Medicaid Provider Spending

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

T J HEALTH COLUMBIA INC

NPI: 1831555358 · EDMONTON, KY 42129 · Rural Health Clinic/Center · NPI assigned 01/13/2016

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

Authorized official THORNBURY, NEIL controls 17+ related entities in our dataset. Read more

$1.20M
Total Medicaid Paid
36,340
Total Claims
31,672
Beneficiaries
22
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTHORNBURY, NEIL (CEO)
Parent OrganizationT J REGIONAL HEALTH INC
NPI Enumeration Date01/13/2016

Related Entities

Other providers sharing the same authorized official: THORNBURY, NEIL

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 2,396 $97K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 14,870 12,917 $669K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13,304 11,961 $438K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,231 2,407 $38K
99308 Subsequent nursing facility care, per day, straightforward 398 343 $16K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 512 456 $12K
36415 Collection of venous blood by venipuncture 1,557 1,451 $6K
99406 751 596 $4K
96110 Developmental screening, with scoring and documentation, per standardized instrument 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 97 87 $3K
J0696 Injection, ceftriaxone sodium, per 250 mg 110 105 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 159 152 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 49 41 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 55 52 $2K
90686 103 98 $2K
99441 65 62 $1K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 12 12 $608.13
90472 Immunization administration, each additional vaccine (list separately) 50 40 $485.98
J1100 Injection, dexamethasone sodium phosphate, 1 mg 554 503 $355.09
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 17 16 $150.32
J3490 Unclassified drugs 245 196 $99.85
A9270 Non-covered item or service 34 29 $58.84
90670 15 15 $0.65