Baptist Health Medical Group INC
Baptist Health Medical Group INC was paid $271K by Medicaid between Nov 2021 and Oct 2024, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.
SOMERSET, KY 42501
Next to other Rural Health Clinic/Center 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 | |
|---|---|---|---|
| 2021 | 401 | $11K | |
| 2022 | 3,502 | $87K | |
| 2023 | 3,789 | $97K | |
| 2024incomplete | 2,487 | $76K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 50% | 4,105 | 3,544 | $135K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 33% | 1,714 | 1,602 | $90K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 6.9% | 1,438 | 1,219 | $19K |
| 87428 | 4.6% | 306 | 287 | $13K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.5% | 74 | 71 | $4K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.3% | 41 | 40 | $4K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.0% | 30 | 29 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 189 | 182 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 63 | 57 | $1K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 162 | 158 | $1K |
| 81002 | <1% | 763 | 725 | $888.64 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 334 | 302 | $294.26 |
7 more codes
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
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.