Medicaid Provider Spending

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

MERCY HEALTH PHYSICIANS KENTUCKY SPECIALTY CARE LLC

NPI: 1700408093 · PADUCAH, KY 42003 · Psychologist · NPI assigned 05/11/2020

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

Authorized official RALSTON, KIMBERLY controls 20+ related entities in our dataset. Read more

$4.72M
Total Medicaid Paid
229,198
Total Claims
182,052
Beneficiaries
129
Codes Billed
2021-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRALSTON, KIMBERLY (SYSTEM DIRECTOR)
NPI Enumeration Date05/11/2020

Related Entities

Other providers sharing the same authorized official: RALSTON, KIMBERLY

ProviderCityStateTotal Paid
BON SECOURS ST. MARY'S HOSPITAL OF RICHMOND LLC RICHMOND VA $83.03M
MARYVIEW HOSPITAL LLC PORTSMOUTH VA $75.03M
BON SECOURS-RICHMOND COMMUNITY HOSPITAL LLC RICHMOND VA $57.21M
BON SECOURS ST FRANCIS MEDICAL CENTER LLC MIDLOTHIAN VA $44.86M
MERCY HEALTH YOUNGSTOWN LLC WARREN OH $43.63M
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER LLC MECHANICSVILLE VA $42.02M
MERCY HEALTH YOUNGSTOWN LLC YOUNGSTOWN OH $36.60M
MERCY HEALTH - FAIRFIELD HOSPITAL LLC FAIRFIELD OH $25.17M
MARY IMMACULATE HOSPITAL LLC NEWPORT NEWS VA $24.51M
ST FRANCIS HOSPITAL INC GREENVILLE SC $17.81M
NWO INTEGRATED LABORATORIES MERCY LLC TOLEDO OH $13.47M
HOSPICE OF THE VALLEY, INC. GIRARD OH $13.33M
MERCY HEALTH - TIFFIN HOSPITAL LLC TIFFIN OH $12.99M
MERCY HEALTH - DEFIANCE HOSPITAL LLC DEFIANCE OH $11.90M
BON SECOURS DEPAUL MEDICAL CENTER LLC NORFOLK VA $11.59M
COMMUNITY MERCY HEALTH PARTNERS URBANA OH $8.81M
MERCY HEALTH-ALLEN HOSPITAL LLC OBERLIN OH $8.61M
CHESAPEAKE HOSPITAL LLC KILMARNOCK VA $6.00M
MARYVIEW HOSPITAL, LLC SUFFOLK VA $3.48M
ROPER ST FRANCIS ANCILLARY SERVICES LADSON SC $3.33M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 43,728 $805K
2022 65,046 $1.19M
2023 70,067 $1.47M
2024 50,357 $1.27M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 52,650 42,343 $1.36M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 29,315 25,465 $1.03M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 4,777 4,042 $285K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,838 3,169 $149K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2,087 1,624 $142K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 18,578 14,821 $121K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 10,454 4,709 $119K
99223 Prolong inpt eval add15 m 1,400 1,210 $115K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 9,623 8,666 $106K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2,881 2,549 $99K
99239 Hospital discharge day management, more than 30 minutes 1,628 1,427 $86K
90792 Psychiatric diagnostic evaluation with medical services 1,113 1,002 $84K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 777 607 $83K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 167 151 $81K
95806 1,008 658 $79K
99232 Subsequent hospital care, per day, moderate complexity 2,663 1,281 $73K
99233 Prolong inpt eval add15 m 1,664 751 $59K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 389 310 $42K
90837 Psychotherapy, 53 minutes with patient 647 485 $35K
95886 543 478 $31K
99215 Prolong outpt/office vis 593 467 $29K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 819 798 $28K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 566 457 $26K
74177 Computed tomography, abdomen and pelvis; with contrast material 471 433 $25K
45380 Colonoscopy, flexible; with biopsy, single or multiple 243 196 $25K
97597 1,657 975 $25K
20553 1,616 1,301 $24K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,396 1,035 $22K
99238 Hospital discharge day management, 30 minutes or less 682 608 $20K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 147 103 $19K
99443 430 390 $19K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,228 636 $18K
90834 Psychotherapy, 45 minutes with patient 399 322 $16K
90791 Psychiatric diagnostic evaluation 250 222 $16K
92567 2,000 1,639 $14K
95810 Polysomnography; sleep staging with 4 or more additional parameters 138 125 $13K
70450 Computed tomography, head or brain; without contrast material 620 541 $13K
71045 Radiologic examination, chest; single view 2,652 2,287 $11K
64615 139 130 $10K
76942 598 548 $10K
92587 507 426 $10K
93000 832 759 $9K
77067 Screening mammography, bilateral, including computer-aided detection 509 428 $9K
99254 79 70 $8K
99243 118 98 $7K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 248 213 $7K
93923 393 377 $7K
93971 476 424 $6K
64405 175 135 $6K
20611 218 184 $5K
76830 Ultrasound, transvaginal 216 193 $5K
99222 Initial hospital care, per day, moderate complexity 108 101 $5K
99205 Prolong outpt/office vis 66 44 $4K
99442 139 129 $4K
92553 236 201 $4K
99242 64 57 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 67 65 $3K
94060 228 209 $3K
71046 Radiologic examination, chest; 2 views 506 458 $3K
93880 198 185 $3K
93016 240 207 $3K
99253 38 37 $3K
42820 Tonsillectomy and adenoidectomy; younger than age 12 12 12 $2K
76705 Ultrasound, abdominal, real time with image documentation; limited 128 118 $2K
76642 118 93 $2K
93018 242 208 $2K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 94 29 $2K
51798 339 303 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 80 70 $2K
43450 123 97 $2K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 37 28 $2K
81025 280 254 $2K
20610 47 47 $2K
69210 185 113 $2K
64450 108 84 $2K
94726 244 224 $2K
99244 Office or other outpatient consultation, moderate to high complexity 17 15 $2K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 122 81 $2K
94729 343 317 $2K
74176 Computed tomography, abdomen and pelvis; without contrast material 49 41 $2K
72125 Computed tomography, cervical spine; without contrast material 41 38 $1K
93458 13 12 $1K
93970 81 74 $1K
90832 Psychotherapy, 30 minutes with patient 38 31 $1K
20552 94 83 $937.65
92552 114 96 $819.99
98968 70 59 $799.40
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 560 453 $643.44
95909 12 12 $625.08
77063 Screening digital breast tomosynthesis, bilateral 34 31 $552.97
31575 15 13 $526.24
J1100 Injection, dexamethasone sodium phosphate, 1 mg 528 470 $467.43
99221 12 12 $436.71
81002 725 645 $414.74
74018 84 75 $405.60
77066 Tomosynthesis, mammo 14 12 $392.99
87807 33 33 $381.75
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 31 31 $351.23
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results 32 29 $349.57
77065 Tomosynthesis, mammo 16 13 $343.95
93298 32 29 $332.89
J0696 Injection, ceftriaxone sodium, per 250 mg 13 12 $318.01
95816 18 13 $308.99
73030 55 43 $272.61
73630 19 19 $271.68
94618 28 13 $252.10
71275 Computed tomographic angiography, chest, with contrast material 13 12 $231.74
94727 26 25 $220.96
99406 33 26 $208.20
76536 12 12 $190.16
73560 36 32 $162.28
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 18 18 $153.43
81001 184 158 $152.79
72100 26 24 $120.04
93356 15 15 $107.12
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 15 15 $52.76
81003 64 47 $27.11
G8484 Influenza immunization was not administered, reason not given 15,277 12,007 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 20,409 16,306 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 5,697 4,522 $0.00
4004F 342 267 $0.00
3078F 13 12 $0.00
3017F 1,399 1,094 $0.00
1036F 10,409 8,001 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 108 78 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 725 433 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 542 465 $0.00
99024 35 25 $0.00
3074F 13 12 $0.00