Medicaid Provider Spending

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

ST CLAIRE MEDICAL CENTER, INC

NPI: 1316607104 · MOREHEAD, KY 40351 · Urgent Care Clinic/Center · NPI assigned 12/21/2021

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

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

$3.29M
Total Medicaid Paid
155,766
Total Claims
123,902
Beneficiaries
24
Codes Billed
2022-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLLOYD, DONALD (CEO/PRESIDENT)
NPI Enumeration Date12/21/2021

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 $3.11M
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 FRENCHBURG KY $877K
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
2022 34,545 $546K
2023 63,488 $1.38M
2024 57,733 $1.36M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 30,892 28,299 $1.32M
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 20,523 19,020 $548K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17,915 16,355 $484K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 41,029 19,302 $409K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,587 2,300 $156K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 14,150 13,125 $152K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 4,619 4,205 $64K
87428 1,917 1,860 $53K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,305 1,130 $50K
81025 2,336 2,140 $12K
87301 3,443 2,975 $11K
87807 1,537 1,432 $10K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 535 447 $9K
J8499 Prescription drug, oral, non chemotherapeutic, nos 3,698 2,767 $5K
J0696 Injection, ceftriaxone sodium, per 250 mg 111 97 $3K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 3,037 2,820 $3K
81002 4,779 4,391 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg 1,010 938 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 35 25 $866.93
71046 Radiologic examination, chest; 2 views 44 38 $322.91
90656 12 12 $160.70
J2003 Injection, lidocaine hydrochloride, 1 mg 13 13 $75.43
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 147 129 $3.10
99070 92 82 $0.00