Medicaid Provider Spending

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

ST. CLAIRE MEDICAL CENTER,INC

NPI: 1639131527 · OLIVE HILL, KY 41164 · Primary Care Clinic/Center · NPI assigned 04/05/2006

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

Authorized official LLOYD, DONALD controls 20+ related entities in our dataset. Read more

$1.13M
Total Medicaid Paid
57,300
Total Claims
48,679
Beneficiaries
40
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLLOYD, DONALD (PRESIDENT CEO)
NPI Enumeration Date04/05/2006

Related Entities

Other providers sharing the same authorized official: LLOYD, DONALD

ProviderCityStateTotal Paid
ST CLAIRE MEDICAL CENTER INC MOREHEAD KY $71.27M
ST CLAIRE MEDICAL CENTER INC. MOREHEAD KY $4.05M
ST. CLAIRE MEDICAL CENTER, INC MOREHEAD KY $3.32M
ST CLAIRE MEDICAL CENTER, INC., MOREHEAD KY $3.31M
ST CLAIRE MEDICAL CENTER, INC MOREHEAD KY $3.29M
ST. CLAIRE MEDICAL CENTER, INC MOREHEAD KY $3.11M
ST CLAIRE MEDICAL CENTER, INC., MOREHEAD KY $2.42M
ST. CLAIRE MEDICAL CENTER MOREHEAD KY $2.40M
ST. CLAIRE MEDICAL CENTER, INC. MOREHEAD KY $2.09M
ST CLAIRE REGIONAL RADIOLOGY PHYSICIANS SERVICES MOREHEAD KY $1.83M
ST CLAIRE MEDICAL CENTER, INC., MOREHEAD KY $1.46M
ST. CLAIRE MEDICAL CENTER, INC OWINGSVILLE KY $964K
ST. CLAIRE MEDICAL CENTER,INC SANDY HOOK KY $948K
ST. CLAIRE MEDICAL CENTER, INC FRENCHBURG KY $877K
ST CLAIRE MEDICAL CENTER, INC MOREHEAD KY $760K
ST. CLAIRE MEDICAL CENTER, INC MOREHEAD KY $672K
ST. CLAIRE MEDICAL CENTER, INC. MOREHEAD KY $411K
ST. CLAIRE MEDICAL CENTER INC. MOREHEAD KY $371K
ST CLAIRE MEDICAL CENTER INC. MOREHEAD KY $115K
ST. CLAIRE MEDICAL CENTER, INC. MOREHEAD KY $20K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,921 $133K
2019 5,176 $128K
2020 4,410 $127K
2021 7,223 $181K
2022 8,969 $195K
2023 13,546 $203K
2024 12,055 $164K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 22,336 18,483 $690K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,663 5,016 $237K
90832 Psychotherapy, 30 minutes with patient 1,468 1,035 $56K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,394 1,352 $20K
99238 Hospital discharge day management, 30 minutes or less 531 469 $19K
36415 Collection of venous blood by venipuncture 6,152 5,440 $16K
99232 Subsequent hospital care, per day, moderate complexity 355 166 $11K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 773 390 $10K
98968 294 219 $9K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 351 336 $8K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 609 571 $7K
90686 660 644 $7K
99442 138 123 $7K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 210 205 $7K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 132 123 $7K
99441 129 117 $4K
99233 Prolong inpt eval add15 m 100 38 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 48 44 $3K
95115 286 154 $3K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 28 28 $2K
0011A 49 49 $2K
90472 Immunization administration, each additional vaccine (list separately) 115 109 $1K
87428 35 34 $1K
0012A 21 21 $873.60
0013A 19 19 $781.60
98967 36 30 $615.52
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 16 15 $247.58
90633 239 229 $187.13
99217 13 12 $168.44
81002 174 151 $71.53
3074F 4,698 3,990 $23.91
3078F 2,942 2,553 $14.95
1125F 2,168 1,886 $11.24
3079F 1,921 1,715 $9.49
1126F 1,853 1,697 $9.13
3077F 648 564 $3.37
3080F 306 273 $1.64
3044F 260 252 $1.41
91301 118 115 $0.00
90649 12 12 $0.00