Methodist Health, INC.
Methodist Health, INC. was paid $192K by Medicaid between Jan 2018 and May 2020, across 10 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 30% of everything it billed.
HENDERSON, KY 42420
Next to other Adult Health Nurse Practitioner providers in Kentucky
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,097 | $109K | |
| 2019 | 1,481 | $83K | |
| 2020 | 31 | $0.00 |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 30% | 598 | 527 | $58K |
| 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 | 21% | 1,046 | 926 | $41K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 19% | 225 | 201 | $37K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 1,163 | 1,040 | $34K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 7.0% | 154 | 137 | $13K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.8% | 223 | 209 | $5K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 115 | 41 | $2K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 22 | 20 | $1K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 32 | 28 | $1K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 0% | 31 | 15 | $0.00 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Methodist Health, INC. | Henderson, KY | $2.61M |
| Methodist Health, INC. | Henderson, KY | $1.93M |
| Methodist Health, INC. | Henderson, KY | $1.16M |
| Methodist Health, INC. | Morganfield, KY | $350K |
| Methodist Health, INC. | Henderson, KY | $317K |
| Methodist Health, INC. | Morganfield, KY | $283K |
| Methodist Health, INC. | Henderson, KY | $192K |
| Methodist Health, INC. | Dixon, KY | $76K |
| Methodist Health, INC. | Henderson, KY | $68K |
| Methodist Health, INC. | Henderson, KY | $37K |
| Methodist Health, INC. | Henderson, KY | $29K |
| Methodist Health, INC. | Henderson, KY | $9K |
| Methodist Health, INC. | Henderson, KY | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.