Behavioral
Baptist Health Medical Group INC
Baptist Health Medical Group INC was paid $28.00M by Medicaid between Jan 2018 and Dec 2024, across 184 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 39% of everything it billed.
33Billing provider infoBAPTIST HEALTH MEDICAL GROUP INC
LOUISVILLE, KY 40299
LOUISVILLE, KY 40299
33aNPI1780961300assigned 11/10/2011
33bProvider typePsychologist
28Total paid$28.00M
24GClaims852,837
24DCodes billed184
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Psychologist providers in Kentucky
Rank by total paid#4 of 40
Median peer was paid$395K
This provider vs. median71×
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 CLAY, DANYEL 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 | 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 | |
| 2024incomplete | 104,939 | $4.22M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 39% | 225,092 | 189,690 | $10.88M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 220,948 | 178,888 | $7.71M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.2% | 47,117 | 17,276 | $891K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 2.8% | 23,877 | 21,348 | $779K |
| 43775 | 2.3% | 1,415 | 1,071 | $644K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 2.0% | 9,479 | 8,453 | $566K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.9% | 7,652 | 6,949 | $534K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.7% | 87,305 | 69,974 | $475K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 1.5% | 7,698 | 6,595 | $425K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.3% | 6,399 | 5,145 | $365K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.2% | 6,664 | 5,913 | $348K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 1.2% | 5,372 | 5,052 | $347K |
172 more codes
| 99233 | Hospital visit by a doctor, follow-up day (complex) | 1.2% | 11,559 | $329K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 3,566 | $245K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 1,899 | $241K |
| 93000 | <1% | 23,725 | $182K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 7,209 | $163K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 2,382 | $155K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 4,455 | $143K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 4,309 | $135K |
| 95886 | <1% | 2,203 | $135K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 4,885 | $129K |
| 20610 | <1% | 4,400 | $116K | |
| 76830 | Ultrasound, transvaginal | <1% | 1,682 | $105K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 4,294 | $102K |
| 81025 | <1% | 15,567 | $101K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 2,740 | $88K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 3,155 | $85K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 1,454 | $85K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,068 | $80K |
| 99223 | Prolong inpt eval add15 m | <1% | 1,973 | $80K |
| 95806 | <1% | 1,050 | $79K | |
| 99283 | Emergency room visit (moderate) | <1% | 1,979 | $77K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 6,834 | $57K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 609 | $56K |
| 99219 | <1% | 1,726 | $53K | |
| 93018 | <1% | 6,035 | $50K | |
| 99217 | <1% | 2,145 | $45K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 593 | $44K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 1,849 | $41K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,532 | $32K |
| 90686 | <1% | 2,699 | $29K | |
| 62323 | <1% | 561 | $28K | |
| 73630 | <1% | 1,900 | $27K | |
| 59025 | Fetal non-stress test | <1% | 1,066 | $26K |
| 99220 | <1% | 566 | $25K | |
| 90837 | Psychotherapy session, about an hour | <1% | 431 | $24K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 226 | $24K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 306 | $23K |
| 93016 | <1% | 2,103 | $20K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 532 | $20K |
| 93296 | <1% | 2,742 | $20K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 935 | $18K |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 1,396 | $18K |
| 76820 | <1% | 993 | $18K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 201 | $17K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 1,694 | $17K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 177 | $16K |
| 99442 | <1% | 1,659 | $16K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 387 | $16K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,899 | $14K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 1,488 | $14K |
| 99307 | <1% | 1,280 | $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 | <1% | 458 | $13K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 148 | $12K |
| 95908 | <1% | 182 | $12K | |
| 76641 | <1% | 349 | $12K | |
| 99205 | Prolong outpt/office vis | <1% | 212 | $12K |
| 59410 | <1% | 15 | $11K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 6,194 | $11K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 925 | $10K |
| 90674 | <1% | 857 | $10K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 1,518 | $10K |
| 99221 | <1% | 560 | $10K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 611 | $9K |
| 93970 | <1% | 910 | $9K | |
| 11721 | <1% | 809 | $8K | |
| 99460 | <1% | 145 | $8K | |
| 95910 | <1% | 87 | $8K | |
| 73030 | <1% | 530 | $8K | |
| 95251 | <1% | 507 | $8K | |
| 99459 | <1% | 491 | $7K | |
| 93298 | <1% | 527 | $7K | |
| 77427 | <1% | 107 | $7K | |
| 99225 | <1% | 490 | $7K | |
| 93971 | <1% | 755 | $7K | |
| 93458 | <1% | 204 | $6K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 75 | $6K |
| 93295 | <1% | 374 | $6K | |
| 99406 | <1% | 744 | $6K | |
| 99443 | <1% | 565 | $6K | |
| 99385 | <1% | 67 | $5K | |
| 82962 | <1% | 5,634 | $5K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 33 | $5K |
| 97597 | <1% | 240 | $5K | |
| 99243 | <1% | 85 | $4K | |
| 73562 | <1% | 220 | $4K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 171 | $4K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 388 | $4K |
| 73610 | <1% | 235 | $4K | |
| 81002 | <1% | 2,030 | $3K | |
| 93356 | <1% | 334 | $3K | |
| 90670 | <1% | 568 | $3K | |
| 49083 | <1% | 54 | $3K | |
| 90715 | <1% | 108 | $3K | |
| 96127 | <1% | 666 | $3K | |
| 43245 | <1% | 21 | $3K | |
| 99480 | Subsequent intensive care, per day, low birth weight infant | <1% | 39 | $3K |
| 90651 | <1% | 35 | $3K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 65 | $3K |
| 99441 | <1% | 377 | $2K | |
| 93294 | <1% | 341 | $2K | |
| 76801 | <1% | 30 | $2K | |
| 87428 | <1% | 90 | $2K | |
| 99462 | <1% | 83 | $2K | |
| 76642 | <1% | 66 | $2K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 391 | $2K |
| 77334 | <1% | 37 | $2K | |
| 95811 | <1% | 16 | $2K | |
| 99305 | <1% | 86 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 55 | $2K |
| 93880 | <1% | 291 | $2K | |
| 90656 | <1% | 89 | $1K | |
| 80305 | <1% | 177 | $1K | |
| 99497 | <1% | 248 | $1K | |
| 72100 | <1% | 121 | $1K | |
| 90474 | <1% | 158 | $944.90 | |
| 27096 | <1% | 12 | $732.97 | |
| 0124A | <1% | 29 | $680.00 | |
| 77300 | <1% | 13 | $608.56 | |
| 99422 | <1% | 32 | $494.47 | |
| 73560 | <1% | 47 | $482.41 | |
| 99152 | <1% | 35 | $472.98 | |
| 93299 | <1% | 24 | $426.47 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 15 | $364.07 |
| 81003 | <1% | 629 | $347.99 | |
| 93922 | <1% | 69 | $310.53 | |
| 72120 | <1% | 21 | $246.62 | |
| 90688 | <1% | 12 | $245.76 | |
| 99416 | Prolong outpt/office vis | <1% | 75 | $222.18 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 40 | $218.83 |
| 97760 | <1% | 14 | $209.41 | |
| 90744 | <1% | 38 | $189.46 | |
| 93248 | <1% | 20 | $179.02 | |
| 90710 | <1% | 50 | $173.00 | |
| 90680 | <1% | 164 | $172.50 | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 225 | $160.68 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 197 | $146.36 |
| 87807 | <1% | 16 | $144.10 | |
| 73120 | <1% | 13 | $141.14 | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 13 | $135.12 |
| 90461 | <1% | 123 | $131.53 | |
| 99421 | <1% | 15 | $122.60 | |
| 99415 | Prolong outpt/office vis | <1% | 75 | $119.47 |
| 93297 | <1% | 14 | $105.35 | |
| 90698 | <1% | 203 | $90.56 | |
| 93793 | <1% | 16 | $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) | <1% | 776 | $64.63 |
| 11055 | <1% | 16 | $51.83 | |
| 93280 | <1% | 31 | $41.91 | |
| 36416 | <1% | 17 | $32.69 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 75 | $24.95 |
| 2014F | <1% | 4,232 | $6.39 | |
| 3008F | <1% | 2,968 | $6.25 | |
| 0503F | <1% | 52 | $0.03 | |
| 1159F | 0% | 2,471 | $0.00 | |
| 1160F | 0% | 2,444 | $0.00 | |
| 3078F | 0% | 95 | $0.00 | |
| 97803 | 0% | 48 | $0.00 | |
| T1015 | A visit at a community health center or clinic (one all-in rate) | 0% | 179 | $0.00 |
| 90633 | 0% | 60 | $0.00 | |
| 71046 | Radiologic examination, chest; 2 views | 0% | 16 | $0.00 |
| 90734 | 0% | 21 | $0.00 | |
| 73130 | 0% | 17 | $0.00 | |
| 3077F | 0% | 12 | $0.00 | |
| 1125F | 0% | 1,162 | $0.00 | |
| 3074F | 0% | 80 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 102 | $0.00 |
| 1126F | 0% | 330 | $0.00 | |
| 3044F | 0% | 13 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 131 | $0.00 |
| 90632 | 0% | 58 | $0.00 | |
| 1170F | 0% | 31 | $0.00 | |
| 90732 | 0% | 17 | $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 officialCLAY, DANYEL (VP, REVENUE CYCLE)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.