, 1 mg 22 16 $16.96
81002 582 568 $14.26
36416 67 66 $12.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 283 262 $1.65
73562 57 57 $0.00
73130 75 74 $0.00
73140 47 46 $0.00
73110 67 65 $0.00
69209 14 13 $0.00