Medicaid Provider Spending

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

BAPTIST HEALTH MEDICAL GROUP INC

NPI: 1730734229 · MADISONVILLE, KY 42431 · Rural Health Clinic/Center · NPI assigned 08/02/2019

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

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

$417K
Total Medicaid Paid
15,107
Total Claims
12,867
Beneficiaries
14
Codes Billed
2020-02
First Month
2021-08
Last Month

Provider Details

Authorized OfficialCLAY, DANYEL (EXECUTIVE DIRECTOR REVENUE CYCLE)
Parent OrganizationBAPTIST HEALTH MEDICAL GROUP INC
NPI Enumeration Date08/02/2019

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 CORBIN KY $1.91M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 7,426 $199K
2021 7,681 $218K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,910 6,877 $226K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,274 1,901 $93K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,173 1,099 $27K
87428 319 261 $17K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 624 541 $16K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 913 599 $14K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 151 134 $9K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 857 689 $8K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 527 437 $6K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 86 84 $1K
71046 Radiologic examination, chest; 2 views 130 111 $1K
87807 38 37 $317.19
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 25 25 $159.49
J1885 Injection, ketorolac tromethamine, per 15 mg 80 72 $148.98