Medicaid Provider Spending

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

COMMUNITY MEDICAL ASSOCIATES, INC.

NPI: 1588614994 · LOUISVILLE, KY 40241 · Clinical Neuropsychologist · NPI assigned 05/10/2006

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

Authorized official GAST, SHELLEY controls 20+ related entities in our dataset. Read more

$135.33M
Total Medicaid Paid
5,158,011
Total Claims
4,298,388
Beneficiaries
410
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGAST, SHELLEY (VP MANAGED CARE)
NPI Enumeration Date05/10/2006

Related Entities

Other providers sharing the same authorized official: GAST, SHELLEY

ProviderCityStateTotal Paid
NORTON HOSPITALS INC LOUISVILLE KY $419.58M
NORTON HOSPITALS, INC LOUISVILLE KY $299.00M
NORTON CHILDRENS MEDICAL GROUP, LLC LOUISVILLE KY $107.36M
COMMUNITY MEDICAL ASSOCIATES, INC. LOUISVILLE KY $48.97M
NORTON CLARK HOSPITAL, LLC JEFFERSONVILLE IN $19.62M
NORTON - KINGS DAUGHTERS HEALTH INC MADISON IN $11.81M
NORTON SCOTT HOSPITAL, LLC SCOTTSBURG IN $9.17M
NORTON CLARK PHYSICIAN PRACTICES, LLC CLARKSVILLE IN $7.07M
NORTON HOSPITALS INC LOUISVILLE KY $3.38M
COMMUNITY MEDICAL ASSOCIATES, INC. LOUISVILLE KY $1.21M
NORTON CHILDREN'S MEDICAL GROUP, LLC LOUISVILLE KY $1.15M
COMMUNITY MEDICAL ASSOCIATES, INC. LOUISVILLE KY $957K
COMMUNITY MEDICAL ASSOCIATES, INC. LOUISVILLE KY $808K
NORTON SCOTT HOSPITAL, LLC SCOTTSBURG IN $560K
NORTON HOSPITALS, INC LOUISVILLE KY $438K
COMMUNITY MEDICAL ASSOCIATES, INC. LOUISVILLE KY $357K
NORTON CLARK PHYSICIAN PRACTICES, LLC SELLERSBURG IN $273K
NORTON CHILDREN'S MEDICAL GROUP, LLC LOUISVILLE KY $260K
NORTON CHILDREN'S MEDICAL GROUP, LLC LOUISVILLE KY $238K
NORTON CHILDREN'S MEDICAL GROUP, LLC LOUISVILLE KY $189K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 877,727 $20.94M
2019 906,881 $23.48M
2020 613,678 $15.82M
2021 677,270 $17.73M
2022 721,433 $17.99M
2023 758,271 $20.81M
2024 602,751 $18.56M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 720,821 647,943 $30.47M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 525,047 450,285 $17.42M
99233 Prolong inpt eval add15 m 236,918 91,182 $8.53M
99232 Subsequent hospital care, per day, moderate complexity 209,461 90,940 $5.60M
99223 Prolong inpt eval add15 m 46,213 41,030 $3.52M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 46,054 39,141 $3.08M
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 22,608 20,498 $2.61M
99239 Hospital discharge day management, more than 30 minutes 56,653 50,630 $2.55M
76819 Fetal biophysical profile; without non-stress testing 48,493 30,164 $2.50M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 33,195 30,547 $2.43M
90460 Immunization administration through 18 years of age via any route, first or only component 83,857 80,864 $2.38M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 33,402 30,579 $2.26M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 47,339 42,806 $2.13M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 28,510 27,268 $2.10M
99284 Emergency department visit for the evaluation and management, high severity 30,075 28,589 $1.91M
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 81,296 74,571 $1.85M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 31,838 29,332 $1.82M
80061 Lipid panel 172,147 157,370 $1.81M
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 262,575 198,549 $1.71M
84443 Thyroid stimulating hormone (TSH) 118,009 107,668 $1.64M
80053 Comprehensive metabolic panel 177,135 160,773 $1.44M
36415 Collection of venous blood by venipuncture 392,688 350,400 $1.37M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 15,347 14,561 $1.33M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 14,363 5,408 $1.31M
80050 General health panel 30,852 28,169 $1.22M
76820 22,060 11,562 $1.01M
83036 Hemoglobin; glycosylated (A1C) 137,130 125,789 $962K
76821 16,120 8,540 $936K
99215 Prolong outpt/office vis 11,843 10,455 $796K
20610 18,123 14,805 $696K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 49,790 45,397 $688K
64615 8,272 7,762 $661K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 862 811 $661K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 6,291 5,878 $639K
99238 Hospital discharge day management, 30 minutes or less 13,751 13,190 $634K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 8,593 8,313 $622K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 9,700 9,187 $619K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 80,643 74,921 $574K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 5,064 4,600 $567K
62323 7,796 7,138 $566K
99244 Office or other outpatient consultation, moderate to high complexity 4,403 4,225 $527K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 13,176 12,402 $515K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 4,270 3,942 $471K
J1050 Injection, medroxyprogesterone acetate, 1 mg 7,009 6,649 $459K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 8,252 6,768 $454K
82607 35,176 32,248 $440K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 4,898 4,587 $391K
0001A 14,056 12,764 $379K
99283 Emergency department visit for the evaluation and management, moderate severity 8,984 8,512 $378K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 15,304 13,060 $361K
93000 25,035 22,700 $357K
59025 Fetal non-stress test 14,748 11,174 $356K
0002A 12,072 11,361 $351K
90686 48,932 46,956 $345K
84439 46,073 41,719 $337K
77067 Screening mammography, bilateral, including computer-aided detection 7,712 6,984 $327K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 4,436 4,124 $305K
99460 4,890 4,725 $303K
93970 12,475 11,335 $264K
93971 14,820 13,617 $253K
90739 2,711 2,476 $251K
99243 2,886 2,812 $244K
99479 Subsequent intensive care, per day, very low birth weight infant 2,573 487 $244K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 15,385 14,777 $233K
99480 Subsequent intensive care, per day, low birth weight infant 2,451 476 $225K
84153 13,566 12,493 $225K
72100 10,995 9,912 $208K
70551 Magnetic resonance imaging, brain; without contrast material 3,567 3,403 $205K
99220 2,589 2,336 $192K
59514 1,350 1,222 $179K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 11,395 10,490 $177K
95720 1,765 787 $176K
27096 807 728 $170K
99255 1,322 1,176 $170K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 4,033 3,265 $166K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 10,792 5,135 $162K
71045 Radiologic examination, chest; single view 23,796 13,298 $159K
99222 Initial hospital care, per day, moderate complexity 3,184 2,833 $156K
90792 Psychiatric diagnostic evaluation with medical services 1,672 1,501 $152K
99173 3,358 3,291 $148K
76801 2,307 2,163 $148K
99254 1,511 1,377 $148K
71046 Radiologic examination, chest; 2 views 15,112 14,512 $145K
87631 1,039 934 $144K
81002 91,533 73,331 $142K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 1,462 1,414 $141K
90461 33,065 32,381 $140K
96110 Developmental screening, with scoring and documentation, per standardized instrument 11,425 10,818 $139K
95806 1,075 970 $135K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 558 120 $135K
81025 24,786 23,000 $130K
76770 4,056 3,948 $129K
80048 Basic metabolic panel (calcium, ionized) 22,286 19,773 $129K
82043 28,454 25,875 $128K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,608 1,556 $125K
99462 3,638 2,885 $123K
95951 912 437 $121K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 10,950 9,928 $119K
84481 8,210 7,506 $118K
70450 Computed tomography, head or brain; without contrast material 3,213 3,050 $115K
81003 76,791 59,741 $114K
62321 1,190 1,081 $111K
95886 2,856 2,285 $111K
82728 9,940 9,210 $108K
77063 Screening digital breast tomosynthesis, bilateral 5,463 4,926 $105K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 2,236 2,053 $95K
45380 Colonoscopy, flexible; with biopsy, single or multiple 678 574 $94K
80305 9,679 7,574 $93K
90715 3,485 3,153 $91K
90472 Immunization administration, each additional vaccine (list separately) 9,339 6,191 $90K
99231 Subsequent hospital care, per day, straightforward or low complexity 4,920 2,527 $89K
90677 474 442 $88K
90670 22,242 21,170 $86K
93793 15,913 10,294 $84K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 1,356 1,327 $84K
95816 2,966 2,629 $84K
82746 6,548 6,024 $82K
99385 1,118 955 $77K
76830 Ultrasound, transvaginal 1,193 1,128 $77K
93296 7,041 6,242 $76K
93018 6,734 6,092 $73K
99152 4,638 4,095 $72K
74018 11,445 8,967 $71K
83655 4,588 4,368 $70K
90791 Psychiatric diagnostic evaluation 1,412 993 $69K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 14,616 12,821 $69K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 3,659 3,277 $68K
72082 1,802 1,677 $66K
74019 7,256 6,963 $63K
22558 131 110 $63K
93295 2,641 2,402 $61K
83540 11,721 10,876 $60K
76775 850 822 $59K
73630 3,502 3,000 $59K
90834 Psychotherapy, 45 minutes with patient 2,015 1,002 $57K
73562 3,173 2,537 $57K
99236 Prolong inpt eval add15 m 538 455 $57K
90832 Psychotherapy, 30 minutes with patient 1,926 1,096 $56K
76857 845 817 $53K
73030 3,160 2,740 $53K
84403 2,310 2,046 $52K
97530 Therapeutic activities, direct patient contact, each 15 minutes 2,258 771 $51K
90716 1,070 975 $50K
99205 Prolong outpt/office vis 461 429 $49K
99217 1,499 1,327 $48K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2,157 747 $47K
96112 510 466 $46K
76818 682 501 $44K
93922 4,068 3,751 $42K
99497 1,520 1,296 $41K
96127 10,349 9,648 $41K
99349 1,901 1,552 $37K
76642 1,249 1,043 $36K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 519 500 $36K
83735 6,602 5,994 $35K
A4590 Special casting material (e.g., fiberglass) 3,038 2,277 $35K
99242 604 560 $35K
85610 13,995 9,390 $35K
36416 40,582 34,284 $33K
95251 2,720 2,533 $33K
73610 2,076 1,880 $32K
99309 Subsequent nursing facility care, per day, low to moderate complexity 4,862 3,192 $31K
71271 365 343 $31K
77073 983 919 $31K
83690 4,949 4,502 $30K
90707 1,172 1,074 $29K
95810 Polysomnography; sleep staging with 4 or more additional parameters 175 146 $28K
51728 248 226 $28K
92551 2,786 2,729 $28K
0004A 909 874 $28K
72141 423 416 $27K
95718 345 325 $27K
0003A 1,232 1,191 $26K
76506 965 874 $26K
72040 1,369 1,259 $25K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 686 622 $25K
93880 1,405 1,279 $24K
73130 1,356 1,055 $24K
76705 Ultrasound, abdominal, real time with image documentation; limited 889 848 $23K
90750 117 108 $23K
90680 11,373 10,855 $22K
72146 349 343 $22K
90698 19,470 18,499 $22K
99386 284 239 $21K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 1,261 504 $21K
99406 3,049 2,756 $21K
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 83 12 $21K
80076 3,167 2,897 $20K
20550 578 419 $20K
94010 1,323 1,140 $19K
91320 357 258 $19K
99421 2,338 2,178 $19K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 429 418 $19K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 95 89 $19K
64483 142 134 $18K
82150 3,097 2,825 $18K
90651 1,018 982 $17K
20526 337 291 $16K
82947 3,962 3,335 $16K
96111 249 228 $16K
82550 2,954 2,662 $15K
0054A 624 519 $15K
84550 4,349 3,949 $15K
73564 715 558 $15K
93458 109 99 $15K
73100 691 619 $15K
90474 1,435 1,350 $14K
90632 374 341 $14K
51600 274 254 $14K
90633 11,900 11,527 $13K
99308 Subsequent nursing facility care, per day, straightforward 3,140 2,266 $13K
J7297 Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg 20 17 $13K
51797 229 216 $13K
90656 1,042 991 $12K
95910 170 154 $12K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 68 50 $12K
99174 970 945 $12K
95811 87 76 $11K
90837 Psychotherapy, 53 minutes with patient 184 124 $11K
64721 55 44 $11K
51798 1,072 971 $10K
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 1,606 550 $10K
90688 1,246 1,220 $10K
95813 186 171 $10K
99219 191 172 $10K
25600 48 40 $9K
93294 1,074 939 $9K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 12 12 $9K
99241 301 281 $9K
90685 5,746 5,569 $9K
94726 364 331 $9K
73521 322 297 $9K
73070 556 536 $8K
95819 263 243 $8K
94729 349 318 $8K
72170 381 355 $8K
64493 103 93 $8K
43999 381 312 $8K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 7,425 6,986 $8K
76800 156 155 $7K
96161 3,565 3,334 $7K
51784 217 205 $7K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 429 159 $7K
90744 6,277 6,060 $7K
73090 709 673 $7K
0124A 314 267 $7K
97161 126 124 $7K
72110 189 174 $7K
99253 89 82 $6K
54360 12 12 $6K
0031A 221 185 $6K
73140 433 383 $6K
99235 68 64 $6K
74230 286 268 $6K
77065 Tomosynthesis, mammo 276 234 $6K
20611 137 106 $6K
54161 65 64 $6K
90480 341 251 $6K
93227 270 255 $6K
90732 83 79 $6K
85027 998 939 $6K
77066 Tomosynthesis, mammo 159 151 $6K
77062 155 143 $5K
93016 421 373 $5K
99402 411 215 $5K
99403 169 107 $5K
74455 409 390 $5K
0012A 273 257 $5K
54150 62 61 $5K
0064A 229 198 $5K
99306 Prolong nursin fac eval 15m 354 279 $5K
0011A 316 281 $4K
43235 38 37 $4K
96160 1,855 1,779 $4K
58300 73 67 $4K
99381 72 66 $4K
74177 Computed tomography, abdomen and pelvis; with contrast material 59 58 $4K
43264 21 12 $4K
77061 134 128 $4K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 162 154 $4K
85018 1,481 1,429 $4K
73110 330 308 $4K
84100 1,181 1,051 $4K
J0561 Injection, penicillin g benzathine, 100,000 units 12 12 $4K
0051A 110 96 $4K
99282 Emergency department visit for the evaluation and management, low to moderate severity 137 128 $3K
73590 351 264 $3K
53450 15 15 $3K
84132 852 788 $3K
51741 132 119 $3K
98960 1,079 659 $3K
20930 40 25 $3K
73560 289 269 $3K
0052A 85 72 $3K
64642 39 32 $3K
73502 119 105 $3K
29450 19 12 $2K
90662 138 129 $2K
J1030 Injection, methylprednisolone acetate, 40 mg 234 206 $2K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 1,283 1,127 $2K
G0297 Low dose ct scan (ldct) for lung cancer screening 26 25 $2K
72081 71 70 $2K
74240 76 72 $2K
20936 35 25 $2K
64494 59 54 $2K
93976 39 39 $2K
77072 273 265 $2K
99188 459 446 $2K
95885 152 126 $2K
J1040 Injection, methylprednisolone acetate, 80 mg 255 226 $2K
64635 18 12 $2K
93297 222 204 $2K
87807 137 134 $2K
64643 50 30 $2K
99383 26 26 $2K
99226 57 37 $2K
43775 13 12 $1K
64484 15 13 $1K
83721 217 197 $1K
51736 58 55 $1K
82565 353 319 $1K
31645 14 12 $1K
64636 18 12 $1K
99350 Prolong home eval add 15m 28 26 $1K
76813 12 12 $1K
64644 30 28 $1K
92587 42 41 $1K
99252 19 18 $914.99
76885 26 24 $836.34
84460 236 203 $809.57
95115 76 51 $783.45
99459 62 54 $774.47
J1100 Injection, dexamethasone sodium phosphate, 1 mg 806 620 $768.29
99225 45 28 $752.41
84450 216 187 $733.33
90734 329 319 $728.38
93299 79 60 $710.53
93298 97 76 $705.87
99408 25 25 $684.55
93280 46 40 $677.35
95874 109 103 $671.95
36556 17 12 $653.40
20939 24 13 $643.17
76000 36 33 $636.55
99153 Mod sedat endo service >5yrs 109 105 $621.05
70486 12 12 $616.06
84436 97 90 $609.85
94060 28 26 $559.06
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 70 61 $553.69
95909 12 12 $540.01
99496 13 13 $464.38
0013A 21 20 $441.60
99307 206 146 $417.17
90853 Group psychotherapy (other than of a multiple-family group) 25 13 $402.72
90710 177 175 $401.18
11730 12 12 $400.76
99417 Prolong home eval add 15m 17 13 $396.91
99441 12 12 $392.92
95873 36 31 $388.22
96136 15 15 $386.89
80069 50 49 $379.52
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results 32 28 $323.76
77076 13 12 $311.59
82465 50 50 $308.14
83718 25 25 $294.30
90700 357 353 $293.82
96120 20 17 $262.18
99401 21 16 $255.21
84520 85 72 $253.21
99221 77 73 $236.03
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation 25 25 $227.70
99442 16 14 $173.64
90648 197 194 $166.02
82248 36 36 $161.63
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 131 90 $159.95
95970 13 12 $141.39
90687 226 207 $134.14
73552 15 12 $115.13
99001 478 461 $113.40
58611 106 69 $110.32
73060 15 13 $109.86
90647 226 221 $101.17
93926 14 13 $100.25
90634 12 12 $98.47
93325 40 39 $95.15
3008F 27,081 26,623 $81.75
81001 30 25 $76.47
99318 28 21 $74.50
G0008 Administration of influenza virus vaccine 853 732 $64.71
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 16 12 $59.28
94760 18 18 $53.90
G0444 Annual depression screening, 5 to 15 minutes 26 26 $51.78
J1885 Injection, ketorolac tromethamine, per 15 mg 15 14 $47.68
90723 35 34 $36.80
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 12 12 $28.37
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 70 61 $21.55
90672 12 12 $15.60
2014F 3,616 3,567 $0.55
91300 282 247 $0.01
90611 94 85 $0.01
99024 31,361 23,459 $0.00
91305 608 506 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 94 84 $0.00
91303 191 170 $0.00
90696 43 43 $0.00
S0020 Injection, bupivicaine hydrochloride, 30 ml 50 25 $0.00
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 61 59 $0.00
97803 151 99 $0.00
0232T 17 12 $0.00
80354 28 24 $0.00