Medicaid Provider Spending

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

ST CLAIRE MEDICAL CENTER, INC

NPI: 1558383885 · MOREHEAD, KY 40351 · Orthopaedic Surgery Physician · NPI assigned 07/24/2006

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

Authorized official LLOYD, DONALD controls 20+ related entities in our dataset. Read more

$760K
Total Medicaid Paid
27,338
Total Claims
22,733
Beneficiaries
20
Codes Billed
2018-01
First Month
2021-06
Last Month

Provider Details

Authorized OfficialLLOYD, DONALD (CEO/PRESIDENT)
NPI Enumeration Date07/24/2006

Related Entities

Other providers sharing the same authorized official: LLOYD, DONALD

ProviderCityStateTotal Paid
ST CLAIRE MEDICAL CENTER INC MOREHEAD KY $71.27M
ST CLAIRE MEDICAL CENTER INC. MOREHEAD KY $4.05M
ST. CLAIRE MEDICAL CENTER, INC MOREHEAD KY $3.32M
ST CLAIRE MEDICAL CENTER, INC., MOREHEAD KY $3.31M
ST CLAIRE MEDICAL CENTER, INC MOREHEAD KY $3.29M
ST. CLAIRE MEDICAL CENTER, INC MOREHEAD KY $3.11M
ST CLAIRE MEDICAL CENTER, INC., MOREHEAD KY $2.42M
ST. CLAIRE MEDICAL CENTER MOREHEAD KY $2.40M
ST. CLAIRE MEDICAL CENTER, INC. MOREHEAD KY $2.09M
ST CLAIRE REGIONAL RADIOLOGY PHYSICIANS SERVICES MOREHEAD KY $1.83M
ST CLAIRE MEDICAL CENTER, INC., MOREHEAD KY $1.46M
ST. CLAIRE MEDICAL CENTER,INC OLIVE HILL KY $1.13M
ST. CLAIRE MEDICAL CENTER, INC OWINGSVILLE KY $964K
ST. CLAIRE MEDICAL CENTER,INC SANDY HOOK KY $948K
ST. CLAIRE MEDICAL CENTER, INC FRENCHBURG KY $877K
ST. CLAIRE MEDICAL CENTER, INC MOREHEAD KY $672K
ST. CLAIRE MEDICAL CENTER, INC. MOREHEAD KY $411K
ST. CLAIRE MEDICAL CENTER INC. MOREHEAD KY $371K
ST CLAIRE MEDICAL CENTER INC. MOREHEAD KY $115K
ST. CLAIRE MEDICAL CENTER, INC. MOREHEAD KY $20K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,072 $221K
2019 10,049 $263K
2020 6,881 $195K
2021 2,336 $81K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,459 8,323 $219K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,617 4,926 $184K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,402 2,214 $129K
20610 3,452 2,529 $102K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,440 1,311 $63K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,184 632 $25K
43775 20 15 $11K
11721 1,157 853 $9K
11043 172 77 $9K
97597 191 117 $3K
11056 205 129 $1K
99205 Prolong outpt/office vis 12 12 $1K
73110 183 158 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 57 52 $1K
73630 131 74 $541.35
73130 15 14 $98.25
73562 13 13 $78.09
73610 13 12 $78.02
99024 1,577 1,235 $60.02
81000 38 37 $28.11