Clinic
T J Health Columbia INC
T J Health Columbia INC was paid $1.20M by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 56% of everything it billed.
33Billing provider infoT J HEALTH COLUMBIA INC
EDMONTON, KY 42129
EDMONTON, KY 42129
33aNPI1831555358assigned 01/13/2016
33bProvider typeRural Health Clinic/Center
28Total paid$1.20M
24GClaims36,340
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Kentucky
Rank by total paid#47 of 265
Median peer was paid$400K
This provider vs. median3.0×
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 THORNBURY, NEIL controls 17+ 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 | 6,899 | $201K | |
| 2019 | 7,268 | $213K | |
| 2020 | 5,337 | $194K | |
| 2021 | 5,649 | $176K | |
| 2022 | 4,748 | $158K | |
| 2023 | 4,043 | $164K | |
| 2024incomplete | 2,396 | $97K |
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 | 56% | 14,870 | 12,917 | $669K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 36% | 13,304 | 11,961 | $438K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 3.2% | 3,231 | 2,407 | $38K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.3% | 398 | 343 | $16K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.0% | 512 | 456 | $12K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,557 | 1,451 | $6K |
| 99406 | <1% | 751 | 596 | $4K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 152 | 133 | $3K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 97 | 87 | $3K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 110 | 105 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 159 | 152 | $3K |
| 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% | 49 | 41 | $2K |
10 more codes
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 55 | $2K |
| 90686 | <1% | 103 | $2K | |
| 99441 | <1% | 65 | $1K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 12 | $608.13 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 50 | $485.98 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 554 | $355.09 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 17 | $150.32 |
| J3490 | Unclassified drugs | <1% | 245 | $99.85 |
| A9270 | Non-covered item or service | <1% | 34 | $58.84 |
| 90670 | <1% | 15 | $0.65 |
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 officialTHORNBURY, NEIL (CEO)
Parent organizationT J REGIONAL HEALTH INC
| Provider | Location | Paid |
|---|---|---|
| T J Samson Community Hospital | Glasgow, KY | $95.74M |
| T J Samson Community Hospital | Glasgow, KY | $15.53M |
| T J Health Columbia INC | Columbia, KY | $11.51M |
| T J Health Columbia INC | Columbia, KY | $1.40M |
| T J Samson Community Hospital | Glasgow, KY | $1.22M |
| T J Health Columbia INC | Columbia, KY | $682K |
| T J Health Columbia INC | Russell Springs, KY | $630K |
| T J Health Columbia INC | Scottsville, KY | $611K |
| T J Samson Community Hospital | Cave City, KY | $567K |
| T J Samson Community Hospital | Glasgow, KY | $549K |
| T J Samson Community Hospital | Glasgow, KY | $524K |
| T J Health Columbia INC | Tompkinsville, KY | $312K |
| T J Health Columbia INC | Greensburg, KY | $277K |
| T J Health Columbia INC | Columbia, KY | $125K |
| T J Samson Community Hospital | Glasgow, KY | $36K |
| T J Samson Community Hospital | Glasgow, KY | $1K |
| T J Samson Community Hospital | Glasgow, KY | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.