Physician
Ephraim Mcdowell Health Resource, INC
Ephraim Mcdowell Health Resource, INC was paid $1.51M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 64% of everything it billed.
33Billing provider infoEPHRAIM MCDOWELL HEALTH RESOURCE, INC
DANVILLE, KY 40422
DANVILLE, KY 40422
33aNPI1669803375assigned 12/05/2013
33bProvider typeInternal Medicine Physician
28Total paid$1.51M
24GClaims49,161
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Kentucky
Rank by total paid#22 of 231
Median peer was paid$77K
This provider vs. median20×
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.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | 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 | |
| 2024incomplete | 6,482 | $215K |
Box 24 · Service lines
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 | 64% | 20,962 | 18,456 | $962K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 11,295 | 9,772 | $375K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.4% | 609 | 568 | $52K |
| 83036 | Hemoglobin; glycosylated (A1C) | 1.6% | 3,991 | 3,732 | $25K |
| 36415 | Collection of venous blood by venipuncture | 1.3% | 4,894 | 4,476 | $20K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 1,543 | 1,196 | $12K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 527 | 173 | $11K |
| 99310 | Prolong nursin fac eval 15m | <1% | 223 | 79 | $10K |
| 99223 | Prolong inpt eval add15 m | <1% | 144 | 117 | $7K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 283 | 84 | $6K |
| 90686 | <1% | 280 | 269 | $4K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 96 | 79 | $4K |
15 more codes
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 56 | $4K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 216 | $3K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 105 | $3K |
| 36416 | <1% | 2,333 | $3K | |
| 99220 | <1% | 37 | $3K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 154 | $2K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 29 | $2K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 46 | $1K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 28 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 120 | $1K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 17 | $602.28 |
| 81003 | <1% | 1,096 | $547.96 | |
| 90632 | <1% | 16 | $400.66 | |
| 82044 | <1% | 28 | $156.38 | |
| G0008 | Administration of influenza virus vaccine | 0% | 33 | $0.00 |
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 officialMCKAY, DANIEL (CEO)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.