Physician
Saint Joseph Health System INC
Saint Joseph Health System INC was paid $1.90M by Medicaid between Jan 2018 and Nov 2018, across 87 billing codes. Its largest line is 99283, emergency room visit (moderate) — 13% of everything it billed.
33Billing provider infoSAINT JOSEPH HEALTH SYSTEM INC
MARTIN, KY 41649
MARTIN, KY 41649
33aNPI1720086176assigned 07/11/2005
33bProvider typeEmergency Medicine Physician
28Total paid$1.90M
24GClaims28,620
24DCodes billed87
24AFirst – last monthJan 2018 – Nov 2018
Compared with peers
Next to other Emergency Medicine Physician providers in Kentucky
Rank by total paid#14 of 91
Median peer was paid$34K
This provider vs. median56×
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 | 28,620 | $1.90M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 13% | 1,919 | 1,731 | $246K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | 7.6% | 217 | 207 | $145K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 7.0% | 628 | 560 | $133K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 6.3% | 464 | 278 | $119K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 5.1% | 1,289 | 1,092 | $96K |
| 80053 | Comprehensive metabolic panel | 3.7% | 1,546 | 1,284 | $71K |
| 70450 | Computed tomography, head or brain; without contrast material | 3.5% | 196 | 164 | $66K |
| 71046 | Radiologic examination, chest; 2 views | 3.3% | 519 | 421 | $62K |
| 96361 | Intravenous infusion, hydration; each additional hour | 3.2% | 315 | 236 | $61K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 2.5% | 57 | 57 | $47K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.4% | 1,575 | 1,414 | $46K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 2.4% | 574 | 494 | $45K |
75 more codes
| 36415 | Collection of venous blood by venipuncture | 2.3% | 5,062 | $43K |
| 71250 | 2.3% | 162 | $43K | |
| 84443 | Thyroid stimulating hormone (TSH) | 1.9% | 598 | $37K |
| G0378 | Hospital observation service, per hour | 1.9% | 169 | $36K |
| 72131 | 1.9% | 84 | $35K | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 1.8% | 502 | $35K |
| 80061 | Lipid panel | 1.8% | 551 | $34K |
| 74150 | 1.7% | 76 | $31K | |
| 84484 | 1.2% | 341 | $24K | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 1.2% | 307 | $23K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.1% | 885 | $21K |
| 87400 | 1.1% | 768 | $20K | |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 1.0% | 352 | $19K |
| 71045 | Radiologic examination, chest; single view | <1% | 251 | $19K |
| 82607 | <1% | 292 | $18K | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 127 | $18K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 363 | $17K |
| 72128 | <1% | 39 | $17K | |
| 73564 | <1% | 114 | $15K | |
| 72100 | <1% | 100 | $14K | |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 173 | $14K |
| 87070 | <1% | 480 | $14K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 361 | $12K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 147 | $11K |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 27 | $11K |
| 83690 | <1% | 346 | $10K | |
| 73630 | <1% | 83 | $9K | |
| 73610 | <1% | 74 | $9K | |
| 87040 | <1% | 195 | $8K | |
| 82553 | <1% | 263 | $8K | |
| 82550 | <1% | 291 | $7K | |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 288 | $7K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 279 | $6K |
| 85027 | <1% | 213 | $6K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 428 | $6K |
| 80074 | <1% | 45 | $6K | |
| 83605 | <1% | 149 | $6K | |
| 81001 | <1% | 717 | $6K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 300 | $5K |
| 73030 | <1% | 49 | $5K | |
| 73130 | <1% | 53 | $5K | |
| 82150 | <1% | 267 | $5K | |
| 81025 | <1% | 284 | $4K | |
| 94664 | <1% | 198 | $4K | |
| 82043 | <1% | 97 | $4K | |
| 82746 | <1% | 115 | $4K | |
| 73110 | <1% | 36 | $4K | |
| 83735 | <1% | 179 | $4K | |
| 84439 | <1% | 44 | $4K | |
| 96376 | <1% | 145 | $3K | |
| 83880 | <1% | 49 | $3K | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 12 | $3K |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 231 | $2K |
| 12001 | <1% | 17 | $2K | |
| 96366 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour | <1% | 30 | $2K |
| J3490 | Unclassified drugs | <1% | 356 | $2K |
| 87186 | <1% | 152 | $2K | |
| 82570 | <1% | 92 | $2K | |
| 82962 | <1% | 76 | $2K | |
| 85610 | <1% | 165 | $2K | |
| 72040 | <1% | 15 | $2K | |
| 86308 | <1% | 50 | $1K | |
| 85379 | <1% | 30 | $1K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 47 | $1K |
| 96367 | <1% | 42 | $1K | |
| 81003 | <1% | 98 | $955.35 | |
| 85730 | <1% | 38 | $678.47 | |
| 36416 | <1% | 78 | $595.90 | |
| 87280 | <1% | 17 | $528.82 | |
| 83540 | <1% | 12 | $454.26 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 26 | $402.12 |
| J0595 | Injection, butorphanol tartrate, 1 mg | <1% | 49 | $280.28 |
| 84481 | <1% | 13 | $275.21 | |
| 85651 | <1% | 15 | $265.15 | |
| J8597 | Antiemetic drug, oral, not otherwise specified | <1% | 142 | $181.46 |
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 officialMCINTOSH, KIMBERLY (REVENUE REALIZATION CENTER MANAGER)
Parent organizationSAINT JOSEPH HEALTH SYSTEM INC
| Provider | Location | Paid |
|---|---|---|
| Saint Joseph Health System, INC | Lexington, KY | $85.54M |
| Saint Joseph Health System, INC | Lexington, KY | $67.41M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.