Medicaid Provider Spending

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

NORTON CHILDREN'S MEDICAL GROUP, LLC

NPI: 1336771161 · LOUISVILLE, KY 40241 · Dermatology Physician · NPI assigned 02/10/2020

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

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

$712K
Total Medicaid Paid
17,888
Total Claims
14,336
Beneficiaries
23
Codes Billed
2020-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGAST, SHELLEY (SYST VP MNGD CARE & PAYOR STRAT)
NPI Enumeration Date02/10/2020

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
COMMUNITY MEDICAL ASSOCIATES, INC. LOUISVILLE KY $48.97M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 291 $14K
2021 3,031 $112K
2022 3,006 $119K
2023 5,850 $233K
2024 5,710 $234K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,623 3,027 $204K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,499 2,029 $178K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,754 3,221 $114K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,781 1,537 $87K
92060 2,995 1,938 $55K
92015 Determination of refractive state 925 834 $14K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 238 225 $11K
99245 62 62 $10K
99232 Subsequent hospital care, per day, moderate complexity 364 195 $7K
99215 Prolong outpt/office vis 77 75 $6K
99221 167 139 $5K
92201 436 250 $4K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 206 179 $3K
99205 Prolong outpt/office vis 39 30 $3K
92133 123 94 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 64 60 $2K
17110 71 63 $2K
99305 31 27 $1K
99222 Initial hospital care, per day, moderate complexity 16 14 $948.45
99417 Prolong home eval add 15m 13 13 $629.01
87220 13 13 $51.41
99024 376 298 $0.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 15 13 $0.00