Medicaid Provider Spending

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

BAPTIST HEALTH MEDICAL GROUP INC

NPI: 1720573934 · CORBIN, KY 40701 · Rural Health Clinic/Center · NPI assigned 06/29/2018

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

Authorized official CLAY, DANYEL controls 20+ related entities in our dataset. Read more

$1.91M
Total Medicaid Paid
47,315
Total Claims
39,392
Beneficiaries
31
Codes Billed
2018-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCLAY, DANYEL (VP, REVENUE CYCLE)
NPI Enumeration Date06/29/2018

Related Entities

Other providers sharing the same authorized official: CLAY, DANYEL

ProviderCityStateTotal Paid
BAPTIST HEALTH MEDICAL GROUP INC LEXINGTON KY $54.04M
BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY $28.00M
BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY $26.58M
BAPTIST HEALTH MEDICAL GROUP INC PADUCAH KY $21.94M
BAPTIST HEALTH MEDICAL GROUP INC ELIZABETHTOWN KY $13.60M
BAPTIST HEALTH MEDICAL GROUP INC RICHMOND KY $1.84M
BAPTIST HEALTH MEDICAL GROUP INC BARBOURVILLE KY $1.60M
BAPTIST HEALTH MEDICAL GROUP INC RICHMOND KY $1.59M
BAPTIST HEALTH DEACONESS MEDICAL GROUP INC MADISONVILLE KY $1.53M
BAPTIST HEALTH DEACONESS MEDICAL GROUP INC MADISONVILLE KY $1.41M
BAPTIST HEALTH MEDICAL GROUP INC POWDERLY KY $1.29M
BAPTIST HEALTH DEACONESS MEDICAL GROUP INC POWDERLY KY $1.14M
BAPTIST HEALTH MEDICAL GROUP INC RICHMOND KY $1.06M
BAPTIST HEALTH MEDICAL GROUP INC BRANDENBURG KY $925K
BAPTIST HEALTH MEDICAL GROUP INC BEREA KY $914K
BAPTIST HEALTH MEDICAL GROUP INC GEORGETOWN KY $758K
BAPTIST HEALTH DEACONESS MEDICAL GROUP INC HOPKINSVILLE KY $680K
BAPTIST HEALTH MEDICAL GROUP, INC. JEFFERSONVILLE IN $637K
BAPTIST HEALTH MEDICAL GROUP INC HOPKINSVILLE KY $514K
BAPTIST HEALTH MEDICAL GROUP INC MADISONVILLE KY $417K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,480 $78K
2019 7,540 $261K
2020 6,773 $263K
2021 7,288 $261K
2022 8,439 $369K
2023 8,428 $366K
2024 6,367 $314K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 28,946 24,544 $1.25M
90834 Psychotherapy, 45 minutes with patient 5,079 3,624 $252K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,350 7,171 $247K
90837 Psychotherapy, 53 minutes with patient 735 476 $56K
90792 Psychiatric diagnostic evaluation with medical services 575 545 $44K
99442 384 262 $10K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 117 104 $10K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 750 570 $8K
90791 Psychiatric diagnostic evaluation 97 89 $8K
90832 Psychotherapy, 30 minutes with patient 150 129 $6K
87428 150 141 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 313 287 $4K
90785 493 417 $4K
99441 165 104 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 44 40 $3K
90686 167 163 $2K
90674 126 110 $2K
90887 34 30 $929.65
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 26 25 $528.64
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 17 13 $454.48
93000 19 17 $277.18
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 12 12 $176.70
90656 12 12 $170.90
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 23 17 $147.28
82962 28 26 $51.84
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 41 25 $49.91
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 19 15 $49.40
82948 17 14 $38.84
1160F 206 198 $0.00
1159F 206 198 $0.00
888888 14 14 $0.00