Medicaid Provider Spending

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

ST CLAIRE REGIONAL RADIOLOGY PHYSICIANS SERVICES

NPI: 1710987508 · MOREHEAD, KY 40351 · Diagnostic Radiology Physician · NPI assigned 07/22/2005

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

Authorized official LLOYD, DONALD controls 20+ related entities in our dataset. Read more

$1.83M
Total Medicaid Paid
122,796
Total Claims
105,420
Beneficiaries
47
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLLOYD, DONALD (CEO)
NPI Enumeration Date07/22/2005

Related Entities

Other providers sharing the same authorized official: LLOYD, DONALD

ProviderCityStateTotal Paid
ST CLAIRE MEDICAL CENTER INC MOREHEAD KY $71.27M
ST CLAIRE MEDICAL CENTER INC. MOREHEAD KY $4.05M
ST. CLAIRE MEDICAL CENTER, INC MOREHEAD KY $3.32M
ST CLAIRE MEDICAL CENTER, INC., MOREHEAD KY $3.31M
ST CLAIRE MEDICAL CENTER, INC MOREHEAD KY $3.29M
ST. CLAIRE MEDICAL CENTER, INC MOREHEAD KY $3.11M
ST CLAIRE MEDICAL CENTER, INC., MOREHEAD KY $2.42M
ST. CLAIRE MEDICAL CENTER MOREHEAD KY $2.40M
ST. CLAIRE MEDICAL CENTER, INC. MOREHEAD KY $2.09M
ST CLAIRE MEDICAL CENTER, INC., MOREHEAD KY $1.46M
ST. CLAIRE MEDICAL CENTER,INC OLIVE HILL KY $1.13M
ST. CLAIRE MEDICAL CENTER, INC OWINGSVILLE KY $964K
ST. CLAIRE MEDICAL CENTER,INC SANDY HOOK KY $948K
ST. CLAIRE MEDICAL CENTER, INC FRENCHBURG KY $877K
ST CLAIRE MEDICAL CENTER, INC MOREHEAD KY $760K
ST. CLAIRE MEDICAL CENTER, INC MOREHEAD KY $672K
ST. CLAIRE MEDICAL CENTER, INC. MOREHEAD KY $411K
ST. CLAIRE MEDICAL CENTER INC. MOREHEAD KY $371K
ST CLAIRE MEDICAL CENTER INC. MOREHEAD KY $115K
ST. CLAIRE MEDICAL CENTER, INC. MOREHEAD KY $20K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 17,293 $240K
2019 17,562 $237K
2020 14,820 $192K
2021 19,230 $269K
2022 18,764 $276K
2023 18,927 $334K
2024 16,200 $282K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
74177 Computed tomography, abdomen and pelvis; with contrast material 9,164 8,584 $521K
74176 Computed tomography, abdomen and pelvis; without contrast material 5,187 4,851 $266K
70450 Computed tomography, head or brain; without contrast material 9,150 8,405 $204K
71046 Radiologic examination, chest; 2 views 19,747 18,423 $122K
71045 Radiologic examination, chest; single view 27,551 18,450 $114K
76705 Ultrasound, abdominal, real time with image documentation; limited 4,983 4,713 $101K
71275 Computed tomographic angiography, chest, with contrast material 2,931 2,712 $90K
77067 Screening mammography, bilateral, including computer-aided detection 3,739 3,609 $87K
73630 6,105 5,358 $36K
76770 1,252 1,193 $25K
76700 Ultrasound, abdominal, real time with image documentation; complete 870 843 $25K
73610 3,369 3,127 $21K
74018 3,493 3,126 $18K
71250 639 600 $18K
71260 Computed tomography, thorax, diagnostic; with contrast material 453 433 $16K
73030 2,719 2,441 $15K
73130 2,328 2,074 $14K
72125 Computed tomography, cervical spine; without contrast material 369 338 $12K
73110 1,878 1,661 $11K
93971 786 744 $11K
93975 177 171 $10K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 128 127 $10K
93976 249 234 $9K
71271 289 265 $9K
77063 Screening digital breast tomosynthesis, bilateral 447 435 $9K
76830 Ultrasound, transvaginal 325 312 $8K
73562 1,375 1,124 $8K
72110 711 681 $7K
73564 911 779 $7K
73502 875 793 $4K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 79 79 $4K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 78 78 $4K
93970 190 178 $3K
70551 Magnetic resonance imaging, brain; without contrast material 66 64 $3K
70498 25 25 $1K
73590 177 150 $898.42
73090 129 116 $748.46
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 26 24 $673.40
74022 49 48 $581.32
73140 86 79 $408.03
73080 56 51 $346.67
76801 12 12 $345.16
74019 26 26 $211.41
73560 32 26 $123.50
G9637 Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) 6,296 4,928 $0.00
G9557 Final reports for ct, cta, mri or mra studies of the chest or neck without an incidentally found thyroid nodule < 1.0 cm noted or no nodule found 417 380 $0.00
G9551 Final reports for imaging studies without an incidentally found lesion noted 2,852 2,550 $0.00