Medicaid Provider Spending

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

NORTON CHILDREN'S MEDICAL GROUP, LLC

NPI: 1457999096 · LOUISVILLE, KY 40241 · Nurse Practitioner · NPI assigned 12/13/2019

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

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

$379K
Total Medicaid Paid
7,405
Total Claims
5,439
Beneficiaries
16
Codes Billed
2020-06
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGAST, SHELLEY (SYST VP OF MNGD CARE & PAYOR STRAT)
NPI Enumeration Date12/13/2019

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
COMMUNITY MEDICAL ASSOCIATES, INC. LOUISVILLE KY $808K
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 179 $8K
2021 3,109 $149K
2022 1,043 $60K
2023 1,333 $78K
2024 1,741 $85K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90834 Psychotherapy, 45 minutes with patient 1,269 1,081 $68K
90791 Psychiatric diagnostic evaluation 742 681 $67K
90847 Family psychotherapy with the patient present, 50 minutes 1,320 903 $67K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 907 798 $50K
90832 Psychotherapy, 30 minutes with patient 1,049 919 $43K
90837 Psychotherapy, 53 minutes with patient 339 224 $26K
99232 Subsequent hospital care, per day, moderate complexity 696 232 $22K
99215 Prolong outpt/office vis 176 137 $11K
99233 Prolong inpt eval add15 m 134 53 $6K
90792 Psychiatric diagnostic evaluation with medical services 72 58 $6K
90785 508 214 $3K
99205 Prolong outpt/office vis 31 27 $2K
99238 Hospital discharge day management, 30 minutes or less 33 31 $1K
96156 91 55 $1K
99223 Prolong inpt eval add15 m 14 12 $1K
90846 Family psychotherapy without the patient present, 50 minutes 24 14 $1K