Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › KY › Lexington › NPI 1518360296
Behavioral

Baptist Health Medical Group INC

Baptist Health Medical Group INC was paid $54.04M by Medicaid between Jan 2018 and Dec 2024, across 299 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 29% of everything it billed.

33Billing provider infoBAPTIST HEALTH MEDICAL GROUP INC
LEXINGTON, KY 40517
33aNPI1518360296assigned 10/08/2014
33bProvider typePsychologist
28Total paid$54.04M
24GClaims1,658,790
24DCodes billed299
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Psychologist providers in Kentucky

Rank by total paid#2 of 40
Median peer was paid$395K
This provider vs. median137×

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

$0$500K$1.0M2018201920202021202220232024
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
YearClaimsPaid
2018211,415$6.56M
2019204,639$6.02M
2020199,565$5.97M
2021249,718$8.11M
2022253,820$8.54M
2023306,489$10.12M
2024incomplete233,144$8.71M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 29% 380,932 335,557 $15.49M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14% 254,448 216,088 $7.45M
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 5.9% 128,071 51,199 $3.17M
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 4.1% 30,579 27,802 $2.22M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3.3% 40,548 37,813 $1.76M
99223 Prolong inpt eval add15 m 3.2% 21,829 19,705 $1.74M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1.9% 10,834 2,955 $1.05M
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 1.9% 15,073 10,910 $1.04M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1.6% 9,104 7,841 $879K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.6% 17,044 15,511 $864K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 1.4% 25,403 11,876 $761K
90792 Psychiatric diagnostic evaluation with medical services 1.4% 10,206 9,398 $754K
287 more codes
99239 Hospital discharge day management, more than 30 minutes 1.2% 13,894 $643K
74177 Computed tomography, abdomen and pelvis; with contrast material 1.1% 10,539 $606K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1.1% 93,884 $591K
74176 Computed tomography, abdomen and pelvis; without contrast material 1.1% 11,822 $588K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 8,842 $509K
90834 Psychotherapy session, about 45 minutes <1% 9,999 $488K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 13,539 $465K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 2,274 $463K
77067 Screening mammography, bilateral, including computer-aided detection <1% 18,886 $452K
93000 <1% 37,312 $440K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger <1% 1,618 $431K
43775 <1% 646 $428K
90791 Psychiatric diagnostic evaluation <1% 5,000 $393K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 10,043 $367K
99238 Hospital discharge day management, 30 minutes or less <1% 8,700 $366K
77063 Screening digital breast tomosynthesis, bilateral <1% 18,766 $363K
J0585 Injection, onabotulinumtoxina, 1 unit <1% 681 $331K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 12,917 $321K
70450 Computed tomography, head or brain; without contrast material <1% 13,519 $315K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 7,078 $305K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 2,375 $286K
59025 Fetal non-stress test <1% 11,477 $267K
20610 <1% 7,790 $254K
76830 Ultrasound, transvaginal <1% 4,113 $253K
71045 Radiologic examination, chest; single view <1% 46,918 $204K
93018 <1% 15,117 $202K
99244 Office or other outpatient consultation, moderate to high complexity <1% 1,780 $186K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 3,229 $184K
93458 <1% 1,118 $182K
76819 Fetal biophysical profile; without non-stress testing <1% 7,752 $181K
99243 <1% 2,308 $177K
71250 <1% 5,905 $166K
99215 Doctor's office visit, returning patient (complex) <1% 3,401 $163K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 7,344 $154K
90832 Psychotherapy session, about 30 minutes <1% 4,536 $152K
77066 Tomosynthesis, mammo <1% 4,694 $143K
76642 <1% 5,776 $142K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 4,519 $129K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 2,130 $125K
71046 Radiologic examination, chest; 2 views <1% 18,461 $124K
99222 Initial hospital care, per day, moderate complexity <1% 2,401 $121K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 1,748 $120K
71275 Computed tomographic angiography, chest, with contrast material <1% 3,853 $118K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 7,846 $118K
59410 <1% 160 $107K
50590 <1% 274 $105K
95806 <1% 1,019 $100K
47562 <1% 257 $96K
99218 <1% 2,100 $90K
77062 <1% 3,334 $85K
93296 <1% 5,776 $81K
95886 <1% 1,874 $79K
94060 <1% 3,739 $79K
94729 <1% 5,124 $78K
93295 <1% 2,612 $77K
76820 <1% 4,209 $77K
77065 Tomosynthesis, mammo <1% 3,411 $77K
83036 Hemoglobin; glycosylated (A1C) <1% 12,664 $76K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 5,477 $76K
87428 <1% 1,956 $76K
94726 <1% 4,017 $74K
64615 <1% 1,067 $73K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 1,097 $72K
90461 <1% 2,176 $68K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 1,075 $68K
99460 <1% 1,620 $67K
72125 Computed tomography, cervical spine; without contrast material <1% 1,884 $64K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 1,361 $60K
74018 <1% 10,374 $58K
90686 <1% 6,031 $55K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 736 $51K
72131 <1% 1,386 $47K
43249 <1% 450 $46K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 1,329 $43K
93272 <1% 1,705 $42K
72110 <1% 3,966 $41K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 267 $40K
99221 <1% 859 $38K
52000 <1% 871 $38K
36415 Collection of venous blood by venipuncture <1% 8,667 $38K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 2,223 $38K
99219 <1% 531 $36K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 3,196 $36K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 3,045 $36K
73630 <1% 4,395 $33K
77061 <1% 1,419 $33K
76536 <1% 1,633 $32K
99462 <1% 1,422 $31K
73030 <1% 4,517 $31K
93971 <1% 2,061 $31K
95911 <1% 307 $30K
90853 Group psychotherapy (other than of a multiple-family group) <1% 2,010 $30K
76775 <1% 1,827 $30K
51798 <1% 3,734 $29K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 385 $28K
73564 <1% 1,307 $27K
93970 <1% 1,548 $25K
71271 <1% 623 $22K
93227 <1% 853 $22K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 730 $21K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 2,842 $21K
73562 <1% 3,128 $20K
93880 <1% 1,585 $20K
95819 <1% 780 $20K
93016 <1% 1,499 $20K
93294 <1% 1,485 $19K
82947 <1% 7,551 $19K
99205 Prolong outpt/office vis <1% 220 $18K
54150 <1% 256 $18K
73610 <1% 2,736 $18K
95251 <1% 1,363 $17K
64483 <1% 119 $16K
94010 <1% 1,238 $16K
99241 <1% 534 $15K
99468 <1% 25 $15K
90677 <1% 67 $14K
77427 <1% 176 $14K
70551 Magnetic resonance imaging, brain; without contrast material <1% 302 $13K
73130 <1% 2,040 $13K
95816 <1% 499 $13K
99152 <1% 1,451 $12K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 220 $12K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 2,478 $12K
99443 <1% 235 $12K
J1030 Injection, methylprednisolone acetate, 40 mg <1% 2,004 $12K
74022 <1% 1,059 $12K
72050 <1% 1,103 $11K
90674 <1% 535 $10K
43248 <1% 81 $10K
95910 <1% 160 $10K
93228 <1% 922 $10K
99245 <1% 57 $9K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 326 $9K
73110 <1% 1,252 $9K
96127 <1% 1,604 $8K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 269 $8K
72128 <1% 224 $8K
99220 <1% 109 $7K
99308 Subsequent nursing facility care, per day, straightforward <1% 1,799 $7K
90785 <1% 1,150 $7K
72100 <1% 746 $7K
76885 <1% 228 $7K
76506 <1% 249 $6K
J1040 Injection, methylprednisolone acetate, 80 mg <1% 921 $6K
20611 <1% 103 $6K
70486 <1% 167 $6K
77080 <1% 1,203 $6K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 273 $6K
74178 <1% 94 $6K
73620 <1% 354 $6K
93702 <1% 154 $6K
99242 <1% 94 $5K
99442 <1% 258 $5K
99407 <1% 302 $5K
94727 <1% 709 $5K
99441 <1% 561 $5K
95012 <1% 542 $5K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 65 $5K
93308 <1% 261 $5K
73502 <1% 829 $5K
99406 <1% 686 $4K
99385 <1% 72 $4K
93248 <1% 288 $4K
90656 <1% 286 $4K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 38 $4K
76000 <1% 909 $4K
74230 <1% 419 $4K
93356 <1% 518 $4K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 990 $4K
94375 <1% 246 $4K
93244 <1% 240 $4K
99459 <1% 270 $3K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 124 $3K
99254 <1% 36 $3K
90472 Immunization administration, each additional vaccine (list separately) <1% 206 $3K
72141 <1% 71 $3K
31624 <1% 88 $3K
J1071 Injection, testosterone cypionate, 1 mg <1% 53 $3K
90632 <1% 74 $3K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 39 $3K
59200 <1% 114 $3K
93454 <1% 29 $3K
87807 <1% 267 $3K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 69 $3K
19081 <1% 30 $3K
72072 <1% 333 $2K
74019 <1% 376 $2K
52356 <1% 12 $2K
45384 <1% 13 $2K
51600 <1% 73 $2K
93307 <1% 24 $2K
73560 <1% 176 $2K
81025 <1% 321 $2K
77014 <1% 132 $2K
78815 Positron emission tomography (PET) for limited area imaging <1% 54 $2K
94618 <1% 156 $2K
93015 <1% 30 $2K
94664 <1% 311 $2K
90670 <1% 888 $2K
99292 <1% 18 $1K
90836 <1% 35 $1K
0124A <1% 53 $1K
0002A <1% 38 $1K
J1580 Injection, garamycin, gentamicin, up to 80 mg <1% 892 $1K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 14 $1K
76870 <1% 55 $1K
91320 <1% 12 $1K
76825 <1% 29 $1K
93224 <1% 12 $1K
99226 <1% 28 $1K
81003 <1% 3,658 $1K
90715 <1% 40 $1K
93325 <1% 277 $1K
73590 <1% 179 $987.76
0001A <1% 24 $964.00
74455 <1% 73 $958.71
93321 <1% 200 $957.09
78226 <1% 39 $917.85
99423 <1% 26 $869.07
15275 <1% 27 $860.18
74420 <1% 84 $845.46
75574 <1% 15 $839.59
H0032 Mental health service plan development by non-physician <1% 16 $833.46
90847 Family psychotherapy with the patient present, 50 minutes <1% 13 $795.28
90480 <1% 24 $790.00
91035 <1% 12 $767.58
95800 <1% 16 $659.62
73090 <1% 117 $652.83
76800 <1% 14 $584.96
99217 <1% 19 $551.67
82962 <1% 549 $535.77
71101 <1% 56 $500.07
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 198 $446.67
J1010 Injection, methylprednisolone acetate, 1 mg <1% 111 $445.29
78227 <1% 14 $411.03
93246 <1% 50 $397.27
73080 <1% 65 $389.82
93925 <1% 26 $351.50
74240 <1% 13 $346.46
72040 <1% 43 $337.30
92551 <1% 29 $331.97
73120 <1% 25 $326.83
93270 <1% 27 $316.55
0298T <1% 93 $303.17
90694 <1% 24 $280.28
93288 <1% 25 $265.94
90651 <1% 26 $253.62
90648 <1% 1,023 $238.81
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 12 $228.00
80061 Lipid panel <1% 37 $211.57
87210 <1% 62 $196.83
93280 <1% 12 $185.59
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 138 $185.00
0296T <1% 15 $181.80
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 21 $177.73
76882 <1% 12 $175.10
36410 <1% 47 $168.22
90685 <1% 62 $122.38
90633 <1% 305 $103.16
81002 <1% 80 $87.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 77 $81.86
82570 <1% 14 $71.35
82550 <1% 22 $65.10
82044 <1% 14 $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) <1% 196 $46.62
85018 <1% 25 $40.29
90716 <1% 54 $36.80
90707 <1% 27 $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) <1% 13 $8.14
3008F <1% 6,140 $3.07
2014F <1% 4,615 $1.25
0503F <1% 573 $0.67
90723 <1% 349 $0.03
90680 <1% 186 $0.02
3044F 0% 395 $0.00
3074F 0% 28 $0.00
1126F 0% 132 $0.00
1125F 0% 15 $0.00
3075F 0% 23 $0.00
3079F 0% 27 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 0% 14 $0.00
1159F 0% 5,250 $0.00
1160F 0% 5,223 $0.00
3078F 0% 29 $0.00
3046F 0% 75 $0.00
3051F 0% 18 $0.00
90700 0% 29 $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 (VP, REVENUE CYCLE)
Same official

Other billing entities under CLAY, DANYEL

Full network →
ProviderLocationPaid
Baptist Health Medical Group INCLouisville, KY$28.00M
Baptist Health Medical Group INCLouisville, KY$26.58M
Baptist Health Medical Group INCPaducah, KY$21.94M
Baptist Health Medical Group INCElizabethtown, KY$13.60M
Baptist Health Medical Group INCCorbin, KY$1.91M
Baptist Health Medical Group INCRichmond, KY$1.84M
Baptist Health Medical Group INCBarbourville, KY$1.60M
Baptist Health Medical Group INCRichmond, KY$1.59M
Baptist Health Deaconess Medical Group INCMadisonville, KY$1.53M
Baptist Health Deaconess Medical Group INCMadisonville, KY$1.41M
Baptist Health Medical Group INCPowderly, KY$1.29M
Baptist Health Deaconess Medical Group INCPowderly, KY$1.14M
Baptist Health Medical Group INCRichmond, KY$1.06M
Baptist Health Medical Group INCBrandenburg, KY$925K
Baptist Health Medical Group INCBerea, KY$914K
Baptist Health Medical Group INCGeorgetown, KY$758K
Baptist Health Deaconess Medical Group INCHopkinsville, KY$680K
Baptist Health Medical Group, INC.Jeffersonville, IN$637K
Baptist Health Medical Group INCHopkinsville, KY$514K
Baptist Health Medical Group INCMadisonville, KY$417K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.