Clinic
Baptist Health Deaconess Medical Group INC
Baptist Health Deaconess Medical Group INC was paid $1.53M by Medicaid between Jul 2022 and Dec 2024, across 47 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.
33Billing provider infoBAPTIST HEALTH DEACONESS MEDICAL GROUP INC
MADISONVILLE, KY 42431
MADISONVILLE, KY 42431
33aNPI1497339667assigned 05/12/2021
33bProvider typeRural Health Clinic/Center
28Total paid$1.53M
24GClaims49,814
24DCodes billed47
24AFirst – last monthJul 2022 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Kentucky
Rank by total paid#36 of 265
Median peer was paid$400K
This provider vs. median3.8×
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 CLAY, DANYEL controls 20+ 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 | |
|---|---|---|---|
| 2022 | 10,841 | $296K | |
| 2023 | 22,630 | $658K | |
| 2024incomplete | 16,343 | $581K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 11,657 | 10,574 | $402K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 20% | 5,719 | 5,608 | $312K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 16% | 3,762 | 3,704 | $238K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 13% | 3,651 | 3,468 | $201K |
| 90461 | 9.0% | 4,186 | 4,093 | $138K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.9% | 1,300 | 1,267 | $76K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.2% | 1,387 | 1,276 | $34K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.8% | 1,833 | 1,291 | $27K |
| 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 | 1.6% | 427 | 403 | $25K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.3% | 1,525 | 1,412 | $21K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.0% | 628 | 589 | $16K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 685 | 652 | $13K |
35 more codes
| 99381 | <1% | 90 | $5K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 358 | $4K |
| 87807 | <1% | 379 | $4K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 216 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 54 | $4K |
| 90677 | <1% | 1,004 | $3K | |
| 87428 | <1% | 65 | $2K | |
| 90670 | <1% | 1,535 | $2K | |
| 90723 | <1% | 1,765 | $830.96 | |
| 90680 | <1% | 1,397 | $658.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 16 | $628.02 |
| 99173 | <1% | 106 | $624.00 | |
| 90474 | <1% | 60 | $490.46 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 29 | $452.50 |
| 90647 | <1% | 1,529 | $206.18 | |
| 90633 | <1% | 1,091 | $119.00 | |
| 90716 | <1% | 68 | $113.24 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 81 | $68.95 |
| 90707 | <1% | 56 | $65.48 | |
| 90686 | <1% | 358 | $28.51 | |
| 90655 | <1% | 60 | $13.80 | |
| 3008F | <1% | 1,522 | $1.44 | |
| 2014F | <1% | 197 | $0.14 | |
| 90656 | 0% | 60 | $0.00 | |
| 90697 | 0% | 27 | $0.00 | |
| 90696 | 0% | 64 | $0.00 | |
| 90688 | 0% | 42 | $0.00 | |
| 90651 | 0% | 17 | $0.00 | |
| 90700 | 0% | 39 | $0.00 | |
| 1160F | 0% | 284 | $0.00 | |
| 90687 | 0% | 70 | $0.00 | |
| 1159F | 0% | 284 | $0.00 | |
| 90734 | 0% | 25 | $0.00 | |
| 90710 | 0% | 93 | $0.00 | |
| 90715 | 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 officialCLAY, DANYEL (EXECUTIVE DIRECTOR REVENUE CYCLE)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.