Medicaid Provider Spending

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

BAPTIST HEALTH DEACONESS MEDICAL GROUP INC

NPI: 1497339667 · MADISONVILLE, KY 42431 · Rural Health Clinic/Center · NPI assigned 05/12/2021

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

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

$1.53M
Total Medicaid Paid
49,814
Total Claims
47,080
Beneficiaries
47
Codes Billed
2022-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCLAY, DANYEL (EXECUTIVE DIRECTOR REVENUE CYCLE)
NPI Enumeration Date05/12/2021

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 $1.41M
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
BAPTIST HEALTH MEDICAL GROUP INC MADISONVILLE KY $417K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 10,841 $296K
2023 22,630 $658K
2024 16,343 $581K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,657 10,574 $402K
90460 Immunization administration through 18 years of age via any route, first or only component 5,719 5,608 $312K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,762 3,704 $238K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,651 3,468 $201K
90461 4,186 4,093 $138K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,300 1,267 $76K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,387 1,276 $34K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,833 1,291 $27K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 427 403 $25K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,525 1,412 $21K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 628 589 $16K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 685 652 $13K
99381 90 89 $5K
90472 Immunization administration, each additional vaccine (list separately) 358 333 $4K
87807 379 369 $4K
96110 Developmental screening, with scoring and documentation, per standardized instrument 216 215 $4K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 54 53 $4K
90677 1,004 974 $3K
87428 65 60 $2K
90670 1,535 1,507 $2K
90723 1,765 1,727 $830.96
90680 1,397 1,367 $658.00
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 16 16 $628.02
99173 106 104 $624.00
90474 60 60 $490.46
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 29 26 $452.50
90647 1,529 1,492 $206.18
90633 1,091 1,076 $119.00
90716 68 68 $113.24
J1100 Injection, dexamethasone sodium phosphate, 1 mg 81 73 $68.95
90707 56 56 $65.48
90686 358 356 $28.51
90655 60 60 $13.80
3008F 1,522 1,472 $1.44
2014F 197 188 $0.14
90656 60 60 $0.00
90697 27 27 $0.00
90696 64 63 $0.00
90688 42 42 $0.00
90651 17 17 $0.00
90700 39 38 $0.00
1160F 284 278 $0.00
90687 70 69 $0.00
1159F 284 278 $0.00
90734 25 25 $0.00
90710 93 92 $0.00
90715 13 13 $0.00