Medicaid Provider Spending

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

COMMUNITY MEDICAL ASSOCIATES, INC.

NPI: 1437382074 · LOUISVILLE, KY 40241 · Clinical Neuropsychologist · NPI assigned 08/31/2009

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

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

$808K
Total Medicaid Paid
46,964
Total Claims
37,405
Beneficiaries
43
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGAST, SHELLEY (VP MANAGED CARE)
NPI Enumeration Date08/31/2009

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
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
NORTON CHILDREN'S MEDICAL GROUP, LLC LOUISVILLE KY $189K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,209 $20K
2019 5,011 $55K
2020 3,916 $49K
2021 6,906 $130K
2022 8,174 $145K
2023 11,276 $204K
2024 9,472 $204K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,237 6,959 $311K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3,977 3,568 $108K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 24,383 19,500 $101K
90832 Psychotherapy, 30 minutes with patient 1,128 827 $46K
90791 Psychiatric diagnostic evaluation 576 482 $42K
99223 Prolong inpt eval add15 m 608 457 $32K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 475 423 $32K
90834 Psychotherapy, 45 minutes with patient 388 313 $21K
99232 Subsequent hospital care, per day, moderate complexity 959 437 $20K
90853 Group psychotherapy (other than of a multiple-family group) 760 291 $12K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 577 512 $12K
90837 Psychotherapy, 53 minutes with patient 134 87 $10K
99215 Prolong outpt/office vis 113 110 $7K
99238 Hospital discharge day management, 30 minutes or less 136 121 $6K
99233 Prolong inpt eval add15 m 183 89 $6K
99460 94 84 $6K
96111 50 50 $5K
99480 Subsequent intensive care, per day, low birth weight infant 60 12 $5K
93000 983 830 $4K
93793 1,056 540 $4K
72110 123 113 $4K
99462 59 37 $2K
93296 400 328 $2K
93018 237 220 $2K
99205 Prolong outpt/office vis 18 17 $1K
72170 44 41 $712.59
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 73 71 $625.82
99222 Initial hospital care, per day, moderate complexity 13 12 $542.80
72050 14 13 $528.47
99152 42 39 $508.28
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 17 14 $479.42
97530 Therapeutic activities, direct patient contact, each 15 minutes 21 13 $474.77
36415 Collection of venous blood by venipuncture 196 175 $453.66
85610 204 103 $394.90
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 21 13 $325.64
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 21 14 $278.43
72100 86 82 $278.33
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) 322 285 $15.70
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 28 27 $0.00
76819 Fetal biophysical profile; without non-stress testing 35 17 $0.00
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 19 12 $0.00
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 60 52 $0.00
81003 34 15 $0.00