Medicaid Provider Spending

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

BAPTIST HEALTH MEDICAL GROUP INC

NPI: 1558984633 · BRANDENBURG, KY 40108 · Rural Health Clinic/Center · NPI assigned 05/22/2020

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

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

$925K
Total Medicaid Paid
32,450
Total Claims
27,008
Beneficiaries
23
Codes Billed
2020-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCLAY, DANYEL (VP, REVENUE CYCLE)
NPI Enumeration Date05/22/2020

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 DEACONESS MEDICAL GROUP INC POWDERLY KY $1.14M
BAPTIST HEALTH MEDICAL GROUP INC RICHMOND KY $1.06M
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 1,829 $54K
2021 11,718 $202K
2022 6,603 $237K
2023 6,958 $224K
2024 5,342 $208K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,976 8,766 $481K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,457 9,862 $390K
36415 Collection of venous blood by venipuncture 3,091 2,537 $13K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 647 619 $11K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 662 610 $9K
87428 191 180 $5K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 204 198 $5K
90686 311 297 $4K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 155 116 $2K
71046 Radiologic examination, chest; 2 views 112 109 $1K
90792 Psychiatric diagnostic evaluation with medical services 12 12 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 63 58 $1K
90715 17 17 $534.60
90656 39 39 $510.10
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 28 26 $389.59
81003 18 16 $29.82
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 2,662 1,673 $1.27
3008F 12 12 $0.08
1159F 2,468 1,573 $0.03
4004F 49 35 $0.00
1160F 203 195 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 17 16 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 56 42 $0.00