Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

T J Health Columbia INC

T J Health Columbia INC was paid $312K by Medicaid between Sep 2019 and Dec 2024, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 62% of everything it billed.

33Billing provider infoT J HEALTH COLUMBIA INC
TOMPKINSVILLE, KY 42167
33aNPI1336602838assigned 04/11/2019
28Total paid$312K
24GClaims10,713
24DCodes billed13
24AFirst – last monthSep 2019 – Dec 2024
Compared with peers

Next to other Rural Health Clinic/Center providers in Kentucky

Rank by total paid#153 of 265
Median peer was paid$400K
This provider vs. median0.8×

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 THORNBURY, NEIL controls 17+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
2019692$18K
20201,702$59K
20212,255$61K
20222,438$68K
20232,011$58K
2024incomplete1,615$48K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 62% 6,668 5,476 $192K
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 32% 2,375 2,068 $99K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2.9% 782 613 $9K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 136 131 $3K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 166 138 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 27 27 $2K
99441 <1% 73 61 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 57 57 $1K
90686 <1% 53 52 $945.66
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% 13 13 $770.64
36415 Collection of venous blood by venipuncture <1% 153 138 $707.02
90656 <1% 15 15 $293.70
1 more codes
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 195 $101.82

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 officialTHORNBURY, NEIL (CEO)
Parent organizationT J REGIONAL HEALTH INC
Same official

Other billing entities under THORNBURY, NEIL

Full network →
ProviderLocationPaid
T J Samson Community HospitalGlasgow, KY$95.74M
T J Samson Community HospitalGlasgow, KY$15.53M
T J Health Columbia INCColumbia, KY$11.51M
T J Health Columbia INCColumbia, KY$1.40M
T J Samson Community HospitalGlasgow, KY$1.22M
T J Health Columbia INCEdmonton, KY$1.20M
T J Health Columbia INCColumbia, KY$682K
T J Health Columbia INCRussell Springs, KY$630K
T J Health Columbia INCScottsville, KY$611K
T J Samson Community HospitalCave City, KY$567K
T J Samson Community HospitalGlasgow, KY$549K
T J Samson Community HospitalGlasgow, KY$524K
T J Health Columbia INCGreensburg, KY$277K
T J Health Columbia INCColumbia, KY$125K
T J Samson Community HospitalGlasgow, KY$36K
T J Samson Community HospitalGlasgow, KY$1K
T J Samson Community HospitalGlasgow, KY$0.00

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.