Medicaid Provider Spending

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

NORTON SCOTT HOSPITAL, LLC

NPI: 1669915864 · SCOTTSBURG, IN 47170 · Rural Health Clinic/Center · NPI assigned 11/21/2016

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

Authorized official GAST, SHELLEY controls 20+ related entities in our dataset. Read more

$560K
Total Medicaid Paid
22,901
Total Claims
15,647
Beneficiaries
23
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGAST, SHELLEY (VP MANAGED CARE)
NPI Enumeration Date11/21/2016

Related Entities

Other providers sharing the same authorized official: GAST, SHELLEY

ProviderCityStateTotal Paid
NORTON HOSPITALS INC LOUISVILLE KY $419.58M
NORTON HOSPITALS, INC LOUISVILLE KY $299.00M
COMMUNITY MEDICAL ASSOCIATES, INC. LOUISVILLE KY $135.33M
NORTON CHILDRENS MEDICAL GROUP, LLC LOUISVILLE KY $107.36M
COMMUNITY MEDICAL ASSOCIATES, INC. LOUISVILLE KY $48.97M
NORTON CLARK HOSPITAL, LLC JEFFERSONVILLE IN $19.62M
NORTON - KINGS DAUGHTERS HEALTH INC MADISON IN $11.81M
NORTON SCOTT HOSPITAL, LLC SCOTTSBURG IN $9.17M
NORTON CLARK PHYSICIAN PRACTICES, LLC CLARKSVILLE IN $7.07M
NORTON HOSPITALS INC LOUISVILLE KY $3.38M
COMMUNITY MEDICAL ASSOCIATES, INC. LOUISVILLE KY $1.21M
NORTON CHILDREN'S MEDICAL GROUP, LLC LOUISVILLE KY $1.15M
COMMUNITY MEDICAL ASSOCIATES, INC. LOUISVILLE KY $957K
COMMUNITY MEDICAL ASSOCIATES, INC. LOUISVILLE KY $808K
NORTON HOSPITALS, INC LOUISVILLE KY $438K
COMMUNITY MEDICAL ASSOCIATES, INC. LOUISVILLE KY $357K
NORTON CLARK PHYSICIAN PRACTICES, LLC SELLERSBURG IN $273K
NORTON CHILDREN'S MEDICAL GROUP, LLC LOUISVILLE KY $260K
NORTON CHILDREN'S MEDICAL GROUP, LLC LOUISVILLE KY $238K
NORTON CHILDREN'S MEDICAL GROUP, LLC LOUISVILLE KY $189K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,915 $82K
2019 4,844 $105K
2020 3,487 $88K
2021 3,853 $127K
2022 2,484 $86K
2023 3,437 $44K
2024 881 $29K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,292 4,651 $240K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,093 3,567 $230K
T1015 Clinic visit/encounter, all-inclusive 7,619 5,161 $78K
99215 Prolong outpt/office vis 82 62 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 168 89 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 104 72 $915.75
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 79 40 $621.89
90756 54 31 $584.89
90686 36 26 $268.63
87400 51 28 $159.99
96127 43 39 $127.72
36415 Collection of venous blood by venipuncture 13 13 $96.39
99441 24 12 $63.74
1159F 458 378 $0.00
1160F 459 378 $0.00
3725F 96 80 $0.00
3078F 207 169 $0.00
3074F 221 181 $0.00
1034F 68 58 $0.00
3008F 430 359 $0.00
1036F 258 215 $0.00
3075F 19 13 $0.00
3079F 27 25 $0.00