NP / PA
Ephraim Mcdowell Health Resource, INC.
Ephraim Mcdowell Health Resource, INC. was paid $1.45M by Medicaid between Jan 2018 and Nov 2024, across 19 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 56% of everything it billed.
33Billing provider infoEPHRAIM MCDOWELL HEALTH RESOURCE, INC.
DANVILLE, KY 40422
DANVILLE, KY 40422
33aNPI1487708533assigned 01/23/2007
33bProvider typeFamily Nurse Practitioner
28Total paid$1.45M
24GClaims52,018
24DCodes billed19
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Kentucky
Rank by total paid#10 of 424
Median peer was paid$19K
This provider vs. median77×
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 | 10,356 | $211K | |
| 2019 | 7,694 | $199K | |
| 2020 | 6,847 | $242K | |
| 2021 | 7,873 | $226K | |
| 2022 | 7,484 | $220K | |
| 2023 | 6,861 | $189K | |
| 2024incomplete | 4,903 | $161K |
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 | 56% | 18,945 | 16,114 | $813K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 38% | 18,616 | 16,054 | $546K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 2.1% | 3,381 | 2,811 | $30K |
| 36415 | Collection of venous blood by venipuncture | 1.8% | 8,363 | 7,426 | $26K |
| 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% | 107 | 106 | $8K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 924 | 858 | $5K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 350 | 165 | $5K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 586 | 557 | $4K |
| 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 | <1% | 39 | 38 | $4K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 29 | 28 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 34 | 31 | $650.94 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 50 | 49 | $518.60 |
7 more codes
| 90686 | <1% | 59 | $502.95 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 26 | $486.35 |
| 94010 | <1% | 47 | $472.10 | |
| 81003 | <1% | 399 | $234.58 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 18 | $227.88 |
| 81001 | <1% | 13 | $20.76 | |
| G0008 | Administration of influenza virus vaccine | 0% | 32 | $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 officialKINMAN, AMANDA (CFO)
| Provider | Location | Paid |
|---|---|---|
| Ephraim Mcdowell Regional Medical Center Incorporated | Danville, KY | $2.72M |
| Ephraim Mcdowell Health Resource, INC. | Stanford, KY | $1.56M |
| Ephraim Mcdowell Health Resource, INC | Danville, KY | $213K |
| Ephraim Mcdowell Health Resource, INC | Danville, KY | $196K |
| Ephraim Mcdowell Health Resource, INC | Danville, KY | $20K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.