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

Community Medical Associates, INC.

Community Medical Associates, INC. was paid $36K by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is 70551, Magnetic resonance imaging, brain; without contrast material — 39% of everything it billed.

33Billing provider infoCOMMUNITY MEDICAL ASSOCIATES, INC.
LOUISVILLE, KY 40241
33aNPI1922288760assigned 11/09/2007
28Total paid$36K
24GClaims2,553
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Clinical Neuropsychologist providers in Kentucky

Rank by total paid#6 of 8
Median peer was paid$49K
This provider vs. median0.7×

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

Paid by month

$0$2.0K$4.0K2018201920202021202220232024
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
2018969$11K
20191,161$17K
2020219$2K
202212$687.67
2024incomplete192$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
70551 Magnetic resonance imaging, brain; without contrast material 39% 271 244 $14K
71045 Radiologic examination, chest; single view 25% 1,535 790 $9K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6.3% 103 95 $2K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 4.8% 19 16 $2K
71046 Radiologic examination, chest; 2 views 4.7% 210 196 $2K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 4.2% 32 30 $1K
97597 4.1% 135 41 $1K
70450 Computed tomography, head or brain; without contrast material 3.7% 42 40 $1K
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 3.2% 13 13 $1K
74019 2.3% 87 83 $824.21
76770 2.2% 30 29 $776.90
99221 <1% 13 12 $311.70
2 more codes
74018 <1% 51 $205.94
99024 0% 12 $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 officialGAST, SHELLEY (VP MANAGED CARE)
Same official

Other billing entities under GAST, SHELLEY

Full network →
ProviderLocationPaid
Norton Hospitals INCLouisville, KY$419.58M
Norton Hospitals, INCLouisville, KY$299.00M
Community Medical Associates, INC.Louisville, KY$135.33M
Norton Childrens Medical Group, LLCLouisville, KY$107.36M
Community Medical Associates, INC.Louisville, KY$48.97M
Norton Clark Hospital, LLCJeffersonville, IN$19.62M
Norton - Kings Daughters Health INCMadison, IN$11.81M
Norton Scott Hospital, LLCScottsburg, IN$9.17M
Norton Clark Physician Practices, LLCClarksville, IN$7.07M
Norton Hospitals INCLouisville, KY$3.38M
Community Medical Associates, INC.Louisville, KY$1.21M
Norton Children's Medical Group, LLCLouisville, KY$1.15M
Community Medical Associates, INC.Louisville, KY$957K
Community Medical Associates, INC.Louisville, KY$808K
Norton Scott Hospital, LLCScottsburg, IN$560K
Norton Hospitals, INCLouisville, KY$438K
Community Medical Associates, INC.Louisville, KY$357K
Norton Clark Physician Practices, LLCSellersburg, IN$273K
Norton Children's Medical Group, LLCLouisville, KY$260K
Norton Children's Medical Group, LLCLouisville, KY$238K

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