Medicaid Provider Spending

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

BAPTIST HEALTH MEDICAL GROUP INC

NPI: 1780961300 · LOUISVILLE, KY 40299 · Psychologist · NPI assigned 11/10/2011

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

Authorized official CLAY, DANYEL controls 20+ related entities in our dataset. Read more

$28.00M
Total Medicaid Paid
852,837
Total Claims
683,798
Beneficiaries
184
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCLAY, DANYEL (VP, REVENUE CYCLE)
NPI Enumeration Date11/10/2011

Related Entities

Other providers sharing the same authorized official: CLAY, DANYEL

ProviderCityStateTotal Paid
BAPTIST HEALTH MEDICAL GROUP INC LEXINGTON KY $54.04M
BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY $26.58M
BAPTIST HEALTH MEDICAL GROUP INC PADUCAH KY $21.94M
BAPTIST HEALTH MEDICAL GROUP INC ELIZABETHTOWN KY $13.60M
BAPTIST HEALTH MEDICAL GROUP INC CORBIN KY $1.91M
BAPTIST HEALTH MEDICAL GROUP INC RICHMOND KY $1.84M
BAPTIST HEALTH MEDICAL GROUP INC BARBOURVILLE KY $1.60M
BAPTIST HEALTH MEDICAL GROUP INC RICHMOND KY $1.59M
BAPTIST HEALTH DEACONESS MEDICAL GROUP INC MADISONVILLE KY $1.53M
BAPTIST HEALTH DEACONESS MEDICAL GROUP INC MADISONVILLE KY $1.41M
BAPTIST HEALTH MEDICAL GROUP INC POWDERLY KY $1.29M
BAPTIST HEALTH DEACONESS MEDICAL GROUP INC POWDERLY KY $1.14M
BAPTIST HEALTH MEDICAL GROUP INC RICHMOND KY $1.06M
BAPTIST HEALTH MEDICAL GROUP INC BRANDENBURG KY $925K
BAPTIST HEALTH MEDICAL GROUP INC BEREA KY $914K
BAPTIST HEALTH MEDICAL GROUP INC GEORGETOWN KY $758K
BAPTIST HEALTH DEACONESS MEDICAL GROUP INC HOPKINSVILLE KY $680K
BAPTIST HEALTH MEDICAL GROUP, INC. JEFFERSONVILLE IN $637K
BAPTIST HEALTH MEDICAL GROUP INC HOPKINSVILLE KY $514K
BAPTIST HEALTH MEDICAL GROUP INC MADISONVILLE KY $417K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 148,632 $2.79M
2019 112,798 $3.50M
2020 95,899 $3.12M
2021 115,939 $4.46M
2022 131,816 $4.86M
2023 142,814 $5.05M
2024 104,939 $4.22M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 225,092 189,690 $10.88M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 220,948 178,888 $7.71M
99232 Subsequent hospital care, per day, moderate complexity 47,117 17,276 $891K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 23,877 21,348 $779K
43775 1,415 1,071 $644K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 9,479 8,453 $566K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 7,652 6,949 $534K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 87,305 69,974 $475K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 7,698 6,595 $425K
99215 Prolong outpt/office vis 6,399 5,145 $365K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 6,664 5,913 $348K
99284 Emergency department visit for the evaluation and management, high severity 5,372 5,052 $347K
99233 Prolong inpt eval add15 m 11,559 4,791 $329K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 3,566 3,445 $245K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,899 1,710 $241K
93000 23,725 20,346 $182K
99282 Emergency department visit for the evaluation and management, low to moderate severity 7,209 6,844 $163K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,382 1,874 $155K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 4,455 4,034 $143K
76819 Fetal biophysical profile; without non-stress testing 4,309 2,224 $135K
95886 2,203 1,616 $135K
99239 Hospital discharge day management, more than 30 minutes 4,885 4,050 $129K
20610 4,400 3,476 $116K
76830 Ultrasound, transvaginal 1,682 1,600 $105K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,294 3,573 $102K
81025 15,567 14,535 $101K
99222 Initial hospital care, per day, moderate complexity 2,740 2,213 $88K
77067 Screening mammography, bilateral, including computer-aided detection 3,155 3,063 $85K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 1,454 1,388 $85K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,068 882 $80K
99223 Prolong inpt eval add15 m 1,973 1,508 $80K
95806 1,050 927 $79K
99283 Emergency department visit for the evaluation and management, moderate severity 1,979 1,892 $77K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 6,834 5,386 $57K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 609 588 $56K
99219 1,726 1,451 $53K
93018 6,035 5,404 $50K
99217 2,145 1,910 $45K
90792 Psychiatric diagnostic evaluation with medical services 593 455 $44K
77063 Screening digital breast tomosynthesis, bilateral 1,849 1,791 $41K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,532 2,097 $32K
90686 2,699 2,173 $29K
62323 561 383 $28K
73630 1,900 1,617 $27K
59025 Fetal non-stress test 1,066 765 $26K
99220 566 512 $25K
90837 Psychotherapy, 53 minutes with patient 431 303 $24K
99244 Office or other outpatient consultation, moderate to high complexity 226 213 $24K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 306 219 $23K
93016 2,103 1,860 $20K
90834 Psychotherapy, 45 minutes with patient 532 355 $20K
93296 2,742 2,348 $20K
99238 Hospital discharge day management, 30 minutes or less 935 764 $18K
J1040 Injection, methylprednisolone acetate, 80 mg 1,396 1,184 $18K
76820 993 362 $18K
90791 Psychiatric diagnostic evaluation 201 172 $17K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,694 884 $17K
95810 Polysomnography; sleep staging with 4 or more additional parameters 177 164 $16K
99442 1,659 878 $16K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 387 365 $16K
90472 Immunization administration, each additional vaccine (list separately) 1,899 1,316 $14K
99308 Subsequent nursing facility care, per day, straightforward 1,488 1,194 $14K
99307 1,280 1,160 $14K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results 458 438 $13K
45380 Colonoscopy, flexible; with biopsy, single or multiple 148 119 $12K
95908 182 167 $12K
76641 349 322 $12K
99205 Prolong outpt/office vis 212 198 $12K
59410 15 15 $11K
36415 Collection of venous blood by venipuncture 6,194 5,236 $11K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 925 458 $10K
90674 857 764 $10K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 1,518 1,342 $10K
99221 560 356 $10K
99309 Subsequent nursing facility care, per day, low to moderate complexity 611 567 $9K
93970 910 638 $9K
11721 809 668 $8K
99460 145 136 $8K
95910 87 81 $8K
73030 530 452 $8K
95251 507 435 $8K
99459 491 472 $7K
93298 527 504 $7K
77427 107 53 $7K
99225 490 322 $7K
93971 755 609 $7K
93458 204 190 $6K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 75 56 $6K
93295 374 313 $6K
99406 744 660 $6K
99443 565 459 $6K
99385 67 64 $5K
82962 5,634 4,379 $5K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 33 25 $5K
97597 240 115 $5K
99243 85 67 $4K
73562 220 205 $4K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 171 123 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 388 315 $4K
73610 235 198 $4K
81002 2,030 1,798 $3K
93356 334 294 $3K
90670 568 398 $3K
49083 54 39 $3K
90715 108 104 $3K
96127 666 609 $3K
43245 21 14 $3K
99480 Subsequent intensive care, per day, low birth weight infant 39 14 $3K
90651 35 24 $3K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 65 64 $3K
99441 377 233 $2K
93294 341 276 $2K
76801 30 24 $2K
87428 90 80 $2K
99462 83 46 $2K
76642 66 66 $2K
83036 Hemoglobin; glycosylated (A1C) 391 347 $2K
77334 37 24 $2K
95811 16 15 $2K
99305 86 64 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 55 51 $2K
93880 291 172 $2K
90656 89 88 $1K
80305 177 150 $1K
99497 248 158 $1K
72100 121 100 $1K
90474 158 111 $944.90
27096 12 12 $732.97
0124A 29 28 $680.00
77300 13 12 $608.56
99422 32 30 $494.47
73560 47 38 $482.41
99152 35 26 $472.98
93299 24 24 $426.47
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 15 12 $364.07
81003 629 467 $347.99
93922 69 58 $310.53
72120 21 16 $246.62
90688 12 12 $245.76
99416 Prolong outpt/office vis 75 37 $222.18
85025 Blood count; complete (CBC), automated, and automated differential WBC count 40 34 $218.83
97760 14 12 $209.41
90744 38 25 $189.46
93248 20 12 $179.02
90710 50 28 $173.00
90680 164 111 $172.50
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 225 180 $160.68
90460 Immunization administration through 18 years of age via any route, first or only component 197 139 $146.36
87807 16 12 $144.10
73120 13 12 $141.14
J1010 Injection, methylprednisolone acetate, 1 mg 13 12 $135.12
90461 123 73 $131.53
99421 15 14 $122.60
99415 Prolong outpt/office vis 75 37 $119.47
93297 14 13 $105.35
90698 203 135 $90.56
93793 16 12 $65.46
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 776 576 $64.63
11055 16 12 $51.83
93280 31 24 $41.91
36416 17 14 $32.69
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 75 51 $24.95
2014F 4,232 4,105 $6.39
3008F 2,968 2,877 $6.25
0503F 52 51 $0.03
1159F 2,471 2,397 $0.00
1160F 2,444 2,370 $0.00
3078F 95 95 $0.00
97803 48 45 $0.00
T1015 Clinic visit/encounter, all-inclusive 179 141 $0.00
90633 60 40 $0.00
71046 Radiologic examination, chest; 2 views 16 14 $0.00
90734 21 13 $0.00
73130 17 14 $0.00
3077F 12 12 $0.00
1125F 1,162 1,112 $0.00
3074F 80 79 $0.00
G0008 Administration of influenza virus vaccine 102 97 $0.00
1126F 330 298 $0.00
3044F 13 12 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 131 121 $0.00
90632 58 48 $0.00
1170F 31 30 $0.00
90732 17 15 $0.00