Medicaid Provider Spending

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

EPHRAIM MCDOWELL HEALTH RESOURCE, INC.

NPI: 1790932812 · LIBERTY, KY 42539 · Rural Health Clinic/Center · NPI assigned 08/20/2008

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

Authorized official SNAPP, WILLIAM controls 20+ related entities in our dataset. Read more

$623K
Total Medicaid Paid
23,777
Total Claims
20,036
Beneficiaries
20
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSNAPP, WILLIAM (CFO)
NPI Enumeration Date08/20/2008

Related Entities

Other providers sharing the same authorized official: SNAPP, WILLIAM

ProviderCityStateTotal Paid
EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER INCORPORATED DANVILLE KY $59.95M
THE JAMES B. HAGGIN MEMORIAL HOSPITAL INC HARRODSBURG KY $13.83M
EPHRAIM MCDOWELL HEALTH RESOURCE, INC DANVILLE KY $995K
EPHRAIM MCDOWELL HEALTH RESOURCE,INC DANVILLE KY $869K
EPHRAIM MCDOWELL HEALTH RESOURCE, INC DANVILLE KY $671K
MCDOWELL HOME HEALTH AGENCY, INC. DANVILLE KY $631K
EPHRAIM MCDOWELL HEALTH RESOURCE, INC. LANCASTER KY $517K
EPHRAIM MCDOWELL HEALTH RESOURCE, INC. SPRINGFIELD KY $478K
EPHRAIM MCDOWELL HEALTH RESOURCE, INC LANCASTER KY $434K
EPHRAIM MCDOWELL HEALTH RESOURCE, INC. HARRODSBURG KY $359K
EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, INCORPPORATED DANVILLE KY $324K
EPHRAIM MCDOWELL HEALTH RESOURCE, INC. DANVILLE KY $324K
THE JAMES B. HAGGIN MEMORIAL HOSPITAL INC. HARRODSBURG KY $257K
EPHRAIM MCDOWELL HEALTH RESOURCE, INC DANVILLE KY $139K
EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER INCORPORATED DANVILLE KY $134K
TRH ANESTHESIA LLC CAMPBELLSVILLE KY $30K
EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER INCORPORATED STANFORD KY $26K
THE JAMES B. HAGGIN MEMORIAL HOSPITAL INC HARRODSBURG KY $14K
TAYLOR REGIONAL MEDICAL GROUP,LLC GREENSBURG KY $11K
EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, INCORPORATED LIBERTY KY $168.69

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,389 $99K
2019 4,035 $88K
2020 3,352 $81K
2021 2,780 $63K
2022 2,833 $85K
2023 2,938 $91K
2024 3,450 $115K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,190 7,817 $266K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,468 4,679 $221K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,101 1,024 $33K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 430 394 $33K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,341 644 $23K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 870 799 $11K
36415 Collection of venous blood by venipuncture 3,181 2,754 $11K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 127 117 $7K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 153 147 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 171 151 $4K
83036 Hemoglobin; glycosylated (A1C) 530 493 $3K
99349 40 36 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 100 85 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 16 14 $1K
95117 97 36 $953.20
99483 Prolong outpt/office vis 17 16 $587.83
81003 878 767 $296.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 13 13 $165.20
71046 Radiologic examination, chest; 2 views 14 12 $102.00
36416 40 38 $57.60