Medicaid Provider Spending

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

ST. CLAIRE MEDICAL CENTER

NPI: 1407999295 · MOREHEAD, KY 40351 · Psychologist · NPI assigned 02/14/2007

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

Authorized official LLOYD, DONALD controls 20+ related entities in our dataset. Read more

$2.40M
Total Medicaid Paid
60,017
Total Claims
40,152
Beneficiaries
32
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLLOYD, DONALD (CEO/PRESIDENT)
Parent OrganizationST. CLAIRE MEDICAL CENTER DBA ST. CLAIRE COUNSELING
NPI Enumeration Date02/14/2007

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 $3.32M
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, 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 8,022 $275K
2019 8,933 $318K
2020 10,536 $415K
2021 9,657 $402K
2022 7,133 $303K
2023 7,749 $327K
2024 7,987 $358K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,665 9,055 $457K
90832 Psychotherapy, 30 minutes with patient 11,691 7,525 $417K
99232 Subsequent hospital care, per day, moderate complexity 8,402 3,026 $228K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,727 4,370 $207K
99223 Prolong inpt eval add15 m 2,245 1,935 $195K
99233 Prolong inpt eval add15 m 4,671 2,020 $183K
99239 Hospital discharge day management, more than 30 minutes 3,340 2,815 $166K
90837 Psychotherapy, 53 minutes with patient 1,978 1,389 $119K
90792 Psychiatric diagnostic evaluation with medical services 1,729 1,441 $105K
90834 Psychotherapy, 45 minutes with patient 2,128 1,608 $80K
90791 Psychiatric diagnostic evaluation 964 919 $72K
99442 1,430 1,152 $49K
99215 Prolong outpt/office vis 450 401 $27K
99205 Prolong outpt/office vis 282 241 $24K
99443 472 384 $18K
99231 Subsequent hospital care, per day, straightforward or low complexity 783 228 $11K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 248 210 $10K
98968 474 301 $10K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 374 329 $9K
99309 Subsequent nursing facility care, per day, low to moderate complexity 202 196 $3K
99238 Hospital discharge day management, 30 minutes or less 82 65 $2K
98967 225 146 $2K
99222 Initial hospital care, per day, moderate complexity 36 27 $2K
90847 Family psychotherapy with the patient present, 50 minutes 17 12 $810.71
99308 Subsequent nursing facility care, per day, straightforward 108 96 $759.42
90785 61 46 $286.02
99306 Prolong nursin fac eval 15m 14 13 $272.52
99305 15 15 $132.63
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 16 16 $30.12
1126F 111 94 $0.32
1159F 39 39 $0.00
1160F 38 38 $0.00