Methodist Health, INC.
Methodist Health, INC. was paid $1.93M by Medicaid between Jan 2018 and Dec 2024, across 49 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 26% of everything it billed.
HENDERSON, KY 42420
Next to other 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 | 20,115 | $524K | |
| 2019 | 22,623 | $558K | |
| 2020 | 9,819 | $298K | |
| 2021 | 3,940 | $126K | |
| 2022 | 3,904 | $129K | |
| 2023 | 4,095 | $154K | |
| 2024incomplete | 3,479 | $140K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 26% | 9,070 | 8,434 | $502K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 13,715 | 12,494 | $474K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.9% | 3,549 | 3,156 | $192K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.0% | 3,598 | 3,253 | $174K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.3% | 5,024 | 4,470 | $102K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.9% | 1,483 | 1,376 | $95K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.6% | 6,176 | 5,717 | $89K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.3% | 762 | 750 | $63K |
| 99173 | 2.8% | 1,606 | 1,524 | $55K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.2% | 3,679 | 3,417 | $43K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 2.1% | 575 | 504 | $40K |
| 92551 | 1.8% | 3,352 | 3,154 | $34K |
37 more codes
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 120 | $13K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 361 | $10K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 204 | $5K |
| 90670 | <1% | 2,294 | $5K | |
| 96127 | <1% | 1,383 | $5K | |
| 90474 | <1% | 567 | $4K | |
| 95115 | <1% | 291 | $3K | |
| 99381 | <1% | 53 | $3K | |
| 90651 | <1% | 460 | $2K | |
| 90633 | <1% | 2,374 | $2K | |
| 90680 | <1% | 1,505 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 58 | $1K |
| 87807 | <1% | 115 | $1K | |
| 90698 | <1% | 1,055 | $1K | |
| 90619 | <1% | 221 | $945.00 | |
| 99442 | <1% | 16 | $939.40 | |
| 90686 | <1% | 1,165 | $851.39 | |
| 90697 | <1% | 112 | $796.62 | |
| 90734 | <1% | 402 | $745.97 | |
| 95117 | <1% | 51 | $681.87 | |
| 90473 | <1% | 49 | $561.60 | |
| 54450 | <1% | 12 | $501.60 | |
| 90671 | <1% | 140 | $492.40 | |
| 90647 | <1% | 864 | $366.33 | |
| 90744 | <1% | 362 | $356.46 | |
| 99441 | <1% | 12 | $322.08 | |
| 90723 | <1% | 491 | $318.48 | |
| 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 | <1% | 23 | $273.51 |
| 90716 | <1% | 105 | $167.74 | |
| 90685 | <1% | 147 | $78.43 | |
| 90707 | <1% | 104 | $73.60 | |
| 90672 | <1% | 89 | $19.95 | |
| 90710 | <1% | 60 | $17.21 | |
| 90621 | 0% | 25 | $0.00 | |
| 90715 | 0% | 49 | $0.00 | |
| 90696 | 0% | 30 | $0.00 | |
| 1111F | 0% | 17 | $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 | $1.16M |
| 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. | 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.