Medicaid Provider Spending

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

BAPTIST HEALTH MEDICAL GROUP INC

NPI: 1518360296 · LEXINGTON, KY 40517 · Psychologist · 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

$54.04M
Total Medicaid Paid
1,658,790
Total Claims
1,366,370
Beneficiaries
299
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCLAY, DANYEL (VP, 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 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
BAPTIST HEALTH MEDICAL GROUP INC MADISONVILLE KY $417K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 211,415 $6.56M
2019 204,639 $6.02M
2020 199,565 $5.97M
2021 249,718 $8.11M
2022 253,820 $8.54M
2023 306,489 $10.12M
2024 233,144 $8.71M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 380,932 335,557 $15.49M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 254,448 216,088 $7.45M
99232 Subsequent hospital care, per day, moderate complexity 128,071 51,199 $3.17M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 30,579 27,802 $2.22M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 40,548 37,813 $1.76M
99223 Prolong inpt eval add15 m 21,829 19,705 $1.74M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 10,834 2,955 $1.05M
90837 Psychotherapy, 53 minutes with patient 15,073 10,910 $1.04M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 9,104 7,841 $879K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 17,044 15,511 $864K
99233 Prolong inpt eval add15 m 25,403 11,876 $761K
90792 Psychiatric diagnostic evaluation with medical services 10,206 9,398 $754K
99239 Hospital discharge day management, more than 30 minutes 13,894 12,463 $643K
74177 Computed tomography, abdomen and pelvis; with contrast material 10,539 9,938 $606K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 93,884 72,306 $591K
74176 Computed tomography, abdomen and pelvis; without contrast material 11,822 10,995 $588K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 8,842 8,266 $509K
90834 Psychotherapy, 45 minutes with patient 9,999 7,480 $488K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 13,539 11,615 $465K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 2,274 2,107 $463K
77067 Screening mammography, bilateral, including computer-aided detection 18,886 18,135 $452K
93000 37,312 33,737 $440K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 1,618 417 $431K
43775 646 527 $428K
90791 Psychiatric diagnostic evaluation 5,000 4,499 $393K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 10,043 9,494 $367K
99238 Hospital discharge day management, 30 minutes or less 8,700 7,672 $366K
77063 Screening digital breast tomosynthesis, bilateral 18,766 18,010 $363K
J0585 Injection, onabotulinumtoxina, 1 unit 681 330 $331K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 12,917 10,260 $321K
70450 Computed tomography, head or brain; without contrast material 13,519 12,485 $315K
90460 Immunization administration through 18 years of age via any route, first or only component 7,078 6,185 $305K
45380 Colonoscopy, flexible; with biopsy, single or multiple 2,375 2,102 $286K
59025 Fetal non-stress test 11,477 8,792 $267K
20610 7,790 6,288 $254K
76830 Ultrasound, transvaginal 4,113 3,901 $253K
71045 Radiologic examination, chest; single view 46,918 36,376 $204K
93018 15,117 14,288 $202K
99244 Office or other outpatient consultation, moderate to high complexity 1,780 1,666 $186K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 3,229 2,782 $184K
93458 1,118 1,034 $182K
76819 Fetal biophysical profile; without non-stress testing 7,752 6,099 $181K
99243 2,308 2,203 $177K
71250 5,905 5,485 $166K
99215 Prolong outpt/office vis 3,401 2,831 $163K
76705 Ultrasound, abdominal, real time with image documentation; limited 7,344 6,867 $154K
90832 Psychotherapy, 30 minutes with patient 4,536 3,390 $152K
77066 Tomosynthesis, mammo 4,694 4,414 $143K
76642 5,776 5,413 $142K
76700 Ultrasound, abdominal, real time with image documentation; complete 4,519 4,293 $129K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,130 1,878 $125K
71046 Radiologic examination, chest; 2 views 18,461 17,220 $124K
99222 Initial hospital care, per day, moderate complexity 2,401 2,130 $121K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,748 1,605 $120K
71275 Computed tomographic angiography, chest, with contrast material 3,853 3,531 $118K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 7,846 7,101 $118K
59410 160 147 $107K
50590 274 212 $105K
95806 1,019 969 $100K
47562 257 233 $96K
99218 2,100 1,897 $90K
77062 3,334 3,209 $85K
93296 5,776 5,422 $81K
95886 1,874 1,201 $79K
94060 3,739 3,508 $79K
94729 5,124 4,790 $78K
93295 2,612 2,454 $77K
76820 4,209 3,061 $77K
77065 Tomosynthesis, mammo 3,411 3,033 $77K
83036 Hemoglobin; glycosylated (A1C) 12,664 11,580 $76K
99231 Subsequent hospital care, per day, straightforward or low complexity 5,477 2,230 $76K
87428 1,956 1,816 $76K
94726 4,017 3,744 $74K
64615 1,067 975 $73K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,097 1,008 $72K
90461 2,176 1,983 $68K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,075 999 $68K
99460 1,620 1,522 $67K
72125 Computed tomography, cervical spine; without contrast material 1,884 1,752 $64K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 1,361 1,265 $60K
74018 10,374 9,510 $58K
90686 6,031 5,357 $55K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 736 688 $51K
72131 1,386 1,284 $47K
43249 450 361 $46K
71260 Computed tomography, thorax, diagnostic; with contrast material 1,329 1,225 $43K
93272 1,705 1,649 $42K
72110 3,966 3,693 $41K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 267 243 $40K
99221 859 806 $38K
52000 871 790 $38K
36415 Collection of venous blood by venipuncture 8,667 8,168 $38K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,223 1,457 $38K
99219 531 486 $36K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,196 2,751 $36K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,045 2,722 $36K
73630 4,395 3,946 $33K
77061 1,419 1,372 $33K
76536 1,633 1,547 $32K
99462 1,422 1,039 $31K
73030 4,517 4,180 $31K
93971 2,061 1,871 $31K
95911 307 275 $30K
90853 Group psychotherapy (other than of a multiple-family group) 2,010 410 $30K
76775 1,827 1,684 $30K
51798 3,734 3,406 $29K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 385 364 $28K
73564 1,307 1,193 $27K
93970 1,548 1,384 $25K
71271 623 584 $22K
93227 853 804 $22K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 730 647 $21K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 2,842 2,574 $21K
73562 3,128 2,837 $20K
93880 1,585 1,472 $20K
95819 780 635 $20K
93016 1,499 1,384 $20K
93294 1,485 1,409 $19K
82947 7,551 6,735 $19K
99205 Prolong outpt/office vis 220 197 $18K
54150 256 244 $18K
73610 2,736 2,518 $18K
95251 1,363 1,306 $17K
64483 119 105 $16K
94010 1,238 1,130 $16K
99241 534 510 $15K
99468 25 24 $15K
90677 67 63 $14K
77427 176 80 $14K
70551 Magnetic resonance imaging, brain; without contrast material 302 274 $13K
73130 2,040 1,841 $13K
95816 499 437 $13K
99152 1,451 1,253 $12K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 220 195 $12K
99309 Subsequent nursing facility care, per day, low to moderate complexity 2,478 1,551 $12K
99443 235 188 $12K
J1030 Injection, methylprednisolone acetate, 40 mg 2,004 1,814 $12K
74022 1,059 985 $12K
72050 1,103 1,025 $11K
90674 535 498 $10K
43248 81 73 $10K
95910 160 148 $10K
93228 922 822 $10K
99245 57 54 $9K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 326 311 $9K
73110 1,252 1,167 $9K
96127 1,604 1,505 $8K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 269 215 $8K
72128 224 212 $8K
99220 109 91 $7K
99308 Subsequent nursing facility care, per day, straightforward 1,799 1,545 $7K
90785 1,150 989 $7K
72100 746 724 $7K
76885 228 220 $7K
76506 249 232 $6K
J1040 Injection, methylprednisolone acetate, 80 mg 921 789 $6K
20611 103 89 $6K
70486 167 149 $6K
77080 1,203 1,130 $6K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 273 168 $6K
74178 94 91 $6K
73620 354 301 $6K
93702 154 139 $6K
99242 94 91 $5K
99442 258 159 $5K
99407 302 263 $5K
94727 709 669 $5K
99441 561 371 $5K
95012 542 502 $5K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 65 55 $5K
93308 261 238 $5K
73502 829 769 $5K
99406 686 631 $4K
99385 72 58 $4K
93248 288 261 $4K
90656 286 279 $4K
95810 Polysomnography; sleep staging with 4 or more additional parameters 38 37 $4K
76000 909 792 $4K
74230 419 371 $4K
93356 518 457 $4K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 990 855 $4K
94375 246 218 $4K
93244 240 229 $4K
99459 270 255 $3K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 124 122 $3K
99254 36 32 $3K
90472 Immunization administration, each additional vaccine (list separately) 206 199 $3K
72141 71 57 $3K
31624 88 61 $3K
J1071 Injection, testosterone cypionate, 1 mg 53 39 $3K
90632 74 65 $3K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 39 36 $3K
59200 114 100 $3K
93454 29 25 $3K
87807 267 242 $3K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 69 65 $3K
19081 30 27 $3K
72072 333 317 $2K
74019 376 344 $2K
52356 12 12 $2K
45384 13 12 $2K
51600 73 70 $2K
93307 24 20 $2K
73560 176 155 $2K
81025 321 287 $2K
77014 132 24 $2K
78815 Positron emission tomography (PET) for limited area imaging 54 52 $2K
94618 156 147 $2K
93015 30 27 $2K
94664 311 286 $2K
90670 888 767 $2K
99292 18 13 $1K
90836 35 33 $1K
0124A 53 50 $1K
0002A 38 37 $1K
J1580 Injection, garamycin, gentamicin, up to 80 mg 892 807 $1K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 14 14 $1K
76870 55 52 $1K
91320 12 12 $1K
76825 29 25 $1K
93224 12 12 $1K
99226 28 13 $1K
81003 3,658 3,126 $1K
90715 40 40 $1K
93325 277 249 $1K
73590 179 171 $987.76
0001A 24 24 $964.00
74455 73 70 $958.71
93321 200 178 $957.09
78226 39 38 $917.85
99423 26 26 $869.07
15275 27 14 $860.18
74420 84 79 $845.46
75574 15 14 $839.59
H0032 Mental health service plan development by non-physician 16 14 $833.46
90847 Family psychotherapy with the patient present, 50 minutes 13 12 $795.28
90480 24 24 $790.00
91035 12 12 $767.58
95800 16 13 $659.62
73090 117 105 $652.83
76800 14 13 $584.96
99217 19 15 $551.67
82962 549 496 $535.77
71101 56 51 $500.07
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 198 160 $446.67
J1010 Injection, methylprednisolone acetate, 1 mg 111 100 $445.29
78227 14 14 $411.03
93246 50 50 $397.27
73080 65 54 $389.82
93925 26 25 $351.50
74240 13 13 $346.46
72040 43 42 $337.30
92551 29 28 $331.97
73120 25 25 $326.83
93270 27 26 $316.55
0298T 93 81 $303.17
90694 24 22 $280.28
93288 25 24 $265.94
90651 26 26 $253.62
90648 1,023 913 $238.81
96110 Developmental screening, with scoring and documentation, per standardized instrument 12 12 $228.00
80061 Lipid panel 37 26 $211.57
87210 62 55 $196.83
93280 12 12 $185.59
J1885 Injection, ketorolac tromethamine, per 15 mg 138 124 $185.00
0296T 15 12 $181.80
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 21 19 $177.73
76882 12 12 $175.10
36410 47 40 $168.22
90685 62 62 $122.38
90633 305 273 $103.16
81002 80 76 $87.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 77 72 $81.86
82570 14 12 $71.35
82550 22 13 $65.10
82044 14 12 $64.82
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 196 181 $46.62
85018 25 25 $40.29
90716 54 53 $36.80
90707 27 26 $36.80
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 13 12 $8.14
3008F 6,140 5,838 $3.07
2014F 4,615 4,359 $1.25
0503F 573 471 $0.67
90723 349 295 $0.03
90680 186 165 $0.02
3044F 395 366 $0.00
3074F 28 25 $0.00
1126F 132 126 $0.00
1125F 15 15 $0.00
3075F 23 22 $0.00
3079F 27 26 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 14 14 $0.00
1159F 5,250 5,090 $0.00
1160F 5,223 5,065 $0.00
3078F 29 25 $0.00
3046F 75 75 $0.00
3051F 18 15 $0.00
90700 29 25 $0.00