Medicaid Provider Spending

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

EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER INCORPORATED

NPI: 1821135963 · DANVILLE, KY 40422 · Pharmacy · NPI assigned 01/30/2007

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

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

$59.95M
Total Medicaid Paid
1,036,528
Total Claims
734,897
Beneficiaries
338
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSNAPP, WILLIAM (CFO)
NPI Enumeration Date01/30/2007

Related Entities

Other providers sharing the same authorized official: SNAPP, WILLIAM

ProviderCityStateTotal Paid
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. LIBERTY KY $623K
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 144,871 $8.19M
2019 136,996 $7.99M
2020 131,799 $6.81M
2021 152,201 $8.39M
2022 165,971 $8.98M
2023 171,312 $10.49M
2024 133,378 $9.09M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
74177 Computed tomography, abdomen and pelvis; with contrast material 7,785 5,869 $6.27M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 20,735 16,021 $3.67M
99284 Emergency department visit for the evaluation and management, high severity 21,890 18,727 $3.12M
99283 Emergency department visit for the evaluation and management, moderate severity 26,153 22,856 $2.66M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 4,612 3,979 $2.34M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 22,994 7,933 $1.89M
97530 Therapeutic activities, direct patient contact, each 15 minutes 19,251 7,001 $1.77M
70450 Computed tomography, head or brain; without contrast material 5,914 4,580 $1.54M
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 4,180 3,849 $1.49M
74176 Computed tomography, abdomen and pelvis; without contrast material 2,609 1,872 $1.48M
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 15,536 5,693 $1.37M
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 3,221 1,668 $1.29M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 12,396 8,601 $1.10M
96375 Therapeutic injection; each additional sequential IV push 15,059 11,853 $1.07M
G0378 Hospital observation service, per hour 9,006 3,335 $938K
71275 Computed tomographic angiography, chest, with contrast material 2,337 1,734 $928K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 16,662 13,070 $787K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2,925 2,260 $768K
71045 Radiologic examination, chest; single view 17,543 11,134 $676K
47563 442 319 $672K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 3,218 2,427 $652K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 4,492 2,107 $644K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 16,006 13,126 $632K
80053 Comprehensive metabolic panel 72,475 49,708 $628K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 1,622 1,464 $591K
71260 Computed tomography, thorax, diagnostic; with contrast material 1,394 1,069 $583K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 10,928 7,644 $579K
76705 Ultrasound, abdominal, real time with image documentation; limited 3,242 2,859 $570K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 11,358 9,722 $563K
88305 Level IV - Surgical pathology, gross and microscopic examination 10,697 9,325 $553K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 454 441 $538K
93017 2,190 1,998 $512K
96361 Intravenous infusion, hydration; each additional hour 15,052 7,564 $450K
72125 Computed tomography, cervical spine; without contrast material 1,728 1,314 $443K
77067 Screening mammography, bilateral, including computer-aided detection 4,244 4,104 $427K
87631 3,916 3,436 $427K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 57,368 43,812 $405K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 5,639 4,745 $400K
42820 Tonsillectomy and adenoidectomy; younger than age 12 323 275 $393K
71250 1,361 1,160 $389K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 13,710 7,537 $378K
36415 Collection of venous blood by venipuncture 91,183 40,543 $345K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 586 484 $331K
95810 Polysomnography; sleep staging with 4 or more additional parameters 370 335 $318K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 4,367 3,237 $317K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 4,317 1,755 $314K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 3,529 2,145 $303K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 895 845 $298K
92526 3,191 1,489 $293K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 5,325 3,330 $290K
76830 Ultrasound, transvaginal 1,237 1,137 $269K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 285 227 $250K
71046 Radiologic examination, chest; 2 views 5,121 4,117 $244K
87486 8,447 7,554 $238K
76642 2,246 1,889 $234K
87581 8,193 7,511 $232K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3,253 2,954 $196K
87507 579 539 $193K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 13,419 6,520 $178K
78227 439 371 $176K
84484 13,443 8,335 $175K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 753 585 $171K
96376 4,774 2,527 $168K
84443 Thyroid stimulating hormone (TSH) 10,542 9,455 $163K
97162 2,882 2,317 $162K
97113 1,844 600 $160K
73630 2,384 2,045 $153K
59025 Fetal non-stress test 3,902 2,525 $142K
70486 510 391 $139K
72141 378 302 $139K
73560 2,231 1,851 $135K
73610 1,863 1,664 $130K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 1,018 846 $126K
88304 2,945 2,641 $120K
93971 1,198 1,087 $116K
45380 Colonoscopy, flexible; with biopsy, single or multiple 503 420 $113K
83880 3,874 3,289 $113K
70498 334 290 $111K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 4,655 4,427 $105K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 3,002 2,714 $100K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,453 1,303 $100K
73130 1,463 1,324 $98K
96415 373 224 $95K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 4,810 3,313 $91K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 2,834 2,665 $91K
73030 1,367 1,156 $89K
77063 Screening digital breast tomosynthesis, bilateral 5,388 4,624 $89K
74018 1,607 1,429 $87K
83690 9,346 8,118 $85K
84703 10,674 9,521 $85K
97166 1,369 1,217 $85K
80061 Lipid panel 7,121 6,273 $84K
62323 225 170 $84K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 24,479 16,656 $84K
97161 1,211 1,129 $83K
96367 2,870 1,390 $82K
70496 196 153 $82K
83605 7,150 6,149 $82K
94060 361 303 $80K
76536 575 524 $79K
99215 Prolong outpt/office vis 1,033 813 $78K
81001 21,109 18,119 $76K
87086 Culture, bacterial; quantitative colony count, urine 9,415 8,164 $76K
36591 3,571 1,886 $74K
77065 Tomosynthesis, mammo 915 729 $71K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 4,898 3,801 $69K
83735 10,568 8,519 $69K
80048 Basic metabolic panel (calcium, ionized) 10,764 7,929 $67K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 2,351 2,208 $67K
84145 3,172 2,453 $65K
70551 Magnetic resonance imaging, brain; without contrast material 160 146 $62K
93226 268 257 $59K
97116 723 367 $58K
82728 4,951 4,438 $56K
73110 775 692 $55K
93970 273 251 $54K
95811 73 60 $52K
84439 5,762 5,046 $50K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,086 1,414 $50K
82607 3,918 3,519 $49K
85027 8,221 6,596 $49K
94760 3,756 2,269 $49K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 2,017 1,753 $48K
J3490 Unclassified drugs 4,938 1,841 $46K
0202U Oncology (prostate), multianalyte, gene expression profiling 462 267 $46K
80320 1,671 1,438 $45K
77066 Tomosynthesis, mammo 426 361 $45K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 911 817 $45K
96417 538 309 $45K
80074 1,196 916 $45K
88312 951 878 $44K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,257 996 $43K
83036 Hemoglobin; glycosylated (A1C) 4,404 3,968 $43K
74300 296 265 $42K
96368 1,949 1,013 $42K
84702 3,031 2,425 $40K
87077 6,803 4,585 $40K
62369 343 215 $40K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 145 130 $40K
62370 280 175 $39K
74178 43 37 $39K
12001 326 297 $39K
87186 4,559 4,052 $37K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 920 833 $35K
76770 186 158 $35K
92610 235 225 $34K
J7030 Infusion, normal saline solution , 1000 cc 5,355 2,562 $34K
85610 8,614 6,197 $33K
94726 175 168 $33K
72100 482 420 $33K
93924 189 160 $32K
87070 4,004 3,146 $31K
J2405 Injection, ondansetron hydrochloride, per 1 mg 3,479 2,497 $31K
83550 4,169 3,818 $31K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 262 211 $30K
86850 3,201 2,599 $30K
84238 1,027 942 $29K
87040 2,345 1,976 $29K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 305 169 $28K
71271 775 720 $28K
86140 4,589 3,996 $27K
97535 Self-care/home management training, each 15 minutes 382 243 $27K
83540 4,609 4,192 $26K
82378 1,698 1,493 $26K
85379 2,855 2,606 $26K
84481 1,298 1,016 $26K
82803 1,213 1,022 $24K
47562 13 13 $24K
93225 304 275 $23K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 23 13 $22K
C9290 Injection, bupivacaine liposome, 1 mg 184 151 $22K
87150 512 473 $22K
82962 6,430 2,956 $21K
82746 1,784 1,625 $21K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 573 543 $20K
85730 3,617 3,005 $20K
44970 22 12 $19K
73502 279 237 $19K
86300 1,038 920 $18K
95806 225 183 $18K
72110 162 134 $18K
88307 247 190 $18K
73590 250 219 $17K
J7120 Ringers lactate infusion, up to 1000 cc 2,820 2,122 $17K
90715 822 749 $16K
84112 199 162 $16K
92523 148 137 $16K
80329 226 211 $15K
C1781 Mesh (implantable) 48 42 $15K
77080 263 173 $15K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 264 235 $15K
88300 1,068 958 $14K
87503 633 591 $14K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 1,286 1,001 $13K
83615 1,568 1,318 $12K
84153 723 687 $12K
82565 1,200 1,059 $12K
82784 1,253 1,091 $11K
73090 160 149 $11K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 450 353 $11K
J1885 Injection, ketorolac tromethamine, per 15 mg 2,326 1,813 $10K
82550 1,585 1,236 $10K
82077 477 440 $10K
86901 3,258 2,790 $10K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 39 31 $10K
86038 955 865 $9K
78264 41 24 $9K
87205 2,407 2,088 $9K
85007 2,882 2,395 $9K
86900 3,319 2,801 $9K
J2785 Injection, regadenoson, 0.1 mg 99 90 $8K
27096 26 25 $8K
43248 41 40 $8K
J2704 Injection, propofol, 10 mg 944 814 $8K
73080 137 118 $8K
85652 2,518 2,227 $7K
83921 430 409 $7K
A9575 Injection, gadoterate meglumine, 0.1 ml 186 179 $7K
77062 280 255 $7K
43235 15 15 $7K
84550 1,447 1,215 $7K
86703 403 366 $6K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring 18 18 $6K
80076 830 700 $6K
J2250 Injection, midazolam hydrochloride, per 1 mg 1,177 940 $6K
85045 1,607 1,478 $6K
87430 464 433 $6K
87493 404 236 $6K
G0379 Direct admission of patient for hospital observation care 41 36 $5K
95819 26 26 $5K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 225 215 $5K
72131 16 13 $4K
J0690 Injection, cefazolin sodium, 500 mg 721 439 $4K
J3010 Injection, fentanyl citrate, 0.1 mg 1,245 979 $4K
87522 Neg quan hep c or qual rna 137 108 $4K
97164 114 105 $4K
81003 1,841 731 $4K
87899 334 164 $4K
84403 136 133 $4K
97802 235 228 $3K
97014 102 40 $3K
84100 826 592 $3K
93880 32 26 $3K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 12 12 $3K
82570 656 583 $3K
83516 214 170 $3K
87046 178 162 $3K
82043 672 371 $3K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 336 188 $3K
77061 118 108 $2K
82553 276 174 $2K
A9510 Technetium tc-99m disofenin, diagnostic, per study dose, up to 15 millicuries 28 27 $2K
82150 346 319 $2K
J2274 Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg 631 350 $2K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 23 12 $2K
74022 28 21 $2K
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 46 46 $2K
86706 251 178 $2K
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation 26 24 $2K
97010 67 32 $2K
87045 174 162 $2K
J1756 Injection, iron sucrose, 1 mg 25 13 $2K
86364 150 139 $2K
76870 14 12 $2K
80050 General health panel 187 142 $1K
93975 14 13 $1K
99406 114 103 $1K
J2919 Injection, methylprednisolone sodium succinate, 5 mg 190 129 $1K
72072 14 13 $1K
86258 72 70 $1K
85576 31 30 $1K
86431 177 175 $1K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 29 22 $1K
87147 148 131 $1K
86334 59 55 $1K
95886 21 16 $978.30
83521 56 41 $926.17
97163 12 12 $903.13
96523 40 25 $877.21
29125 16 15 $851.65
73140 14 13 $828.60
87641 36 29 $767.23
72040 16 12 $754.82
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 100 52 $726.46
80069 131 109 $704.32
87328 60 52 $702.50
36416 119 93 $623.67
87329 47 40 $576.57
A4648 Tissue marker, implantable, any type, each 19 12 $575.70
J1790 Injection, droperidol, up to 5 mg 88 79 $556.82
82010 71 60 $549.98
J2270 Injection, morphine sulfate, up to 10 mg 95 58 $538.28
51701 25 13 $513.09
86231 59 58 $511.38
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 17 14 $501.82
84165 59 55 $499.38
88173 14 12 $475.74
83993 36 26 $466.81
J1200 Injection, diphenhydramine hcl, up to 50 mg 117 79 $432.44
84480 52 44 $422.65
87210 105 96 $405.47
11721 88 46 $379.05
85014 245 183 $364.29
84207 14 14 $358.27
83525 25 25 $322.98
86376 15 15 $299.75
83883 36 25 $294.21
87340 52 27 $280.56
J1170 Injection, hydromorphone, up to 4 mg 67 41 $276.17
82652 14 13 $269.50
90686 24 24 $264.98
82542 12 12 $253.15
85018 137 104 $225.85
87625 12 12 $211.09
82248 48 36 $202.63
82533 16 14 $193.98
84425 14 14 $181.50
86592 43 38 $172.23
86308 27 26 $166.85
86803 12 12 $166.43
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 23 12 $153.67
J1171 Injection, hydromorphone, 0.1 mg 77 47 $144.45
J3370 Injection, vancomycin hcl, 500 mg 22 12 $142.33
J0696 Injection, ceftriaxone sodium, per 250 mg 13 12 $136.01
J1596 Injection, glycopyrrolate, 0.1 mg 14 13 $133.96
A4663 Blood pressure cuff only 68 24 $121.25
J0330 Injection, succinylcholine chloride, up to 20 mg 17 12 $116.18
84132 31 28 $113.84
A9270 Non-covered item or service 56 41 $85.99
J1030 Injection, methylprednisolone acetate, 40 mg 17 13 $75.27
87075 18 13 $74.33
J2470 Injection, pantoprazole sodium, 40 mg 52 24 $72.27
J2765 Injection, metoclopramide hcl, up to 10 mg 13 13 $56.59
J2060 Injection, lorazepam, 2 mg 15 13 $47.61
J9055 Injection, cetuximab, 10 mg 17 13 $36.90
84156 13 12 $32.09
Q0244 Injection, casirivimab and imdevimab, 1200 mg 27 27 $0.02
Q0245 Injection, bamlanivimab and etesevimab, 2100 mg 32 15 $0.00