Clinic
ST Claire Medical Center, INC
ST Claire Medical Center, INC was paid $3.29M by Medicaid between Mar 2022 and Dec 2024, across 24 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.
33Billing provider infoST CLAIRE MEDICAL CENTER, INC
MOREHEAD, KY 40351
MOREHEAD, KY 40351
33aNPI1316607104assigned 12/21/2021
33bProvider typeUrgent Care Clinic/Center
28Total paid$3.29M
24GClaims155,766
24DCodes billed24
24AFirst – last monthMar 2022 – Dec 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in Kentucky
Rank by total paid#4 of 13
Median peer was paid$254K
This provider vs. median13×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official LLOYD, DONALD controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2022 | 34,545 | $546K | |
| 2023 | 63,488 | $1.38M | |
| 2024incomplete | 57,733 | $1.36M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 40% | 30,892 | 28,299 | $1.32M |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 17% | 20,523 | 19,020 | $548K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 17,915 | 16,355 | $484K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 12% | 41,029 | 19,302 | $409K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 4.7% | 2,587 | 2,300 | $156K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 4.6% | 14,150 | 13,125 | $152K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.9% | 4,619 | 4,205 | $64K |
| 87428 | 1.6% | 1,917 | 1,860 | $53K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.5% | 1,305 | 1,130 | $50K |
| 81025 | <1% | 2,336 | 2,140 | $12K | |
| 87301 | <1% | 3,443 | 2,975 | $11K | |
| 87807 | <1% | 1,537 | 1,432 | $10K |
12 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 535 | $9K |
| J8499 | Prescription drug, oral, non chemotherapeutic, nos | <1% | 3,698 | $5K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 111 | $3K |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 3,037 | $3K |
| 81002 | <1% | 4,779 | $1K | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 1,010 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 35 | $866.93 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 44 | $322.91 |
| 90656 | <1% | 12 | $160.70 | |
| J2003 | Injection, lidocaine hydrochloride, 1 mg | <1% | 13 | $75.43 |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | <1% | 147 | $3.10 |
| 99070 | 0% | 92 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialLLOYD, DONALD (CEO/PRESIDENT)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.