Medicaid Provider Spending

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

BAPTIST HEALTH MEDICAL GROUP INC

NPI: 1487210654 · BENTON, KY 42025 · Rural Health Clinic/Center · NPI assigned 05/14/2019

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

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

$409K
Total Medicaid Paid
10,723
Total Claims
9,388
Beneficiaries
13
Codes Billed
2019-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCLAY, DANYEL (VP REVENUE CYCLE)
Parent OrganizationBAPTIST HEALTH MEDICAL GROUP INC
NPI Enumeration Date05/14/2019

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 MEDICAL GROUP INC POWDERLY KY $1.29M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 170 $6K
2020 1,116 $50K
2021 1,992 $80K
2022 2,605 $93K
2023 2,537 $90K
2024 2,303 $91K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,381 5,548 $218K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,644 3,229 $174K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 135 111 $7K
87428 235 199 $6K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 63 40 $1K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 12 12 $907.44
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 39 38 $511.26
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 16 15 $470.60
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 15 15 $329.88
90656 15 15 $223.50
3008F 14 12 $0.00
1159F 77 77 $0.00
1160F 77 77 $0.00