Baptist Health Medical Group INC
Baptist Health Medical Group INC was paid $914K by Medicaid between Jul 2019 and Dec 2024, across 22 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 51% of everything it billed.
BEREA, KY 40403
Next to other Rural Health Clinic/Center providers in Kentucky
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 1,841 | $63K | |
| 2020 | 3,903 | $150K | |
| 2021 | 4,292 | $148K | |
| 2022 | 4,193 | $164K | |
| 2023 | 5,000 | $191K | |
| 2024incomplete | 4,327 | $199K |
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 | 51% | 9,871 | 8,819 | $470K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 23% | 6,288 | 3,690 | $208K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 4,641 | 4,148 | $142K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 3.2% | 1,108 | 952 | $30K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 2.5% | 329 | 298 | $22K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.8% | 215 | 184 | $17K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.4% | 350 | 286 | $13K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 135 | 129 | $2K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 41 | 39 | $2K |
| 90674 | <1% | 69 | 61 | $1K | |
| 99442 | <1% | 60 | 30 | $1K | |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 28 | 16 | $1K |
10 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 30 | $1K |
| 87428 | <1% | 28 | $957.26 | |
| 90686 | <1% | 44 | $766.54 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 42 | $568.37 |
| 96127 | <1% | 36 | $277.95 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 20 | $79.62 |
| 3008F | 0% | 34 | $0.00 | |
| 2014F | 0% | 17 | $0.00 | |
| 1159F | 0% | 85 | $0.00 | |
| 1160F | 0% | 85 | $0.00 |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.