Saint Joseph Health System, INC
Saint Joseph Health System, INC was paid $77K by Medicaid between Aug 2022 and Jun 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 66% of everything it billed.
SOMERSET, KY 42503
Next to other Rural Health Clinic/Center providers in Kentucky
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2022 | 855 | $27K | |
| 2023 | 1,095 | $39K | |
| 2024incomplete | 254 | $11K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 66% | 1,256 | 1,108 | $51K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 834 | 699 | $24K |
| 87428 | 2.8% | 63 | 59 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 30 | 25 | $379.45 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 21 | 16 | $162.03 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Saint Joseph Health System, INC. | London, KY | $6.92M |
| Saint Joseph Health System INC | London, KY | $998K |
| Saint Joseph Health Asc LLC | Lexington, KY | $905K |
| Saint Joseph Health System INC. | Berea, KY | $759K |
| Saint Joseph Health System, INC. | London, KY | $492K |
| Saint Joseph Health System, INC. | London, KY | $474K |
| Flaget Healthcare INC | Bardstown, KY | $474K |
| Saint Joseph Health System, INC. | Lexington, KY | $456K |
| Flaget Healthcare, INC | Bardstown, KY | $399K |
| Saint Joseph Health System, INC | London, KY | $355K |
| Flaget Healthcare INC | Bardstown, KY | $202K |
| Kentucky One Health Medical Group, INC. | Irvine, KY | $100K |
| Saint Joseph Health System INC | Lexington, KY | $75K |
| Flaget Healthcare INC | Willisburg, KY | $61K |
| Saint Joseph Health System, INC. | Corbin, KY | $50K |
| Flaget Healthcare INC | New Haven, KY | $40K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.