Physician
T J Samson Community Hospital
T J Samson Community Hospital was paid $15.53M by Medicaid between Jan 2018 and Dec 2024, across 179 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.
33Billing provider infoT J SAMSON COMMUNITY HOSPITAL
GLASGOW, KY 42141
GLASGOW, KY 42141
33aNPI1477609865assigned 01/26/2007
33bProvider typeOrthopaedic Surgery Physician
28Total paid$15.53M
24GClaims525,315
24DCodes billed179
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Orthopaedic Surgery Physician providers in Kentucky
Rank by total paid#1 of 23
Median peer was paid$54K
This provider vs. median286×
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 THORNBURY, NEIL controls 17+ 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 | 72,702 | $2.27M | |
| 2019 | 75,645 | $2.51M | |
| 2020 | 61,989 | $1.90M | |
| 2021 | 85,451 | $2.31M | |
| 2022 | 77,922 | $2.26M | |
| 2023 | 90,650 | $2.58M | |
| 2024incomplete | 60,956 | $1.70M |
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 | 45% | 170,036 | 153,931 | $7.03M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 101,035 | 91,005 | $3.06M |
| 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 | 3.3% | 7,254 | 6,776 | $520K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.9% | 21,493 | 17,883 | $449K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 2.2% | 57,934 | 47,350 | $341K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 2.1% | 9,923 | 8,848 | $329K |
| 59410 | 2.0% | 436 | 371 | $306K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.3% | 3,965 | 3,887 | $206K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.3% | 4,610 | 4,291 | $200K |
| 95806 | 1.3% | 2,093 | 1,991 | $198K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.2% | 12,157 | 4,531 | $181K |
| 01967 | Neuraxial labor analgesia/anesthesia for planned vaginal delivery | <1% | 582 | 515 | $149K |
167 more codes
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 2,491 | $135K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 2,913 | $112K |
| 97597 | <1% | 6,807 | $109K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 1,943 | $102K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 3,598 | $100K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | <1% | 2,052 | $99K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 929 | $95K |
| 76830 | Ultrasound, transvaginal | <1% | 3,600 | $94K |
| 95811 | <1% | 736 | $72K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 10,323 | $70K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 1,256 | $67K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 2,822 | $65K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 2,891 | $65K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,017 | $60K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 608 | $56K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 2,387 | $49K |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | <1% | 721 | $49K |
| 76801 | <1% | 1,422 | $49K | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 2,947 | $47K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 1,306 | $46K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,366 | $41K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 1,933 | $40K |
| 93018 | <1% | 3,124 | $39K | |
| 93016 | <1% | 2,371 | $36K | |
| 71045 | Radiologic examination, chest; single view | <1% | 8,574 | $36K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 593 | $34K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 449 | $33K |
| 59515 | <1% | 44 | $32K | |
| 94060 | <1% | 2,321 | $32K | |
| 90461 | <1% | 1,742 | $30K | |
| 99307 | <1% | 5,993 | $30K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 664 | $27K |
| 93454 | <1% | 246 | $26K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 949 | $26K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 5,628 | $20K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 687 | $20K |
| 70544 | <1% | 773 | $19K | |
| 70551 | Magnetic resonance imaging, brain; without contrast material | <1% | 485 | $19K |
| 00170 | Anesthesia for intraoral procedures, including biopsy | <1% | 349 | $18K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 797 | $17K |
| 94726 | <1% | 2,133 | $16K | |
| 74018 | <1% | 2,596 | $15K | |
| 00790 | <1% | 217 | $15K | |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | <1% | 313 | $14K |
| 72100 | <1% | 1,526 | $11K | |
| 20610 | <1% | 472 | $11K | |
| 94729 | <1% | 2,194 | $11K | |
| 73630 | <1% | 1,782 | $10K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 670 | $10K |
| 62323 | <1% | 140 | $10K | |
| 74019 | <1% | 1,389 | $10K | |
| 73610 | <1% | 1,592 | $9K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 1,562 | $9K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 118 | $9K |
| 99223 | Prolong inpt eval add15 m | <1% | 182 | $9K |
| 76770 | <1% | 432 | $9K | |
| 01961 | <1% | 64 | $9K | |
| 99441 | <1% | 461 | $8K | |
| 00126 | <1% | 120 | $8K | |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | <1% | 260 | $8K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 540 | $8K |
| 73030 | <1% | 1,361 | $7K | |
| 73130 | <1% | 1,200 | $7K | |
| 71250 | <1% | 266 | $7K | |
| 99152 | <1% | 1,088 | $7K | |
| 76642 | <1% | 304 | $7K | |
| 99406 | <1% | 1,344 | $6K | |
| 73110 | <1% | 1,104 | $6K | |
| 99188 | <1% | 369 | $6K | |
| 64488 | <1% | 141 | $6K | |
| 00731 | <1% | 155 | $6K | |
| 64493 | <1% | 90 | $6K | |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | <1% | 169 | $6K |
| 73562 | <1% | 930 | $6K | |
| 93458 | <1% | 47 | $5K | |
| 00811 | <1% | 112 | $5K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 188 | $5K |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 168 | $5K |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 148 | $4K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 156 | $4K |
| 71271 | <1% | 137 | $4K | |
| 71275 | Computed tomographic angiography, chest, with contrast material | <1% | 127 | $4K |
| 70549 | <1% | 122 | $4K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 74 | $4K |
| 90715 | <1% | 227 | $4K | |
| 93971 | <1% | 270 | $4K | |
| 01400 | <1% | 63 | $4K | |
| 52000 | <1% | 81 | $3K | |
| 64494 | <1% | 90 | $3K | |
| 00813 | <1% | 91 | $3K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 97 | $3K |
| 99381 | <1% | 57 | $3K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 96 | $3K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 16 | $3K |
| 73560 | <1% | 533 | $3K | |
| 98929 | <1% | 62 | $3K | |
| 72141 | <1% | 56 | $3K | |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | <1% | 153 | $2K |
| 74022 | <1% | 234 | $2K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 16 | $2K |
| G0454 | Physician documentation of face-to-face visit for durable medical equipment determination performed by nurse practitioner, physician assistant or clinical nurse specialist | <1% | 2,219 | $2K |
| 01630 | <1% | 16 | $2K | |
| 99221 | <1% | 149 | $2K | |
| 76818 | <1% | 74 | $2K | |
| 76536 | <1% | 93 | $2K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 77 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 385 | $2K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 13 | $2K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 35 | $1K |
| 99174 | <1% | 69 | $1K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 67 | $1K |
| 99318 | <1% | 85 | $1K | |
| 73502 | <1% | 254 | $1K | |
| 99217 | <1% | 47 | $1K | |
| 90686 | <1% | 248 | $1K | |
| 99304 | <1% | 174 | $1K | |
| 90961 | <1% | 36 | $1K | |
| 00840 | <1% | 13 | $1K | |
| 95816 | <1% | 49 | $1K | |
| 00851 | <1% | 23 | $975.80 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 59 | $925.53 |
| 99177 | <1% | 257 | $888.42 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 74 | $848.28 |
| 72040 | <1% | 122 | $838.62 | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 49 | $821.35 |
| 99442 | <1% | 34 | $759.91 | |
| 99201 | <1% | 48 | $751.90 | |
| 72072 | <1% | 103 | $734.89 | |
| 87428 | <1% | 23 | $657.72 | |
| 72110 | <1% | 58 | $639.06 | |
| 00952 | <1% | 13 | $634.25 | |
| 93000 | <1% | 256 | $597.88 | |
| 78815 | Positron emission tomography (PET) for limited area imaging | <1% | 15 | $583.12 |
| 73221 | <1% | 13 | $580.80 | |
| 99173 | <1% | 58 | $520.00 | |
| 92504 | <1% | 67 | $517.81 | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 25 | $480.03 |
| 94618 | <1% | 41 | $443.88 | |
| 99443 | <1% | 14 | $411.43 | |
| 76942 | <1% | 18 | $397.29 | |
| 64495 | <1% | 14 | $394.31 | |
| 93228 | <1% | 28 | $340.47 | |
| 99305 | <1% | 32 | $236.77 | |
| 73090 | <1% | 44 | $233.95 | |
| 77065 | Tomosynthesis, mammo | <1% | 15 | $229.19 |
| 17110 | <1% | 18 | $208.39 | |
| 90734 | <1% | 34 | $172.81 | |
| 73080 | <1% | 29 | $168.59 | |
| 90633 | <1% | 109 | $165.61 | |
| 73590 | <1% | 31 | $132.17 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 14 | $106.79 |
| 77002 | <1% | 12 | $82.72 | |
| 99499 | <1% | 32 | $67.66 | |
| 96127 | <1% | 41 | $42.46 | |
| 90685 | <1% | 60 | $36.80 | |
| G0008 | Administration of influenza virus vaccine | <1% | 14 | $34.65 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 251 | $33.56 |
| 97810 | <1% | 24 | $29.50 | |
| 97811 | <1% | 24 | $24.93 | |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 42 | $16.38 |
| 99024 | <1% | 4,807 | $0.35 | |
| 90670 | 0% | 12 | $0.00 | |
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 0% | 20 | $0.00 |
| 90681 | 0% | 13 | $0.00 | |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 0% | 16 | $0.00 |
| 90647 | 0% | 13 | $0.00 | |
| 90723 | 0% | 13 | $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.
From NPPES
Who's on the registration
Authorized officialTHORNBURY, NEIL (CEO)
Parent organizationT J REGIONAL HEALTH INC.
| Provider | Location | Paid |
|---|---|---|
| T J Samson Community Hospital | Glasgow, KY | $95.74M |
| T J Health Columbia INC | Columbia, KY | $11.51M |
| T J Health Columbia INC | Columbia, KY | $1.40M |
| T J Samson Community Hospital | Glasgow, KY | $1.22M |
| T J Health Columbia INC | Edmonton, KY | $1.20M |
| T J Health Columbia INC | Columbia, KY | $682K |
| T J Health Columbia INC | Russell Springs, KY | $630K |
| T J Health Columbia INC | Scottsville, KY | $611K |
| T J Samson Community Hospital | Cave City, KY | $567K |
| T J Samson Community Hospital | Glasgow, KY | $549K |
| T J Samson Community Hospital | Glasgow, KY | $524K |
| T J Health Columbia INC | Tompkinsville, KY | $312K |
| T J Health Columbia INC | Greensburg, KY | $277K |
| T J Health Columbia INC | Columbia, KY | $125K |
| T J Samson Community Hospital | Glasgow, KY | $36K |
| T J Samson Community Hospital | Glasgow, KY | $1K |
| T J Samson Community Hospital | Glasgow, KY | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.