Physician
ST Claire Medical Center, INC.,
ST Claire Medical Center, INC., was paid $2.42M by Medicaid between Jul 2020 and Dec 2024, across 57 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% of everything it billed.
33Billing provider infoST CLAIRE MEDICAL CENTER, INC.,
MOREHEAD, KY 40351
MOREHEAD, KY 40351
33aNPI1801395520assigned 02/08/2018
33bProvider typeFamily Medicine Physician
28Total paid$2.42M
24GClaims95,573
24DCodes billed57
24AFirst – last monthJul 2020 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Kentucky
Rank by total paid#32 of 352
Median peer was paid$90K
This provider vs. median27×
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 | |
|---|---|---|---|
| 2020 | 2,276 | $50K | |
| 2021 | 11,780 | $276K | |
| 2022 | 20,006 | $539K | |
| 2023 | 28,919 | $904K | |
| 2024incomplete | 32,592 | $654K |
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 | 35% | 26,641 | 23,690 | $854K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 13,687 | 12,493 | $350K |
| 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 | 13% | 5,121 | 4,855 | $310K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 6.7% | 4,225 | 3,958 | $163K |
| 20610 | 4.2% | 3,713 | 2,831 | $102K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.9% | 2,577 | 2,408 | $95K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 2.9% | 806 | 723 | $69K |
| 43775 | 2.5% | 71 | 64 | $60K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 2.3% | 2,246 | 1,350 | $56K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 1.9% | 334 | 311 | $47K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.2% | 5,542 | 5,195 | $29K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.2% | 676 | 611 | $28K |
45 more codes
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 1.1% | 652 | $26K |
| 95806 | 1.1% | 307 | $26K | |
| 93016 | <1% | 1,274 | $23K | |
| 93458 | <1% | 122 | $20K | |
| 93018 | <1% | 1,271 | $18K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 135 | $14K |
| 27096 | <1% | 52 | $13K | |
| 95811 | <1% | 125 | $13K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 896 | $13K |
| 94060 | <1% | 738 | $11K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 275 | $9K |
| 93228 | <1% | 516 | $8K | |
| 99223 | Prolong inpt eval add15 m | <1% | 137 | $7K |
| 99442 | <1% | 120 | $6K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 73 | $6K |
| 11721 | <1% | 510 | $5K | |
| 99205 | Prolong outpt/office vis | <1% | 66 | $5K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 46 | $5K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 50 | $5K |
| 94726 | <1% | 584 | $5K | |
| 94729 | <1% | 662 | $4K | |
| 95816 | <1% | 101 | $3K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 175 | $3K |
| 99152 | <1% | 301 | $2K | |
| 11750 | <1% | 28 | $2K | |
| 99406 | <1% | 274 | $2K | |
| 93227 | <1% | 34 | $805.65 | |
| 94618 | <1% | 66 | $775.51 | |
| 99153 | Mod sedat endo service >5yrs | <1% | 170 | $756.10 |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 15 | $659.12 |
| 52000 | <1% | 12 | $651.51 | |
| 76942 | <1% | 28 | $607.18 | |
| 11043 | <1% | 13 | $559.19 | |
| 95251 | <1% | 41 | $502.24 | |
| 20552 | <1% | 17 | $458.27 | |
| 99350 | Prolong home eval add 15m | <1% | 15 | $337.86 |
| 11730 | <1% | 14 | $324.38 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 12 | $289.51 |
| 74420 | <1% | 19 | $185.94 | |
| 1126F | <1% | 10,546 | $39.30 | |
| 11056 | <1% | 13 | $32.66 | |
| 1125F | <1% | 6,277 | $25.18 | |
| 1159F | <1% | 152 | $0.02 | |
| 1160F | <1% | 152 | $0.02 | |
| 99024 | <1% | 2,848 | $0.01 |
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 (CEO/PRESIDENT)
| 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 | $3.11M |
| 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.