Medicaid Provider Spending

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

BAPTIST HEALTH DEACONESS MEDICAL GROUP INC

NPI: 1437730900 · MADISONVILLE, KY 42431 · Rural Health Clinic/Center · NPI assigned 04/16/2021

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

Authorized official CLAY, DANYEL controls 20+ related entities in our dataset. Read more

$1.41M
Total Medicaid Paid
53,548
Total Claims
49,571
Beneficiaries
18
Codes Billed
2021-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCLAY, DANYEL (EXECUTIVE DIRECTOR REVENUE CYCLE)
NPI Enumeration Date04/16/2021

Related Entities

Other providers sharing the same authorized official: CLAY, DANYEL

ProviderCityStateTotal Paid
BAPTIST HEALTH MEDICAL GROUP INC LEXINGTON KY $54.04M
BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY $28.00M
BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY $26.58M
BAPTIST HEALTH MEDICAL GROUP INC PADUCAH KY $21.94M
BAPTIST HEALTH MEDICAL GROUP INC ELIZABETHTOWN KY $13.60M
BAPTIST HEALTH MEDICAL GROUP INC CORBIN KY $1.91M
BAPTIST HEALTH MEDICAL GROUP INC RICHMOND KY $1.84M
BAPTIST HEALTH MEDICAL GROUP INC BARBOURVILLE KY $1.60M
BAPTIST HEALTH MEDICAL GROUP INC RICHMOND KY $1.59M
BAPTIST HEALTH DEACONESS MEDICAL GROUP INC MADISONVILLE KY $1.53M
BAPTIST HEALTH MEDICAL GROUP INC POWDERLY KY $1.29M
BAPTIST HEALTH DEACONESS MEDICAL GROUP INC POWDERLY KY $1.14M
BAPTIST HEALTH MEDICAL GROUP INC RICHMOND KY $1.06M
BAPTIST HEALTH MEDICAL GROUP INC BRANDENBURG KY $925K
BAPTIST HEALTH MEDICAL GROUP INC BEREA KY $914K
BAPTIST HEALTH MEDICAL GROUP INC GEORGETOWN KY $758K
BAPTIST HEALTH DEACONESS MEDICAL GROUP INC HOPKINSVILLE KY $680K
BAPTIST HEALTH MEDICAL GROUP, INC. JEFFERSONVILLE IN $637K
BAPTIST HEALTH MEDICAL GROUP INC HOPKINSVILLE KY $514K
BAPTIST HEALTH MEDICAL GROUP INC MADISONVILLE KY $417K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 5,476 $148K
2022 16,217 $415K
2023 17,280 $457K
2024 14,575 $386K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26,091 24,434 $787K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,518 3,334 $166K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 6,223 5,342 $116K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 4,463 4,113 $95K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,901 1,791 $79K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 5,384 5,095 $70K
87428 894 871 $30K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,774 1,482 $21K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 689 648 $15K
71046 Radiologic examination, chest; 2 views 1,096 1,062 $11K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 109 92 $6K
87807 330 318 $4K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 631 575 $4K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 178 167 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 30 25 $851.20
J1885 Injection, ketorolac tromethamine, per 15 mg 140 128 $254.07
86308 46 44 $172.78
81000 51 50 $117.77