Physician
Ephraim Mcdowell Health Resource, INC
Ephraim Mcdowell Health Resource, INC was paid $2.99M by Medicaid between Jan 2018 and Dec 2024, across 53 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 30% of everything it billed.
33Billing provider infoEPHRAIM MCDOWELL HEALTH RESOURCE, INC
DANVILLE, KY 40422
DANVILLE, KY 40422
33aNPI1477879500assigned 04/14/2010
33bProvider typeAnesthesiology Physician
28Total paid$2.99M
24GClaims102,892
24DCodes billed53
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Anesthesiology Physician providers in Kentucky
Rank by total paid#4 of 46
Median peer was paid$68K
This provider vs. median44×
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.
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 | 15,221 | $336K | |
| 2019 | 13,633 | $344K | |
| 2020 | 14,225 | $413K | |
| 2021 | 15,848 | $466K | |
| 2022 | 16,522 | $496K | |
| 2023 | 15,777 | $523K | |
| 2024incomplete | 11,666 | $413K |
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 | 30% | 26,723 | 22,753 | $912K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 28,190 | 21,237 | $559K |
| 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 | 11% | 4,830 | 4,329 | $329K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 9.5% | 7,991 | 7,163 | $283K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 7.6% | 2,790 | 1,000 | $229K |
| 99223 | Prolong inpt eval add15 m | 3.3% | 1,846 | 1,552 | $98K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 3.2% | 3,549 | 1,356 | $96K |
| 95806 | 2.7% | 855 | 806 | $81K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 2.3% | 865 | 708 | $70K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 2.2% | 11,244 | 9,137 | $65K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.9% | 1,564 | 1,344 | $56K |
| 93000 | <1% | 2,064 | 1,799 | $30K |
41 more codes
| 11721 | <1% | 2,342 | $23K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 106 | $19K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 143 | $14K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 319 | $12K |
| 93018 | <1% | 897 | $12K | |
| 93016 | <1% | 932 | $10K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 429 | $10K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 339 | $8K |
| 93971 | <1% | 554 | $8K | |
| 99205 | Prolong outpt/office vis | <1% | 78 | $8K |
| 94060 | <1% | 586 | $7K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 883 | $7K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 64 | $7K |
| 11043 | <1% | 107 | $4K | |
| 27096 | <1% | 18 | $4K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 66 | $3K |
| 93970 | <1% | 190 | $3K | |
| 00170 | Anesthesia for intraoral procedures, including biopsy | <1% | 27 | $3K |
| 95811 | <1% | 27 | $3K | |
| 43248 | <1% | 35 | $3K | |
| 94726 | <1% | 401 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 931 | $2K |
| 00731 | <1% | 41 | $2K | |
| 95251 | <1% | 164 | $2K | |
| 00812 | <1% | 28 | $2K | |
| 43235 | <1% | 12 | $876.40 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 15 | $814.12 |
| 29445 | <1% | 19 | $760.45 | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 12 | $689.95 |
| 76830 | Ultrasound, transvaginal | <1% | 19 | $522.80 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 134 | $402.72 |
| 93880 | <1% | 31 | $392.71 | |
| 93924 | <1% | 16 | $341.42 | |
| 15275 | <1% | 15 | $280.00 | |
| 10061 | <1% | 19 | $248.92 | |
| 93246 | <1% | 33 | $175.30 | |
| 93248 | <1% | 14 | $165.65 | |
| 81003 | <1% | 224 | $150.95 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 22 | $87.15 |
| 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% | 69 | $84.98 |
| 0296T | <1% | 20 | $15.21 |
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 officialMCKAY, DANIEL (CFO)
| Provider | Location | Paid |
|---|---|---|
| Ephraim Mcdowell Health Resource, INC | Danville, KY | $1.51M |
| Ephraim Mcdowell Health Resource, INC | Danville, KY | $1.39M |
| The James B. Haggin Memorial Hospital INC | Harrodsburg, KY | $1.00M |
| The James B. Haggin Memorial Hospital INC | Harrodsburg, KY | $405K |
| Emhfl, INC. | Stanford, KY | $46K |
| Ephraim Mcdowell Health Resource, INC | Stanford, KY | $19K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.