Medicaid Provider Spending

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

BAPTIST HEALTH MEDICAL GROUP INC

NPI: 1477048684 · POWDERLY, KY 42367 · Rural Health Clinic/Center · NPI assigned 06/29/2018

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

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

$1.29M
Total Medicaid Paid
44,857
Total Claims
34,722
Beneficiaries
35
Codes Billed
2018-01
First Month
2021-09
Last Month

Provider Details

Authorized OfficialCLAY, DANYEL (EXECURIVE DIRECTOR REVENUE CYCLE)
NPI Enumeration Date06/29/2018

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 DEACONESS MEDICAL GROUP INC MADISONVILLE KY $1.41M
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
2018 5,756 $117K
2019 20,781 $586K
2020 11,552 $370K
2021 6,768 $220K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 16,118 12,013 $612K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15,223 12,165 $400K
99443 774 610 $50K
99442 1,279 1,005 $48K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,762 2,748 $46K
77067 Screening mammography, bilateral, including computer-aided detection 680 602 $36K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,682 1,169 $34K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 173 156 $10K
77063 Screening digital breast tomosynthesis, bilateral 684 602 $10K
71046 Radiologic examination, chest; 2 views 982 798 $10K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 448 366 $7K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 509 447 $6K
72100 300 266 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 77 74 $3K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 614 477 $3K
90674 174 129 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 243 183 $2K
87210 352 299 $1K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 50 26 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 58 54 $1K
76705 Ultrasound, abdominal, real time with image documentation; limited 38 29 $1K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 41 24 $956.91
73630 79 71 $951.69
99441 33 27 $766.77
81025 111 96 $691.19
77080 14 13 $665.50
73030 29 27 $324.62
J1030 Injection, methylprednisolone acetate, 40 mg 42 31 $259.54
97014 32 12 $209.28
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 14 13 $201.18
J1885 Injection, ketorolac tromethamine, per 15 mg 95 79 $192.64
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 19 16 $163.30
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 91 70 $159.93
J1040 Injection, methylprednisolone acetate, 80 mg 20 13 $133.10
J1100 Injection, dexamethasone sodium phosphate, 1 mg 17 12 $6.70