Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Behavioral

Baptist Health Medical Group INC

Baptist Health Medical Group INC was paid $390K by Medicaid between Jan 2018 and Mar 2024, across 14 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 43% of everything it billed.

33Billing provider infoBAPTIST HEALTH MEDICAL GROUP INC
MADISONVILLE, KY 42431
33aNPI1861895559assigned 10/08/2014
33bProvider typePsychologist
28Total paid$390K
24GClaims14,017
24DCodes billed14
24AFirst – last monthJan 2018 – Mar 2024
Compared with peers

Next to other Psychologist providers in Kentucky

Rank by total paid#22 of 40
Median peer was paid$395K
This provider vs. median1.0×

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 CLAY, DANYEL controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20183,244$98K
20193,319$90K
20202,596$60K
20212,734$78K
20221,270$38K
2023757$22K
2024incomplete97$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 43% 2,952 2,711 $167K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 28% 4,002 3,372 $108K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 9.0% 1,466 709 $35K
73630 8.2% 2,330 1,606 $32K
11721 7.0% 2,381 1,974 $27K
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 2.3% 196 167 $9K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2.2% 418 362 $8K
97597 <1% 134 78 $2K
73610 <1% 54 28 $677.22
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg <1% 12 12 $225.14
11056 <1% 18 13 $95.93
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 14 12 $5.13
2 more codes
1159F 0% 20 $0.00
1160F 0% 20 $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.

From NPPES

Who's on the registration

Authorized officialCLAY, DANYEL (DIRECTOR REVENUE CYCLE MANAGEMENT)
Same official

Other billing entities under CLAY, DANYEL

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.