Medicaid Provider Spending

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

BAPTIST HEALTH MEDICAL GROUP INC

NPI: 1831744176 · RICHMOND, KY 40475 · Rural Health Clinic/Center · NPI assigned 08/05/2019

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

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

$1.06M
Total Medicaid Paid
36,500
Total Claims
33,490
Beneficiaries
16
Codes Billed
2020-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCLAY, DANYEL (VP REVENUE CYCLE)
Parent OrganizationBAPTIST HEALTH MEDICAL GROUP INC
NPI Enumeration Date08/05/2019

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 BRANDENBURG KY $925K
BAPTIST HEALTH MEDICAL GROUP INC BEREA KY $914K
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
2020 2,949 $90K
2021 4,979 $144K
2022 8,554 $244K
2023 10,450 $304K
2024 9,568 $274K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15,237 14,025 $453K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,139 2,906 $162K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,109 2,851 $152K
87428 3,916 3,708 $124K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 6,938 6,498 $75K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,598 1,399 $28K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 274 261 $26K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,548 1,177 $19K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 158 135 $5K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 237 225 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 151 136 $4K
J1040 Injection, methylprednisolone acetate, 80 mg 98 83 $874.01
J0696 Injection, ceftriaxone sodium, per 250 mg 13 13 $112.80
71046 Radiologic examination, chest; 2 views 18 12 $95.23
J1885 Injection, ketorolac tromethamine, per 15 mg 54 49 $78.42
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 12 12 $66.66