Medicaid Provider Spending

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

EPHRAIM MCDOWELL HEALTH RESOURCE, INC

NPI: 1750815379 · DANVILLE, KY 40422 · Audiologist · NPI assigned 04/20/2017

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

Authorized official SNAPP, WILLIAM controls 20+ related entities in our dataset. Read more

$995K
Total Medicaid Paid
23,045
Total Claims
20,693
Beneficiaries
16
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSNAPP, WILLIAM (CFO/VP)
NPI Enumeration Date04/20/2017

Related Entities

Other providers sharing the same authorized official: SNAPP, WILLIAM

ProviderCityStateTotal Paid
EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER INCORPORATED DANVILLE KY $59.95M
THE JAMES B. HAGGIN MEMORIAL HOSPITAL INC HARRODSBURG KY $13.83M
EPHRAIM MCDOWELL HEALTH RESOURCE,INC DANVILLE KY $869K
EPHRAIM MCDOWELL HEALTH RESOURCE, INC DANVILLE KY $671K
MCDOWELL HOME HEALTH AGENCY, INC. DANVILLE KY $631K
EPHRAIM MCDOWELL HEALTH RESOURCE, INC. LIBERTY KY $623K
EPHRAIM MCDOWELL HEALTH RESOURCE, INC. LANCASTER KY $517K
EPHRAIM MCDOWELL HEALTH RESOURCE, INC. SPRINGFIELD KY $478K
EPHRAIM MCDOWELL HEALTH RESOURCE, INC LANCASTER KY $434K
EPHRAIM MCDOWELL HEALTH RESOURCE, INC. HARRODSBURG KY $359K
EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, INCORPPORATED DANVILLE KY $324K
EPHRAIM MCDOWELL HEALTH RESOURCE, INC. DANVILLE KY $324K
THE JAMES B. HAGGIN MEMORIAL HOSPITAL INC. HARRODSBURG KY $257K
EPHRAIM MCDOWELL HEALTH RESOURCE, INC DANVILLE KY $139K
EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER INCORPORATED DANVILLE KY $134K
TRH ANESTHESIA LLC CAMPBELLSVILLE KY $30K
EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER INCORPORATED STANFORD KY $26K
THE JAMES B. HAGGIN MEMORIAL HOSPITAL INC HARRODSBURG KY $14K
TAYLOR REGIONAL MEDICAL GROUP,LLC GREENSBURG KY $11K
EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, INCORPORATED LIBERTY KY $168.69

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,131 $88K
2019 2,759 $101K
2020 3,021 $118K
2021 3,598 $135K
2022 4,578 $203K
2023 3,918 $188K
2024 3,040 $161K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 4,669 4,296 $402K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,470 3,893 $196K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,493 4,960 $168K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,207 1,098 $67K
92557 2,173 1,928 $44K
69210 2,417 2,148 $39K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 150 144 $21K
92567 1,267 1,155 $13K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 574 490 $13K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 238 227 $10K
42820 Tonsillectomy and adenoidectomy; younger than age 12 55 53 $10K
99205 Prolong outpt/office vis 50 50 $6K
99201 117 112 $3K
99215 Prolong outpt/office vis 17 14 $1K
92504 87 78 $852.57
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 61 47 $649.92