Medicaid Provider Spending

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

ST CLAIRE MEDICAL CENTER, INC.,

NPI: 1821168535 · MOREHEAD, KY 40351 · Physician Assistant · NPI assigned 11/09/2006

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

Authorized official LLOYD, DONALD controls 20+ related entities in our dataset. Read more

$1.46M
Total Medicaid Paid
68,666
Total Claims
49,299
Beneficiaries
26
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLLOYD, DONALD (CEO/PRESIDENT)
Parent OrganizationST CLAIRE MEDICAL CENTER, INC.,
NPI Enumeration Date11/09/2006

Related Entities

Other providers sharing the same authorized official: LLOYD, DONALD

ProviderCityStateTotal 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, INC., MOREHEAD KY $2.42M
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 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,466 $134K
2019 9,025 $163K
2020 9,509 $182K
2021 11,973 $225K
2022 11,777 $253K
2023 11,654 $297K
2024 8,262 $207K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 7,465 6,973 $353K
88305 Level IV - Surgical pathology, gross and microscopic examination 7,092 6,456 $262K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 33,754 22,501 $221K
99232 Subsequent hospital care, per day, moderate complexity 8,101 3,082 $148K
99223 Prolong inpt eval add15 m 1,802 1,566 $114K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 1,412 1,318 $105K
99283 Emergency department visit for the evaluation and management, moderate severity 2,296 2,138 $68K
99238 Hospital discharge day management, 30 minutes or less 2,159 1,834 $60K
99222 Initial hospital care, per day, moderate complexity 762 625 $31K
99233 Prolong inpt eval add15 m 983 367 $28K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 536 428 $18K
88307 333 303 $17K
99239 Hospital discharge day management, more than 30 minutes 290 233 $10K
88304 1,051 1,001 $8K
00142 147 114 $4K
00731 40 38 $3K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 135 103 $3K
00170 Anesthesia for intraoral procedures, including biopsy 15 15 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity 102 34 $1K
88312 68 64 $1K
99217 18 12 $591.07
00813 16 12 $543.92
88141 42 38 $527.29
99219 13 13 $456.22
76942 15 15 $264.45
0011A 19 16 $216.00