Medicaid Provider Spending

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

NORTON SCOTT PHYSICIAN PRACTICES, LLC

NPI: 1780004788 · SCOTTSBURG, IN 47170 · Internal Medicine Physician · NPI assigned 04/17/2014

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

Authorized official GAST, SHELLEY controls 20+ related entities in our dataset. Read more

$86K
Total Medicaid Paid
4,829
Total Claims
4,133
Beneficiaries
16
Codes Billed
2018-01
First Month
2024-03
Last Month

Provider Details

Authorized OfficialGAST, SHELLEY (VP MANAGED CARE)
NPI Enumeration Date04/17/2014

Related Entities

Other providers sharing the same authorized official: GAST, SHELLEY

ProviderCityStateTotal Paid
NORTON HOSPITALS INC LOUISVILLE KY $419.58M
NORTON HOSPITALS, INC LOUISVILLE KY $299.00M
COMMUNITY MEDICAL ASSOCIATES, INC. LOUISVILLE KY $135.33M
NORTON CHILDRENS MEDICAL GROUP, LLC LOUISVILLE KY $107.36M
COMMUNITY MEDICAL ASSOCIATES, INC. LOUISVILLE KY $48.97M
NORTON CLARK HOSPITAL, LLC JEFFERSONVILLE IN $19.62M
NORTON - KINGS DAUGHTERS HEALTH INC MADISON IN $11.81M
NORTON SCOTT HOSPITAL, LLC SCOTTSBURG IN $9.17M
NORTON CLARK PHYSICIAN PRACTICES, LLC CLARKSVILLE IN $7.07M
NORTON HOSPITALS INC LOUISVILLE KY $3.38M
COMMUNITY MEDICAL ASSOCIATES, INC. LOUISVILLE KY $1.21M
NORTON CHILDREN'S MEDICAL GROUP, LLC LOUISVILLE KY $1.15M
COMMUNITY MEDICAL ASSOCIATES, INC. LOUISVILLE KY $957K
COMMUNITY MEDICAL ASSOCIATES, INC. LOUISVILLE KY $808K
NORTON SCOTT HOSPITAL, LLC SCOTTSBURG IN $560K
NORTON HOSPITALS, INC LOUISVILLE KY $438K
COMMUNITY MEDICAL ASSOCIATES, INC. LOUISVILLE KY $357K
NORTON CLARK PHYSICIAN PRACTICES, LLC SELLERSBURG IN $273K
NORTON CHILDREN'S MEDICAL GROUP, LLC LOUISVILLE KY $260K
NORTON CHILDREN'S MEDICAL GROUP, LLC LOUISVILLE KY $238K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 917 $28K
2020 35 $782.26
2021 174 $5K
2022 392 $17K
2023 2,512 $26K
2024 799 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,107 938 $57K
T1015 Clinic visit/encounter, all-inclusive 219 170 $11K
59425 94 36 $7K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 389 267 $5K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 41 38 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 99 65 $2K
83036 Hemoglobin; glycosylated (A1C) 89 76 $268.89
95251 18 17 $201.16
1160F 498 452 $0.00
1159F 498 452 $0.00
3078F 435 406 $0.00
3725F 48 46 $0.00
3008F 544 496 $0.00
1034F 50 46 $0.00
3074F 409 376 $0.00
1036F 291 252 $0.00