ST Claire Regional Radiology Physicians Services
ST Claire Regional Radiology Physicians Services was paid $1.83M by Medicaid between Jan 2018 and Dec 2024, across 47 billing codes. Its largest line is 74177, Computed tomography, abdomen and pelvis; with contrast material — 29% of everything it billed.
MOREHEAD, KY 40351
Next to other Diagnostic Radiology Physician providers in Kentucky
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 16,200 | $282K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 29% | 9,164 | 8,584 | $521K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | 15% | 5,187 | 4,851 | $266K |
| 70450 | Computed tomography, head or brain; without contrast material | 11% | 9,150 | 8,405 | $204K |
| 71046 | Radiologic examination, chest; 2 views | 6.7% | 19,747 | 18,423 | $122K |
| 71045 | Radiologic examination, chest; single view | 6.2% | 27,551 | 18,450 | $114K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | 5.5% | 4,983 | 4,713 | $101K |
| 71275 | Computed tomographic angiography, chest, with contrast material | 4.9% | 2,931 | 2,712 | $90K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 4.7% | 3,739 | 3,609 | $87K |
| 73630 | 2.0% | 6,105 | 5,358 | $36K | |
| 76770 | 1.4% | 1,252 | 1,193 | $25K | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | 1.4% | 870 | 843 | $25K |
| 73610 | 1.1% | 3,369 | 3,127 | $21K |
35 more codes
| 74018 | 1.0% | 3,493 | $18K | |
| 71250 | <1% | 639 | $18K | |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | <1% | 453 | $16K |
| 73030 | <1% | 2,719 | $15K | |
| 73130 | <1% | 2,328 | $14K | |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 369 | $12K |
| 73110 | <1% | 1,878 | $11K | |
| 93971 | <1% | 786 | $11K | |
| 93975 | <1% | 177 | $10K | |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | <1% | 128 | $10K |
| 93976 | <1% | 249 | $9K | |
| 71271 | <1% | 289 | $9K | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 447 | $9K |
| 76830 | Ultrasound, transvaginal | <1% | 325 | $8K |
| 73562 | <1% | 1,375 | $8K | |
| 72110 | <1% | 711 | $7K | |
| 73564 | <1% | 911 | $7K | |
| 73502 | <1% | 875 | $4K | |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | <1% | 79 | $4K |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | <1% | 78 | $4K |
| 93970 | <1% | 190 | $3K | |
| 70551 | Magnetic resonance imaging, brain; without contrast material | <1% | 66 | $3K |
| 70498 | <1% | 25 | $1K | |
| 73590 | <1% | 177 | $898.42 | |
| 73090 | <1% | 129 | $748.46 | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 26 | $673.40 |
| 74022 | <1% | 49 | $581.32 | |
| 73140 | <1% | 86 | $408.03 | |
| 73080 | <1% | 56 | $346.67 | |
| 76801 | <1% | 12 | $345.16 | |
| 74019 | <1% | 26 | $211.41 | |
| 73560 | <1% | 32 | $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) | 0% | 6,296 | $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 | 0% | 417 | $0.00 |
| G9551 | Final reports for imaging studies without an incidentally found lesion noted | 0% | 2,852 | $0.00 |
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.
Who's on the registration
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.