Medicaid Provider Spending

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

BAPTIST HEALTH MEDICAL GROUP INC

NPI: 1508269200 · LOUISVILLE, KY 40299 · Physical Therapist · NPI assigned 10/08/2014

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

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

$26.58M
Total Medicaid Paid
886,993
Total Claims
716,114
Beneficiaries
65
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCLAY, DANYEL (VICE PRESIDEDNT, REVENUE CYCLE)
NPI Enumeration Date10/08/2014

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 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
BAPTIST HEALTH MEDICAL GROUP INC MADISONVILLE KY $417K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 76,756 $2.47M
2019 98,007 $2.99M
2020 84,581 $2.43M
2021 135,876 $3.92M
2022 184,023 $5.52M
2023 176,539 $5.28M
2024 131,211 $3.97M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 300,024 276,557 $9.76M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 83,121 77,818 $4.15M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 42,521 38,480 $2.38M
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 69,021 58,581 $1.68M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 70,270 27,320 $1.53M
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 95,292 89,845 $1.30M
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 31,535 10,420 $1.07M
97530 Therapeutic activities, direct patient contact, each 15 minutes 33,880 13,207 $1.05M
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 41,459 39,447 $986K
87428 29,091 27,540 $844K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 28,891 12,038 $503K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 17,549 6,887 $352K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 3,841 3,439 $141K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,659 1,517 $135K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,742 5,288 $134K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 9,793 8,723 $128K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,232 1,137 $79K
97162 1,159 1,022 $48K
87807 3,430 3,327 $41K
92609 625 230 $35K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,228 1,153 $31K
99284 Emergency department visit for the evaluation and management, high severity 510 466 $31K
97535 Self-care/home management training, each 15 minutes 1,236 704 $20K
71046 Radiologic examination, chest; 2 views 1,393 1,317 $16K
99283 Emergency department visit for the evaluation and management, moderate severity 394 362 $15K
81025 2,143 1,954 $13K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 109 103 $13K
97014 1,985 897 $13K
97161 294 283 $12K
97533 434 180 $12K
97113 188 81 $9K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 714 623 $6K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 588 549 $5K
92523 44 33 $4K
99422 262 242 $4K
97116 233 119 $3K
J1040 Injection, methylprednisolone acetate, 80 mg 348 315 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 354 286 $3K
J0561 Injection, penicillin g benzathine, 100,000 units 20 15 $2K
99201 71 63 $2K
97035 224 106 $1K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 939 863 $1K
J0696 Injection, ceftriaxone sodium, per 250 mg 152 135 $1K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 161 132 $1K
90472 Immunization administration, each additional vaccine (list separately) 138 127 $902.62
87400 84 48 $735.14
97166 13 13 $712.30
81003 1,294 1,043 $672.94
73630 73 65 $573.22
J1885 Injection, ketorolac tromethamine, per 15 mg 234 216 $539.97
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 176 76 $392.70
73610 32 30 $345.97
97032 38 26 $236.89
99406 14 13 $111.82
90460 Immunization administration through 18 years of age via any route, first or only component 14 12 $108.21
99421 16 14 $105.76
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 12 12 $70.38
86308 14 13 $62.31
90633 370 316 $47.95
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 92 73 $23.10
90734 75 74 $18.40
36415 Collection of venous blood by venipuncture 42 38 $12.68
90686 60 59 $0.00
90715 15 15 $0.00
99001 28 27 $0.00