T J Samson Community Hospital
T J Samson Community Hospital was paid $567K by Medicaid between Jan 2018 and Nov 2024, across 15 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 54% of everything it billed.
CAVE CITY, KY 42127
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 | |
|---|---|---|---|
| 2018 | 3,620 | $163K | |
| 2019 | 1,806 | $60K | |
| 2020 | 1,468 | $48K | |
| 2021 | 1,802 | $62K | |
| 2022 | 1,564 | $49K | |
| 2023 | 1,925 | $64K | |
| 2024incomplete | 3,357 | $122K |
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 | 54% | 6,361 | 5,609 | $304K |
| 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% | 5,759 | 5,143 | $178K |
| 99307 | 10% | 1,573 | 1,312 | $57K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2.0% | 930 | 826 | $12K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.9% | 249 | 238 | $11K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 107 | 101 | $4K |
| 90686 | <1% | 66 | 65 | $816.14 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 89 | 81 | $635.61 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 49 | 49 | $604.36 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 15 | 12 | $354.78 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 53 | 51 | $328.90 |
| 36415 | Collection of venous blood by venipuncture | <1% | 55 | 55 | $259.03 |
3 more codes
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 |
|---|---|---|
| T J Samson Community Hospital | Glasgow, KY | $95.74M |
| T J Samson Community Hospital | Glasgow, KY | $15.53M |
| T J Health Columbia INC | Columbia, KY | $11.51M |
| T J Health Columbia INC | Columbia, KY | $1.40M |
| T J Samson Community Hospital | Glasgow, KY | $1.22M |
| T J Health Columbia INC | Edmonton, KY | $1.20M |
| T J Health Columbia INC | Columbia, KY | $682K |
| T J Health Columbia INC | Russell Springs, KY | $630K |
| T J Health Columbia INC | Scottsville, KY | $611K |
| T J Samson Community Hospital | Glasgow, KY | $549K |
| T J Samson Community Hospital | Glasgow, KY | $524K |
| T J Health Columbia INC | Tompkinsville, KY | $312K |
| T J Health Columbia INC | Greensburg, KY | $277K |
| T J Health Columbia INC | Columbia, KY | $125K |
| T J Samson Community Hospital | Glasgow, KY | $36K |
| T J Samson Community Hospital | Glasgow, KY | $1K |
| T J Samson Community Hospital | Glasgow, KY | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.