Medicaid Provider Spending

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

NORTON CHILDREN'S MEDICAL GROUP, LLC

NPI: 1710528336 · LOUISVILLE, KY 40241 · Clinical Cardiac Electrophysiology Physician · NPI assigned 10/04/2019

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

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

$260K
Total Medicaid Paid
7,711
Total Claims
6,225
Beneficiaries
11
Codes Billed
2020-05
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGAST, SHELLEY (SYST VP OF MNGD CARE & PAYOR STRAT)
NPI Enumeration Date10/04/2019

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 SCOTT HOSPITAL, LLC SCOTTSBURG IN $560K
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 $238K
NORTON CHILDREN'S MEDICAL GROUP, LLC LOUISVILLE KY $189K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 187 $673.95
2021 874 $21K
2022 2,223 $61K
2023 2,584 $96K
2024 1,843 $81K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 561 509 $78K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 542 510 $75K
93000 1,910 1,553 $20K
93320 574 523 $19K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 235 207 $16K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 2,673 1,888 $13K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 114 96 $12K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 150 118 $10K
93325 852 745 $10K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 87 64 $4K
99215 Prolong outpt/office vis 13 12 $2K