Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › KY › Paintsville › NPI 1538101688
Physician

Paintsville Hospital Company, LLC

Paintsville Hospital Company, LLC was paid $15.46M by Medicaid between Jan 2018 and Jan 2022, across 232 billing codes. Its largest line is 99283, emergency room visit (moderate) — 17% of everything it billed.

33Billing provider infoPAINTSVILLE HOSPITAL COMPANY, LLC
PAINTSVILLE, KY 41240
33aNPI1538101688assigned 06/12/2006
33bProvider typeAnesthesiology Physician
28Total paid$15.46M
24GClaims443,997
24DCodes billed232
24AFirst – last monthJan 2018 – Jan 2022
Compared with peers

Next to other Anesthesiology Physician providers in Kentucky

Rank by total paid#2 of 46
Median peer was paid$68K
This provider vs. median228×

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 COOPER, RANDY controls 18+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K$600K2018201920202021202220232024
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
2018123,199$4.45M
2019119,938$4.12M
2020110,025$3.50M
202187,800$3.27M
20223,035$117K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 17% 20,919 16,153 $2.61M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 14% 10,764 8,295 $2.19M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 14% 7,497 3,903 $2.17M
74176 Computed tomography, abdomen and pelvis; without contrast material 8.8% 6,607 4,377 $1.37M
70450 Computed tomography, head or brain; without contrast material 3.3% 5,266 3,260 $509K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2.0% 1,668 1,016 $317K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1.8% 4,487 3,480 $275K
G0378 Hospital observation service, per hour 1.6% 2,960 1,442 $240K
71046 Radiologic examination, chest; 2 views 1.5% 5,666 3,909 $236K
71250 1.4% 2,662 1,623 $221K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1.2% 4,802 2,088 $192K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1.2% 2,660 1,595 $182K
220 more codes
72125 Computed tomography, cervical spine; without contrast material 1.1% 1,558 $177K
71045 Radiologic examination, chest; single view 1.1% 7,935 $164K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1.0% 1,714 $159K
80053 Comprehensive metabolic panel 1.0% 29,626 $155K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 4,103 $148K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 8,080 $148K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 1,823 $142K
72131 <1% 1,526 $142K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 3,381 $140K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r <1% 2,059 $139K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 4,013 $138K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 13,358 $133K
36415 Collection of venous blood by venipuncture <1% 48,888 $132K
96375 Therapeutic injection; each additional sequential IV push <1% 3,637 $131K
80061 Lipid panel <1% 7,061 $107K
G0483 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed <1% 818 $104K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 4,369 $98K
84443 Thyroid stimulating hormone (TSH) <1% 7,250 $97K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 23,944 $96K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 1,251 $94K
72110 <1% 1,176 $87K
96361 Intravenous infusion, hydration; each additional hour <1% 3,202 $83K
77067 Screening mammography, bilateral, including computer-aided detection <1% 1,355 $73K
70486 <1% 326 $70K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 2,782 $68K
73630 <1% 1,409 $63K
72128 <1% 424 $63K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 286 $61K
73564 <1% 1,222 $60K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 1,801 $57K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 210 $56K
82607 <1% 3,991 $49K
73130 <1% 1,113 $48K
73030 <1% 1,196 $47K
97161 <1% 750 $45K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 166 $44K
93975 <1% 406 $43K
73610 <1% 1,175 $40K
80074 <1% 1,034 $39K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 133 $37K
82746 <1% 2,968 $37K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 3,680 $36K
83036 Hemoglobin; glycosylated (A1C) <1% 4,715 $35K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 173 $33K
87086 Culture, bacterial; quantitative colony count, urine <1% 5,610 $32K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 2,526 $32K
43202 <1% 87 $29K
J2704 Injection, propofol, 10 mg <1% 1,935 $28K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 3,078 $27K
77080 <1% 406 $26K
72072 <1% 273 $26K
J7030 Infusion, normal saline solution , 1000 cc <1% 4,038 $25K
87070 <1% 4,985 $25K
84484 <1% 5,880 $24K
87040 <1% 3,323 $24K
84681 <1% 1,239 $20K
86738 <1% 2,692 $19K
73110 <1% 586 $19K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed <1% 640 $19K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 2,572 $19K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 274 $18K
J7120 Ringers lactate infusion, up to 1000 cc <1% 1,699 $16K
83735 <1% 5,421 $16K
96376 <1% 1,003 $16K
83880 <1% 1,251 $15K
84439 <1% 2,079 $15K
81001 <1% 5,915 $15K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 657 $14K
72100 <1% 217 $14K
87430 <1% 2,292 $14K
72050 <1% 309 $13K
85027 <1% 4,500 $13K
86140 <1% 3,092 $13K
83525 <1% 1,408 $13K
84550 <1% 3,394 $12K
80048 Basic metabolic panel (calcium, ionized) <1% 3,022 $12K
85651 <1% 3,837 $12K
84703 <1% 3,855 $12K
84403 <1% 598 $12K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis <1% 17 $12K
87081 <1% 2,700 $12K
83690 <1% 4,088 $11K
J2550 Injection, promethazine hcl, up to 50 mg <1% 2,488 $10K
76536 <1% 103 $10K
99213 Doctor's office visit, returning patient (routine) <1% 696 $10K
74018 <1% 235 $10K
85730 <1% 4,066 $10K
86038 <1% 818 $9K
82150 <1% 3,444 $9K
83550 <1% 1,194 $9K
85610 <1% 4,773 $9K
95913 <1% 32 $9K
J3490 Unclassified drugs <1% 1,388 $8K
93225 <1% 105 $8K
83540 <1% 1,350 $7K
73080 <1% 161 $7K
J2270 Injection, morphine sulfate, up to 10 mg <1% 3,314 $7K
87186 <1% 1,389 $7K
87075 <1% 1,051 $7K
82803 <1% 869 $7K
94760 <1% 889 $7K
36600 <1% 1,242 $6K
97010 <1% 611 $6K
81003 <1% 5,879 $6K
87077 <1% 1,546 $5K
84402 <1% 241 $5K
82962 <1% 2,359 $5K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 1,894 $5K
93017 <1% 106 $5K
90714 <1% 615 $5K
J0595 Injection, butorphanol tartrate, 1 mg <1% 988 $5K
73090 <1% 103 $5K
82043 <1% 932 $5K
86431 <1% 843 $4K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 261 $4K
84702 <1% 536 $4K
94664 <1% 523 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 575 $4K
83605 <1% 903 $4K
71275 Computed tomographic angiography, chest, with contrast material <1% 14 $3K
82728 <1% 359 $3K
93971 <1% 43 $3K
73562 <1% 62 $3K
84480 <1% 221 $3K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 1,126 $3K
82553 <1% 842 $3K
82550 <1% 1,238 $3K
84481 <1% 186 $3K
73560 <1% 81 $3K
85378 <1% 883 $3K
73590 <1% 96 $3K
72040 <1% 31 $3K
J1020 Injection, methylprednisolone acetate, 20 mg <1% 557 $2K
J0690 Injection, cefazolin sodium, 500 mg <1% 267 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 220 $2K
87205 <1% 936 $2K
86677 <1% 112 $2K
J2785 Injection, regadenoson, 0.1 mg <1% 70 $2K
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed <1% 138 $2K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose <1% 88 $2K
J2060 Injection, lorazepam, 2 mg <1% 338 $2K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 1,847 $1K
C9113 Injection, pantoprazole sodium, per vial <1% 400 $1K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 1,501 $1K
87420 <1% 142 $1K
G0103 Prostate cancer screening; prostate specific antigen test (psa) <1% 181 $1K
93226 <1% 63 $1K
72192 <1% 12 $1K
84436 <1% 181 $1K
87076 <1% 266 $1K
0012A <1% 74 $1K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 209 $903.42
84154 <1% 80 $900.74
80320 <1% 80 $826.13
76642 <1% 17 $823.41
82140 <1% 86 $816.04
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 95 $815.12
0011A <1% 60 $781.87
G0482 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed <1% 132 $768.23
86318 <1% 65 $707.63
86701 <1% 58 $701.86
72220 <1% 15 $693.02
12001 <1% 83 $682.60
77065 Tomosynthesis, mammo <1% 17 $594.67
80299 <1% 130 $589.20
C1780 Lens, intraocular (new technology) <1% 17 $568.41
76775 <1% 15 $543.77
96367 <1% 61 $520.53
J1956 Injection, levofloxacin, 250 mg <1% 34 $486.59
J2300 Injection, nalbuphine hydrochloride, per 10 mg <1% 82 $440.99
73502 <1% 12 $420.66
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 274 $397.70
J7050 Infusion, normal saline solution, 250 cc <1% 84 $387.79
80076 <1% 65 $363.79
J2360 Injection, orphenadrine citrate, up to 60 mg <1% 173 $348.38
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg <1% 38 $327.87
84100 <1% 159 $291.87
84153 <1% 23 $198.62
86592 <1% 58 $178.66
73565 <1% 32 $161.30
95885 <1% 34 $160.00
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 57 $156.52
99214 Doctor's office visit, returning patient (more involved) <1% 12 $132.28
G0008 Administration of influenza virus vaccine <1% 20 $115.81
80346 <1% 16 $107.82
90686 <1% 34 $96.28
80335 <1% 15 $89.55
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program <1% 281 $83.97
80329 <1% 13 $82.30
80348 <1% 13 $79.66
80372 <1% 13 $79.30
80367 <1% 13 $76.66
80361 <1% 13 $76.66
80354 <1% 13 $76.66
80365 <1% 13 $76.66
80362 <1% 13 $76.66
80373 <1% 13 $76.66
80338 <1% 13 $74.34
80332 <1% 13 $74.34
80369 <1% 13 $73.42
80368 <1% 13 $73.38
80366 <1% 13 $71.34
83992 <1% 41 $66.56
80342 <1% 13 $66.46
80358 <1% 13 $66.02
80324 <1% 16 $62.90
80353 <1% 13 $62.02
80339 <1% 13 $60.58
80357 <1% 13 $60.46
80359 <1% 13 $53.02
80371 <1% 13 $50.02
80360 <1% 13 $50.02
80375 <1% 13 $47.50
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg <1% 17 $42.73
J1644 Injection, heparin sodium, per 1000 units <1% 55 $35.34
J2780 Injection, ranitidine hydrochloride, 25 mg <1% 19 $32.85
86308 <1% 13 $25.22
J1580 Injection, garamycin, gentamicin, up to 80 mg <1% 17 $11.65
C9399 Unclassified drugs or biologicals 0% 80 $0.00
A9270 Non-covered item or service 0% 77 $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 officialCOOPER, RANDY (SVP FINANCE OP/AUTHORIZED OFFICIAL)
Same official

Other billing entities under COOPER, RANDY

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