Medicaid Provider Spending

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

BAPTIST HEALTH MEDICAL GROUP INC

NPI: 1558916890 · RICHMOND, KY 40475 · Rural Health Clinic/Center · NPI assigned 08/05/2019

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

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

$1.84M
Total Medicaid Paid
39,497
Total Claims
34,875
Beneficiaries
23
Codes Billed
2020-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCLAY, DANYEL (EXECUTIVE DIRECTOR REVENUE CYCLE)
Parent OrganizationBAPTIST HEALTH MEDICAL GROUP INC
NPI Enumeration Date08/05/2019

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 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 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
2020 8,138 $410K
2021 8,987 $411K
2022 7,170 $328K
2023 8,645 $389K
2024 6,557 $298K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18,970 16,493 $742K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,132 7,201 $461K
76830 Ultrasound, transvaginal 3,045 2,892 $186K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 2,511 2,328 $167K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 743 716 $67K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,029 910 $58K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 451 415 $45K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,019 940 $29K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 444 394 $25K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 302 272 $19K
59025 Fetal non-stress test 1,023 670 $17K
76819 Fetal biophysical profile; without non-stress testing 278 188 $15K
81025 580 539 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 88 78 $1K
99459 66 66 $986.14
76801 12 12 $817.32
99385 15 14 $714.10
90686 18 14 $244.50
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 17 13 $157.61
2014F 347 329 $0.08
3008F 153 145 $0.08
1159F 127 123 $0.00
1160F 127 123 $0.00