Medicaid Provider Spending

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

ST. CLAIRE MEDICAL CENTER, INC

NPI: 1326009044 · MOREHEAD, KY 40351 · Clinical Social Worker · 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

$3.32M
Total Medicaid Paid
114,763
Total Claims
101,812
Beneficiaries
66
Codes Billed
2018-01
First Month
2024-12
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 $3.31M
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 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
2018 9,304 $293K
2019 9,010 $299K
2020 13,033 $471K
2021 31,256 $832K
2022 16,878 $563K
2023 18,368 $493K
2024 16,914 $367K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 51,159 44,444 $1.57M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 29,022 25,972 $1.31M
0012A 2,282 2,135 $59K
90832 Psychotherapy, 30 minutes with patient 1,831 1,411 $53K
0011A 2,348 2,250 $50K
0002A 643 606 $23K
0013A 789 757 $20K
M0247 Intravenous infusion, sotrovimab, includes infusion and post administration monitoring 49 47 $20K
0001A 533 508 $19K
99238 Hospital discharge day management, 30 minutes or less 616 561 $18K
90834 Psychotherapy, 45 minutes with patient 382 316 $15K
99442 318 289 $15K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 276 239 $14K
99233 Prolong inpt eval add15 m 481 157 $14K
90791 Psychiatric diagnostic evaluation 213 191 $14K
99232 Subsequent hospital care, per day, moderate complexity 482 237 $12K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 170 165 $11K
99441 372 322 $10K
M0222 Intravenous injection, bebtelovimab, includes injection and post administration monitoring 69 48 $9K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 506 474 $9K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 151 143 $8K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring 17 15 $7K
0071A 167 162 $6K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 192 175 $6K
0072A 127 125 $5K
0003A 128 124 $5K
99385 74 61 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 37 37 $3K
99309 Subsequent nursing facility care, per day, low to moderate complexity 120 114 $2K
D0150 Comprehensive oral evaluation - new or established patient 73 66 $2K
0134A 67 58 $2K
99386 28 26 $1K
0124A 60 43 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 21 21 $1K
D1110 Prophylaxis - adult 18 18 $832.50
99406 116 109 $768.06
98926 26 26 $737.37
D0330 Panoramic radiographic image 16 16 $600.60
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 17 15 $557.77
0064A 13 12 $372.00
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 39 39 $278.77
99307 26 26 $243.80
D0272 Bitewings - two radiographic images 14 14 $222.25
99308 Subsequent nursing facility care, per day, straightforward 16 16 $126.57
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 14 14 $90.86
36415 Collection of venous blood by venipuncture 25 25 $61.77
90633 170 161 $29.55
1126F 5,329 5,032 $22.08
1125F 2,858 2,694 $11.63
3077F 1,411 1,320 $5.82
3074F 1,194 1,121 $5.57
3079F 963 901 $4.34
3080F 851 814 $3.79
3078F 867 807 $3.79
3044F 648 583 $3.21
3075F 264 257 $1.35
Q0222 Injection, bebtelovimab, 175 mg 69 48 $0.21
3046F 29 26 $0.11
3051F 14 12 $0.05
91307 312 274 $0.00
91301 4,122 3,812 $0.00
Q0247 Injection, sotrovimab, 500 mg 47 46 $0.00
91312 57 41 $0.00
91313 58 49 $0.00
91300 1,339 1,170 $0.00
Q0245 Injection, bamlanivimab and etesevimab, 2100 mg 18 15 $0.00