Medicaid Provider Spending

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

EPHRAIM MCDOWELL HEALTH RESOURCE, INC

NPI: 1669803375 · DANVILLE, KY 40422 · Internal Medicine Physician · NPI assigned 12/05/2013

$1.51M
Total Medicaid Paid
49,161
Total Claims
42,966
Beneficiaries
27
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMCKAY, DANIEL (CEO)
NPI Enumeration Date12/05/2013

Related Entities

Other providers sharing the same authorized official: MCKAY, DANIEL

ProviderCityStateTotal Paid
EPHRAIM MCDOWELL HEALTH RESOURCE, INC DANVILLE KY $2.99M
EPHRAIM MCDOWELL HEALTH RESOURCE, INC DANVILLE KY $1.39M
THE JAMES B. HAGGIN MEMORIAL HOSPITAL INC HARRODSBURG KY $1.00M
THE JAMES B. HAGGIN MEMORIAL HOSPITAL INC HARRODSBURG KY $405K
EMHFL, INC. STANFORD KY $46K
EPHRAIM MCDOWELL HEALTH RESOURCE, INC STANFORD KY $19K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,688 $172K
2019 7,953 $256K
2020 7,342 $265K
2021 7,860 $226K
2022 6,611 $189K
2023 6,225 $187K
2024 6,482 $215K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 20,962 18,456 $962K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,295 9,772 $375K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 609 568 $52K
83036 Hemoglobin; glycosylated (A1C) 3,991 3,732 $25K
36415 Collection of venous blood by venipuncture 4,894 4,476 $20K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,543 1,196 $12K
99232 Subsequent hospital care, per day, moderate complexity 527 173 $11K
99310 Prolong nursin fac eval 15m 223 79 $10K
99223 Prolong inpt eval add15 m 144 117 $7K
99233 Prolong inpt eval add15 m 283 84 $6K
90686 280 269 $4K
99222 Initial hospital care, per day, moderate complexity 96 79 $4K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 56 55 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 216 211 $3K
99238 Hospital discharge day management, 30 minutes or less 105 89 $3K
36416 2,333 2,228 $3K
99220 37 27 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 154 70 $2K
99215 Prolong outpt/office vis 29 26 $2K
99239 Hospital discharge day management, more than 30 minutes 46 36 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 28 25 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 120 111 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 17 15 $602.28
81003 1,096 999 $547.96
90632 16 14 $400.66
82044 28 26 $156.38
G0008 Administration of influenza virus vaccine 33 33 $0.00