Agency
ST. Claire Medical Center, INC
ST. Claire Medical Center, INC was paid $3.11M by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is G0299, Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes — 65% of everything it billed.
33Billing provider infoST. CLAIRE MEDICAL CENTER, INC
MOREHEAD, KY 40351
MOREHEAD, KY 40351
33aNPI1760477848assigned 09/15/2005
33bProvider typeHome Health Agency
28Total paid$3.11M
24GClaims55,667
24DCodes billed20
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Home Health Agency providers in Kentucky
Rank by total paid#9 of 37
Median peer was paid$611K
This provider vs. median5.1×
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.
Entity ProliferationAuthorized official LLOYD, DONALD controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 8,776 | $399K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | 65% | 31,212 | 7,007 | $2.03M |
| G0151 | Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes | 17% | 9,154 | 2,678 | $534K |
| G0152 | Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes | 8.7% | 5,147 | 1,516 | $272K |
| G0157 | Services performed by a qualified physical therapist assistant in the home health or hospice setting, each 15 minutes | 3.9% | 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 | 2.6% | 1,434 | 635 | $82K |
| G0158 | Services performed by a qualified occupational therapist assistant in the home health or hospice setting, each 15 minutes | <1% | 828 | 200 | $31K |
| T4541 | Incontinence product, disposable underpad, large, each | <1% | 378 | 290 | $15K |
| A6216 | Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 1,473 | 941 | $7K |
| A6260 | Wound cleansers, any type, any size | <1% | 396 | 282 | $4K |
| G0153 | Services performed by a qualified speech-language pathologist in the home health or hospice setting, each 15 minutes | <1% | 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 | <1% | 544 | 337 | $4K |
| G0156 | Services of home health/hospice aide in home health or hospice settings, each 15 minutes | <1% | 108 | 12 | $3K |
8 more codes
| T4542 | Incontinence product, disposable underpad, small size, each | <1% | 238 | $3K |
| A4217 | Sterile water/saline, 500 ml | <1% | 421 | $2K |
| G0155 | Services of clinical social worker in home health or hospice settings, each 15 minutes | <1% | 27 | $2K |
| A6449 | Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard | <1% | 58 | $635.98 |
| A6219 | Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing | <1% | 26 | $227.85 |
| A4649 | Surgical supply; miscellaneous | <1% | 372 | $65.99 |
| Q5001 | Hospice or home health care provided in patient's home/residence | 0% | 885 | $0.00 |
| A9999 | Miscellaneous dme supply or accessory, not otherwise specified | 0% | 23 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialLLOYD, DONALD (PRESIDENT/CEO)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.