Medicaid Provider Spending

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

BAPTIST HEALTH MEDICAL GROUP INC

NPI: 1831668375 · BEREA, KY 40403 · Rural Health Clinic/Center · NPI assigned 11/14/2018

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

Authorized official CLAY, DANYEL controls 20+ related entities in our dataset. Read more

$914K
Total Medicaid Paid
23,556
Total Claims
19,035
Beneficiaries
22
Codes Billed
2019-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCLAY, DANYEL (VP REVENUE CYCLE)
Parent OrganizationBAPTIST HEALTH MEDICAL GROUP INC
NPI Enumeration Date11/14/2018

Related Entities

Other providers sharing the same authorized official: CLAY, DANYEL

ProviderCityStateTotal Paid
BAPTIST HEALTH MEDICAL GROUP INC LEXINGTON KY $54.04M
BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY $28.00M
BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY $26.58M
BAPTIST HEALTH MEDICAL GROUP INC PADUCAH KY $21.94M
BAPTIST HEALTH MEDICAL GROUP INC ELIZABETHTOWN KY $13.60M
BAPTIST HEALTH MEDICAL GROUP INC CORBIN KY $1.91M
BAPTIST HEALTH MEDICAL GROUP INC RICHMOND KY $1.84M
BAPTIST HEALTH MEDICAL GROUP INC BARBOURVILLE KY $1.60M
BAPTIST HEALTH MEDICAL GROUP INC RICHMOND KY $1.59M
BAPTIST HEALTH DEACONESS MEDICAL GROUP INC MADISONVILLE KY $1.53M
BAPTIST HEALTH DEACONESS MEDICAL GROUP INC MADISONVILLE KY $1.41M
BAPTIST HEALTH MEDICAL GROUP INC POWDERLY KY $1.29M
BAPTIST HEALTH DEACONESS MEDICAL GROUP INC POWDERLY KY $1.14M
BAPTIST HEALTH MEDICAL GROUP INC RICHMOND KY $1.06M
BAPTIST HEALTH MEDICAL GROUP INC BRANDENBURG KY $925K
BAPTIST HEALTH MEDICAL GROUP INC GEORGETOWN KY $758K
BAPTIST HEALTH DEACONESS MEDICAL GROUP INC HOPKINSVILLE KY $680K
BAPTIST HEALTH MEDICAL GROUP, INC. JEFFERSONVILLE IN $637K
BAPTIST HEALTH MEDICAL GROUP INC HOPKINSVILLE KY $514K
BAPTIST HEALTH MEDICAL GROUP INC MADISONVILLE KY $417K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 1,841 $63K
2020 3,903 $150K
2021 4,292 $148K
2022 4,193 $164K
2023 5,000 $191K
2024 4,327 $199K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,871 8,819 $470K
99309 Subsequent nursing facility care, per day, low to moderate complexity 6,288 3,690 $208K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,641 4,148 $142K
99308 Subsequent nursing facility care, per day, straightforward 1,108 952 $30K
90792 Psychiatric diagnostic evaluation with medical services 329 298 $22K
99215 Prolong outpt/office vis 215 184 $17K
90832 Psychotherapy, 30 minutes with patient 350 286 $13K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 135 129 $2K
90834 Psychotherapy, 45 minutes with patient 41 39 $2K
90674 69 61 $1K
99442 60 30 $1K
90791 Psychiatric diagnostic evaluation 28 16 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 30 26 $1K
87428 28 26 $957.26
90686 44 43 $766.54
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 42 35 $568.37
96127 36 36 $277.95
83036 Hemoglobin; glycosylated (A1C) 20 14 $79.62
3008F 34 29 $0.00
2014F 17 12 $0.00
1159F 85 81 $0.00
1160F 85 81 $0.00