Clinic
Baptist Health Medical Group INC
Baptist Health Medical Group INC was paid $1.29M by Medicaid between Jan 2018 and Sep 2021, across 35 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 47% of everything it billed.
33Billing provider infoBAPTIST HEALTH MEDICAL GROUP INC
POWDERLY, KY 42367
POWDERLY, KY 42367
33aNPI1477048684assigned 06/29/2018
33bProvider typeRural Health Clinic/Center
28Total paid$1.29M
24GClaims44,857
24DCodes billed35
24AFirst – last monthJan 2018 – Sep 2021
Compared with peers
Next to other Rural Health Clinic/Center providers in Kentucky
Rank by total paid#46 of 265
Median peer was paid$400K
This provider vs. median3.2×
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.
Entity ProliferationAuthorized official CLAY, DANYEL controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 5,756 | $117K | |
| 2019 | 20,781 | $586K | |
| 2020 | 11,552 | $370K | |
| 2021 | 6,768 | $220K |
Box 24 · Service lines
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 | 47% | 16,118 | 12,013 | $612K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 15,223 | 12,165 | $400K |
| 99443 | 3.8% | 774 | 610 | $50K | |
| 99442 | 3.7% | 1,279 | 1,005 | $48K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 3.6% | 3,762 | 2,748 | $46K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 2.8% | 680 | 602 | $36K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.6% | 1,682 | 1,169 | $34K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 173 | 156 | $10K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 684 | 602 | $10K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 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 | <1% | 448 | 366 | $7K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 509 | 447 | $6K |
23 more codes
| 72100 | <1% | 300 | $4K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 77 | $3K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 614 | $3K |
| 90674 | <1% | 174 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 243 | $2K |
| 87210 | <1% | 352 | $1K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 50 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 58 | $1K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 38 | $1K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 41 | $956.91 |
| 73630 | <1% | 79 | $951.69 | |
| 99441 | <1% | 33 | $766.77 | |
| 81025 | <1% | 111 | $691.19 | |
| 77080 | <1% | 14 | $665.50 | |
| 73030 | <1% | 29 | $324.62 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 42 | $259.54 |
| 97014 | <1% | 32 | $209.28 | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 14 | $201.18 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 95 | $192.64 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 19 | $163.30 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 91 | $159.93 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 20 | $133.10 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 17 | $6.70 |
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.
From NPPES
Who's on the registration
Authorized officialCLAY, DANYEL (EXECURIVE DIRECTOR REVENUE CYCLE)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.