Medicaid Provider Spending

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

BAPTIST HEALTH DEACONESS MEDICAL GROUP INC

NPI: 1558942011 · POWDERLY, KY 42367 · Rural Health Clinic/Center · NPI assigned 04/16/2021

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

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

$1.14M
Total Medicaid Paid
37,835
Total Claims
32,366
Beneficiaries
36
Codes Billed
2021-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCLAY, DANYEL (EXECUTIVE DIRECTOR REVENUE CYCLE)
NPI Enumeration Date04/16/2021

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 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 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
2021 3,939 $82K
2022 13,903 $390K
2023 12,318 $371K
2024 7,675 $298K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,230 9,150 $427K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,276 12,323 $379K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 1,001 927 $110K
87428 1,385 1,317 $55K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,555 2,352 $33K
77067 Screening mammography, bilateral, including computer-aided detection 385 375 $24K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 875 842 $18K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 360 325 $17K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 722 571 $15K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 212 196 $12K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,177 875 $12K
99443 152 111 $8K
77063 Screening digital breast tomosynthesis, bilateral 385 375 $6K
71046 Radiologic examination, chest; 2 views 552 520 $6K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 73 70 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 142 124 $3K
81025 434 292 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 113 90 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 44 39 $2K
77065 Tomosynthesis, mammo 27 25 $1K
76642 30 26 $1K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 14 12 $907.44
87210 283 193 $904.64
99442 36 28 $855.61
73630 66 56 $716.30
87807 57 55 $617.56
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 137 130 $520.26
76830 Ultrasound, transvaginal 12 12 $487.58
72100 33 32 $483.75
90686 35 27 $329.60
73610 14 13 $187.33
3008F 326 277 $0.22
2014F 290 243 $0.17
1160F 194 175 $0.00
1159F 194 175 $0.00
81003 14 13 $0.00