Medicaid Provider Spending

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

EPHRAIM MCDOWELL HEALTH RESOURCE,INC

NPI: 1700013018 · DANVILLE, KY 40422 · Internal Medicine Physician · NPI assigned 06/12/2009

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

Authorized official SNAPP, WILLIAM controls 20+ related entities in our dataset. Read more

$869K
Total Medicaid Paid
29,517
Total Claims
25,476
Beneficiaries
16
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSNAPP, WILLIAM (EVP/CFO)
NPI Enumeration Date06/12/2009

Related Entities

Other providers sharing the same authorized official: SNAPP, WILLIAM

ProviderCityStateTotal Paid
EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER INCORPORATED DANVILLE KY $59.95M
THE JAMES B. HAGGIN MEMORIAL HOSPITAL INC HARRODSBURG KY $13.83M
EPHRAIM MCDOWELL HEALTH RESOURCE, INC DANVILLE KY $995K
EPHRAIM MCDOWELL HEALTH RESOURCE, INC DANVILLE KY $671K
MCDOWELL HOME HEALTH AGENCY, INC. DANVILLE KY $631K
EPHRAIM MCDOWELL HEALTH RESOURCE, INC. LIBERTY KY $623K
EPHRAIM MCDOWELL HEALTH RESOURCE, INC. LANCASTER KY $517K
EPHRAIM MCDOWELL HEALTH RESOURCE, INC. SPRINGFIELD KY $478K
EPHRAIM MCDOWELL HEALTH RESOURCE, INC LANCASTER KY $434K
EPHRAIM MCDOWELL HEALTH RESOURCE, INC. HARRODSBURG KY $359K
EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, INCORPPORATED DANVILLE KY $324K
EPHRAIM MCDOWELL HEALTH RESOURCE, INC. DANVILLE KY $324K
THE JAMES B. HAGGIN MEMORIAL HOSPITAL INC. HARRODSBURG KY $257K
EPHRAIM MCDOWELL HEALTH RESOURCE, INC DANVILLE KY $139K
EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER INCORPORATED DANVILLE KY $134K
TRH ANESTHESIA LLC CAMPBELLSVILLE KY $30K
EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER INCORPORATED STANFORD KY $26K
THE JAMES B. HAGGIN MEMORIAL HOSPITAL INC HARRODSBURG KY $14K
TAYLOR REGIONAL MEDICAL GROUP,LLC GREENSBURG KY $11K
EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, INCORPORATED LIBERTY KY $168.69

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,556 $124K
2019 3,378 $78K
2020 2,675 $72K
2021 3,635 $114K
2022 4,668 $162K
2023 5,435 $170K
2024 4,170 $149K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13,694 12,217 $408K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,869 3,351 $188K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,022 949 $74K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 2,217 2,076 $62K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,187 1,036 $32K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 498 472 $26K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,828 1,683 $20K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 807 743 $19K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 490 466 $15K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,487 1,180 $12K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 77 71 $6K
36415 Collection of venous blood by venipuncture 1,038 953 $4K
99407 44 39 $482.90
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 15 14 $275.86
83036 Hemoglobin; glycosylated (A1C) 32 28 $166.75
81003 212 198 $39.11