NP / PA
Ephraim Mcdowell Health Resource, INC
Ephraim Mcdowell Health Resource, INC was paid $1.39M by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 46% of everything it billed.
33Billing provider infoEPHRAIM MCDOWELL HEALTH RESOURCE, INC
DANVILLE, KY 40422
DANVILLE, KY 40422
33aNPI1386982791assigned 01/18/2013
33bProvider typePsychiatric/Mental Health Nurse Practitioner
28Total paid$1.39M
24GClaims32,813
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Psychiatric/Mental Health Nurse Practitioner providers in Kentucky
Rank by total paid#6 of 122
Median peer was paid$37K
This provider vs. median37×
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 | 4,566 | $148K | |
| 2019 | 4,608 | $166K | |
| 2020 | 4,704 | $195K | |
| 2021 | 4,412 | $197K | |
| 2022 | 4,188 | $190K | |
| 2023 | 5,351 | $242K | |
| 2024incomplete | 4,984 | $249K |
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 | 46% | 16,184 | 13,722 | $644K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 23% | 4,453 | 3,862 | $318K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 12% | 2,968 | 2,005 | $161K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.6% | 2,686 | 2,317 | $77K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 5.1% | 2,140 | 1,486 | $70K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.9% | 2,133 | 701 | $41K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.6% | 757 | 568 | $22K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.1% | 218 | 182 | $16K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.1% | 552 | 345 | $15K |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.0% | 376 | 330 | $15K |
| 99223 | Prolong inpt eval add15 m | <1% | 111 | 80 | $6K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 74 | 62 | $3K |
1 more codes
| 80305 | <1% | 161 | $1K |
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 officialMCKAY, DANIEL (CEO)
| Provider | Location | Paid |
|---|---|---|
| Ephraim Mcdowell Health Resource, INC | Danville, KY | $2.99M |
| Ephraim Mcdowell Health Resource, INC | Danville, KY | $1.51M |
| The James B. Haggin Memorial Hospital INC | Harrodsburg, KY | $1.00M |
| The James B. Haggin Memorial Hospital INC | Harrodsburg, KY | $405K |
| Emhfl, INC. | Stanford, KY | $46K |
| Ephraim Mcdowell Health Resource, INC | Stanford, KY | $19K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.