Medicaid Provider Spending

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

EPHRAIM MCDOWELL HEALTH RESOURCE, INC.

NPI: 1881749927 · SPRINGFIELD, KY 40069 · Family Medicine Physician · NPI assigned 01/25/2007

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

Authorized official SNAPP, WILLIAM controls 20+ related entities in our dataset. Read more

$478K
Total Medicaid Paid
18,171
Total Claims
15,660
Beneficiaries
12
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSNAPP, WILLIAM (CFO)
NPI Enumeration Date01/25/2007

Related Entities

Other providers sharing the same authorized official: SNAPP, WILLIAM

ProviderCityStateTotal Paid
EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER INCORPORATED DANVILLE KY $59.95M
THE JAMES B. HAGGIN MEMORIAL HOSPITAL INC HARRODSBURG KY $13.83M
EPHRAIM MCDOWELL HEALTH RESOURCE, INC DANVILLE KY $995K
EPHRAIM MCDOWELL HEALTH RESOURCE,INC DANVILLE KY $869K
EPHRAIM MCDOWELL HEALTH RESOURCE, INC DANVILLE KY $671K
MCDOWELL HOME HEALTH AGENCY, INC. DANVILLE KY $631K
EPHRAIM MCDOWELL HEALTH RESOURCE, INC. LIBERTY KY $623K
EPHRAIM MCDOWELL HEALTH RESOURCE, INC. LANCASTER KY $517K
EPHRAIM MCDOWELL HEALTH RESOURCE, INC LANCASTER KY $434K
EPHRAIM MCDOWELL HEALTH RESOURCE, INC. HARRODSBURG KY $359K
EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, INCORPPORATED DANVILLE KY $324K
EPHRAIM MCDOWELL HEALTH RESOURCE, INC. DANVILLE KY $324K
THE JAMES B. HAGGIN MEMORIAL HOSPITAL INC. HARRODSBURG KY $257K
EPHRAIM MCDOWELL HEALTH RESOURCE, INC DANVILLE KY $139K
EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER INCORPORATED DANVILLE KY $134K
TRH ANESTHESIA LLC CAMPBELLSVILLE KY $30K
EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER INCORPORATED STANFORD KY $26K
THE JAMES B. HAGGIN MEMORIAL HOSPITAL INC HARRODSBURG KY $14K
TAYLOR REGIONAL MEDICAL GROUP,LLC GREENSBURG KY $11K
EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, INCORPORATED LIBERTY KY $168.69

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,701 $69K
2019 2,601 $72K
2020 2,426 $67K
2021 2,245 $51K
2022 2,682 $69K
2023 2,983 $76K
2024 2,533 $75K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,283 6,226 $235K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,077 3,546 $181K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 319 284 $23K
36415 Collection of venous blood by venipuncture 4,633 4,058 $17K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 231 208 $7K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 394 199 $6K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 236 224 $3K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 70 68 $2K
83036 Hemoglobin; glycosylated (A1C) 201 189 $1K
81003 703 634 $912.14
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 12 12 $831.82
82044 12 12 $56.07