Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Behavioral

Community Medical Associates, INC.

Community Medical Associates, INC. was paid $357K by Medicaid between Nov 2020 and Nov 2024, across 9 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 49% of everything it billed.

33Billing provider infoCOMMUNITY MEDICAL ASSOCIATES, INC.
LOUISVILLE, KY 40241
33aNPI1649636630assigned 01/07/2016
28Total paid$357K
24GClaims7,450
24DCodes billed9
24AFirst – last monthNov 2020 – Nov 2024
Compared with peers

Next to other Clinical Neuropsychologist providers in Kentucky

Rank by total paid#4 of 8
Median peer was paid$49K
This provider vs. median7.2×

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.

Entity ProliferationAuthorized official GAST, SHELLEY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K$30K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
202061$895.39
20212,460$130K
20222,515$110K
20231,317$59K
2024incomplete1,097$56K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 49% 1,935 592 $174K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 18% 1,816 791 $65K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 17% 2,424 1,249 $62K
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 14% 1,101 966 $49K
99222 Initial hospital care, per day, moderate complexity 1.1% 93 87 $4K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis <1% 16 13 $1K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 25 16 $242.21
94729 <1% 27 26 $189.45
94726 <1% 13 13 $91.46

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.

From NPPES

Who's on the registration

Authorized officialGAST, SHELLEY (VP MANAGED CARE)
Same official

Other billing entities under GAST, SHELLEY

Full network →
ProviderLocationPaid
Norton Hospitals INCLouisville, KY$419.58M
Norton Hospitals, INCLouisville, KY$299.00M
Community Medical Associates, INC.Louisville, KY$135.33M
Norton Childrens Medical Group, LLCLouisville, KY$107.36M
Community Medical Associates, INC.Louisville, KY$48.97M
Norton Clark Hospital, LLCJeffersonville, IN$19.62M
Norton - Kings Daughters Health INCMadison, IN$11.81M
Norton Scott Hospital, LLCScottsburg, IN$9.17M
Norton Clark Physician Practices, LLCClarksville, IN$7.07M
Norton Hospitals INCLouisville, KY$3.38M
Community Medical Associates, INC.Louisville, KY$1.21M
Norton Children's Medical Group, LLCLouisville, KY$1.15M
Community Medical Associates, INC.Louisville, KY$957K
Community Medical Associates, INC.Louisville, KY$808K
Norton Scott Hospital, LLCScottsburg, IN$560K
Norton Hospitals, INCLouisville, KY$438K
Norton Clark Physician Practices, LLCSellersburg, IN$273K
Norton Children's Medical Group, LLCLouisville, KY$260K
Norton Children's Medical Group, LLCLouisville, KY$238K
Norton Children's Medical Group, LLCLouisville, KY$189K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.