Medicaid Provider Spending

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

ST. CLAIRE MEDICAL CENTER,INC

NPI: 1447212493 · SANDY HOOK, KY 41171 · Primary Care Clinic/Center · NPI assigned 04/05/2006

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

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

$948K
Total Medicaid Paid
46,224
Total Claims
39,915
Beneficiaries
38
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLLOYD, DONALD (PRESIDENT/CEO)
NPI Enumeration Date04/05/2006

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 MOREHEAD KY $2.40M
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 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 5,414 $140K
2019 6,099 $146K
2020 5,301 $149K
2021 4,608 $114K
2022 6,068 $131K
2023 9,361 $165K
2024 9,373 $103K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15,359 12,892 $469K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,444 7,493 $353K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,824 916 $20K
36415 Collection of venous blood by venipuncture 5,308 4,746 $15K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 649 590 $14K
90832 Psychotherapy, 30 minutes with patient 490 240 $12K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 764 737 $12K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 357 343 $11K
99442 191 163 $8K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 715 680 $7K
98968 241 162 $7K
99441 170 142 $6K
90686 334 321 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 129 112 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 40 29 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 29 28 $2K
90472 Immunization administration, each additional vaccine (list separately) 55 54 $981.46
99232 Subsequent hospital care, per day, moderate complexity 37 14 $806.84
98967 47 37 $735.08
90791 Psychiatric diagnostic evaluation 18 12 $627.54
99238 Hospital discharge day management, 30 minutes or less 15 14 $520.89
87428 16 16 $434.75
87807 29 28 $318.43
90656 12 12 $208.95
81002 360 303 $129.43
90633 121 120 $55.22
3074F 2,820 2,584 $15.18
3078F 1,813 1,676 $14.63
1126F 1,630 1,536 $8.51
3079F 1,289 1,201 $7.13
1125F 1,030 945 $5.65
3077F 358 336 $1.85
3044F 47 42 $0.21
3080F 28 27 $0.14
1159F 705 659 $0.14
1160F 711 667 $0.14
G0008 Administration of influenza virus vaccine 12 12 $0.00
91301 27 26 $0.00