Physician
Ephraim Mcdowell Health Resource, INC.
Ephraim Mcdowell Health Resource, INC. was paid $1.56M by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoEPHRAIM MCDOWELL HEALTH RESOURCE, INC.
STANFORD, KY 40484
STANFORD, KY 40484
33aNPI1386799757assigned 01/24/2007
33bProvider typeFamily Medicine Physician
28Total paid$1.56M
24GClaims47,910
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Kentucky
Rank by total paid#47 of 352
Median peer was paid$90K
This provider vs. median17×
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.
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 | |
|---|---|---|---|
| 2018 | 7,260 | $185K | |
| 2019 | 6,785 | $167K | |
| 2020 | 3,962 | $107K | |
| 2021 | 4,287 | $129K | |
| 2022 | 7,909 | $306K | |
| 2023 | 9,703 | $361K | |
| 2024incomplete | 8,004 | $307K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 48% | 25,250 | 23,332 | $756K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 19% | 3,845 | 3,602 | $304K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 14% | 7,096 | 6,681 | $218K |
| 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 | 7.0% | 2,407 | 2,176 | $109K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.8% | 3,214 | 1,543 | $60K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 2.9% | 1,417 | 1,349 | $45K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.6% | 3,128 | 3,010 | $40K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 573 | 531 | $13K |
| 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% | 235 | 215 | $12K |
| 87634 | <1% | 72 | 67 | $4K | |
| 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 | <1% | 14 | 14 | $1K |
| 69210 | <1% | 25 | 24 | $420.37 |
2 more codes
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 officialKINMAN, AMANDA (CFO)
| Provider | Location | Paid |
|---|---|---|
| Ephraim Mcdowell Regional Medical Center Incorporated | Danville, KY | $2.72M |
| Ephraim Mcdowell Health Resource, INC. | Danville, KY | $1.45M |
| Ephraim Mcdowell Health Resource, INC | Danville, KY | $213K |
| Ephraim Mcdowell Health Resource, INC | Danville, KY | $196K |
| Ephraim Mcdowell Health Resource, INC | Danville, KY | $20K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.