Medicaid Provider Spending

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

EPHRAIM MCDOWELL HEALTH RESOURCE, INC.

NPI: 1487116471 · DANVILLE, KY 40422 · Optometrist · NPI assigned 04/01/2019

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

Authorized official SNAPP, WILLIAM controls 20+ related entities in our dataset. Read more

$324K
Total Medicaid Paid
8,812
Total Claims
7,282
Beneficiaries
15
Codes Billed
2019-08
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSNAPP, WILLIAM (EVP/CFO)
NPI Enumeration Date04/01/2019

Related Entities

Other providers sharing the same authorized official: SNAPP, WILLIAM

ProviderCityStateTotal Paid
EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER INCORPORATED DANVILLE KY $59.95M
THE JAMES B. HAGGIN MEMORIAL HOSPITAL INC HARRODSBURG KY $13.83M
EPHRAIM MCDOWELL HEALTH RESOURCE, INC DANVILLE KY $995K
EPHRAIM MCDOWELL HEALTH RESOURCE,INC DANVILLE KY $869K
EPHRAIM MCDOWELL HEALTH RESOURCE, INC DANVILLE KY $671K
MCDOWELL HOME HEALTH AGENCY, INC. DANVILLE KY $631K
EPHRAIM MCDOWELL HEALTH RESOURCE, INC. LIBERTY KY $623K
EPHRAIM MCDOWELL HEALTH RESOURCE, INC. LANCASTER KY $517K
EPHRAIM MCDOWELL HEALTH RESOURCE, INC. SPRINGFIELD KY $478K
EPHRAIM MCDOWELL HEALTH RESOURCE, INC LANCASTER KY $434K
EPHRAIM MCDOWELL HEALTH RESOURCE, INC. HARRODSBURG KY $359K
EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, INCORPPORATED DANVILLE KY $324K
THE JAMES B. HAGGIN MEMORIAL HOSPITAL INC. HARRODSBURG KY $257K
EPHRAIM MCDOWELL HEALTH RESOURCE, INC DANVILLE KY $139K
EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER INCORPORATED DANVILLE KY $134K
TRH ANESTHESIA LLC CAMPBELLSVILLE KY $30K
EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER INCORPORATED STANFORD KY $26K
THE JAMES B. HAGGIN MEMORIAL HOSPITAL INC HARRODSBURG KY $14K
TAYLOR REGIONAL MEDICAL GROUP,LLC GREENSBURG KY $11K
EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, INCORPORATED LIBERTY KY $168.69

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 34 $633.00
2020 361 $7K
2021 1,440 $27K
2022 2,528 $102K
2023 2,880 $116K
2024 1,569 $72K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1,319 1,115 $89K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1,632 1,462 $88K
92340 Fitting of spectacles, except for aphakia; monofocal 1,165 1,144 $66K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,409 1,774 $43K
92015 Determination of refractive state 1,150 929 $11K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 487 315 $10K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 215 150 $8K
V2020 Frames, purchases 230 223 $3K
92341 39 39 $2K
V2784 Lens, polycarbonate or equal, any index, per lens 61 52 $1K
92002 15 15 $775.05
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 35 25 $662.42
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 13 13 $609.96
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 23 12 $564.59
92134 19 14 $263.39