ST. Elizabeth Medical Center, INC.

ST. Elizabeth Medical Center, INC. was paid $1.77M by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.

33Billing provider infoST. ELIZABETH MEDICAL CENTER, INC.
EDGEWOOD, KY 41017

33aNPI1710001185assigned 03/19/2007

33bProvider typeSocial Worker

28Total paid$1.77M

24GClaims44,021

24DCodes billed26

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Social Worker providers in Kentucky

Rank by total paid#5 of 37

Median peer was paid$77K

This provider vs. median23×

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	7,297	$265K
2019	6,340	$245K
2020	5,823	$233K
2021	7,372	$310K
2022	6,148	$245K
2023	6,521	$268K
2024incomplete	4,520	$208K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	56%	25,890	23,764	$995K
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	28%	9,078	8,519	$503K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	4.6%	2,687	940	$82K
90460	Immunization administration through 18 years of age via any route, first or only component	2.2%	1,072	1,047	$39K
99223	Prolong inpt eval add15 m	2.1%	475	429	$38K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	2.1%	972	476	$37K
90686		<1%	979	952	$12K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	631	609	$11K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	323	221	$10K
99238	Hospital discharge day management, 30 minutes or less	<1%	229	213	$9K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	105	101	$8K
90461		<1%	252	245	$8K

14 more codes

99239	Hospital discharge day management, more than 30 minutes	<1%	157	$7K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	<1%	52	$4K
99308	Subsequent nursing facility care, per day, straightforward	<1%	386	$2K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	16	$2K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	88	$1K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	24	$980.31
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	<1%	13	$966.54
99307		<1%	136	$942.73
99222	Initial hospital care, per day, moderate complexity	<1%	18	$773.51
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	32	$501.90
81003		<1%	289	$376.74
81025		<1%	44	$252.64
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	12	$188.18
90633		<1%	61	$49.00

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 officialGRAMANN, TIMOTHY (DIRECTOR FAMILY PRACTICE CENTER ADM)

Parent organizationST. ELIZABETH MEDICAL CENTER, INC.