Medicaid Provider Spending

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

ST. CLAIRE MEDICAL CENTER, INC

NPI: 1760477848 · MOREHEAD, KY 40351 · Home Health Agency · NPI assigned 09/15/2005

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

Authorized official LLOYD, DONALD controls 20+ related entities in our dataset. Read more

$3.11M
Total Medicaid Paid
55,667
Total Claims
16,161
Beneficiaries
20
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLLOYD, DONALD (PRESIDENT/CEO)
NPI Enumeration Date09/15/2005

Related Entities

Other providers sharing the same authorized official: LLOYD, DONALD

ProviderCityStateTotal Paid
ST CLAIRE MEDICAL CENTER INC MOREHEAD KY $71.27M
ST CLAIRE MEDICAL CENTER INC. MOREHEAD KY $4.05M
ST. CLAIRE MEDICAL CENTER, INC MOREHEAD KY $3.32M
ST CLAIRE MEDICAL CENTER, INC., MOREHEAD KY $3.31M
ST CLAIRE MEDICAL CENTER, INC MOREHEAD KY $3.29M
ST CLAIRE MEDICAL CENTER, INC., MOREHEAD KY $2.42M
ST. CLAIRE MEDICAL CENTER MOREHEAD KY $2.40M
ST. CLAIRE MEDICAL CENTER, INC. MOREHEAD KY $2.09M
ST CLAIRE REGIONAL RADIOLOGY PHYSICIANS SERVICES MOREHEAD KY $1.83M
ST CLAIRE MEDICAL CENTER, INC., MOREHEAD KY $1.46M
ST. CLAIRE MEDICAL CENTER,INC OLIVE HILL KY $1.13M
ST. CLAIRE MEDICAL CENTER, INC OWINGSVILLE KY $964K
ST. CLAIRE MEDICAL CENTER,INC SANDY HOOK KY $948K
ST. CLAIRE MEDICAL CENTER, INC FRENCHBURG KY $877K
ST CLAIRE MEDICAL CENTER, INC MOREHEAD KY $760K
ST. CLAIRE MEDICAL CENTER, INC MOREHEAD KY $672K
ST. CLAIRE MEDICAL CENTER, INC. MOREHEAD KY $411K
ST. CLAIRE MEDICAL CENTER INC. MOREHEAD KY $371K
ST CLAIRE MEDICAL CENTER INC. MOREHEAD KY $115K
ST. CLAIRE MEDICAL CENTER, INC. MOREHEAD KY $20K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,143 $459K
2019 5,254 $409K
2020 5,110 $352K
2021 6,023 $373K
2022 12,029 $524K
2023 12,332 $597K
2024 8,776 $399K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0299 Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes 31,212 7,007 $2.03M
G0151 Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes 9,154 2,678 $534K
G0152 Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes 5,147 1,516 $272K
G0157 Services performed by a qualified physical therapist assistant in the home health or hospice setting, each 15 minutes 2,813 717 $121K
G0300 Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes 1,434 635 $82K
G0158 Services performed by a qualified occupational therapist assistant in the home health or hospice setting, each 15 minutes 828 200 $31K
T4541 Incontinence product, disposable underpad, large, each 378 290 $15K
A6216 Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 1,473 941 $7K
A6260 Wound cleansers, any type, any size 396 282 $4K
G0153 Services performed by a qualified speech-language pathologist in the home health or hospice setting, each 15 minutes 130 25 $4K
A6446 Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard 544 337 $4K
G0156 Services of home health/hospice aide in home health or hospice settings, each 15 minutes 108 12 $3K
T4542 Incontinence product, disposable underpad, small size, each 238 165 $3K
A4217 Sterile water/saline, 500 ml 421 261 $2K
G0155 Services of clinical social worker in home health or hospice settings, each 15 minutes 27 25 $2K
A6449 Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard 58 36 $635.98
A6219 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing 26 16 $227.85
A4649 Surgical supply; miscellaneous 372 187 $65.99
Q5001 Hospice or home health care provided in patient's home/residence 885 817 $0.00
A9999 Miscellaneous dme supply or accessory, not otherwise specified 23 14 $0.00