Behavioral
Baptist Health Medical Group INC
Baptist Health Medical Group INC was paid $21.94M by Medicaid between Jan 2018 and Dec 2024, across 222 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.
33Billing provider infoBAPTIST HEALTH MEDICAL GROUP INC
PADUCAH, KY 42003
PADUCAH, KY 42003
33aNPI1922401611assigned 10/08/2014
33bProvider typePsychologist
28Total paid$21.94M
24GClaims739,676
24DCodes billed222
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Psychologist providers in Kentucky
Rank by total paid#5 of 40
Median peer was paid$395K
This provider vs. median56×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 134,588 | $4.03M | |
| 2019 | 124,334 | $3.52M | |
| 2020 | 119,006 | $3.58M | |
| 2021 | 118,552 | $3.61M | |
| 2022 | 84,065 | $2.30M | |
| 2023 | 91,794 | $2.57M | |
| 2024incomplete | 67,337 | $2.34M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 191,649 | 165,768 | $5.94M |
| 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 | 27% | 144,443 | 126,437 | $5.85M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.5% | 22,591 | 22,018 | $981K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.2% | 15,571 | 14,952 | $913K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.0% | 13,010 | 12,666 | $884K |
| 90461 | 2.5% | 17,546 | 17,135 | $547K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 2.5% | 8,947 | 8,243 | $540K |
| 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 | 2.2% | 5,842 | 5,323 | $473K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 2.0% | 65,530 | 50,570 | $439K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.9% | 6,206 | 6,042 | $425K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 1.6% | 3,984 | 3,314 | $344K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.3% | 5,037 | 4,500 | $279K |
210 more codes
| 99232 | Hospital visit by a doctor, follow-up day | 1.2% | 11,495 | $266K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 9,811 | $236K |
| 76830 | Ultrasound, transvaginal | 1.1% | 3,749 | $235K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 1.0% | 1,316 | $228K |
| J0585 | Injection, onabotulinumtoxina, 1 unit | <1% | 352 | $186K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 3,672 | $170K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,563 | $126K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 7,423 | $121K |
| 93000 | <1% | 7,962 | $109K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 686 | $97K |
| 99223 | Prolong inpt eval add15 m | <1% | 1,092 | $93K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 4,360 | $88K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 907 | $83K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 1,211 | $80K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 3,873 | $76K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 5,650 | $75K |
| 93880 | <1% | 2,271 | $74K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 1,683 | $71K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 2,134 | $68K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 5,165 | $64K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,267 | $63K |
| 92567 | <1% | 8,019 | $62K | |
| 20610 | <1% | 1,923 | $60K | |
| 90670 | <1% | 10,493 | $59K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 819 | $52K |
| 43248 | <1% | 426 | $50K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 466 | $50K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 1,273 | $45K |
| 92588 | <1% | 1,210 | $44K | |
| 93970 | <1% | 1,337 | $39K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 247 | $38K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 558 | $38K |
| 90677 | <1% | 169 | $37K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 167 | $37K |
| 85018 | <1% | 16,467 | $36K | |
| 92557 | <1% | 2,567 | $35K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 178 | $33K |
| 59410 | <1% | 48 | $31K | |
| 93922 | <1% | 1,193 | $27K | |
| 90686 | <1% | 6,600 | $27K | |
| 92587 | <1% | 806 | $27K | |
| 93971 | <1% | 1,686 | $27K | |
| 90723 | <1% | 8,832 | $26K | |
| 64615 | <1% | 298 | $26K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 476 | $26K |
| 99442 | <1% | 854 | $26K | |
| 94060 | <1% | 1,383 | $26K | |
| 90680 | <1% | 7,724 | $25K | |
| 83655 | <1% | 1,982 | $23K | |
| 99243 | <1% | 262 | $23K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 3,095 | $23K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 417 | $22K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 382 | $22K |
| 99460 | <1% | 496 | $21K | |
| 94729 | <1% | 1,773 | $20K | |
| 90674 | <1% | 1,120 | $19K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 327 | $18K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 479 | $18K |
| 59025 | Fetal non-stress test | <1% | 734 | $18K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 2,080 | $18K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,123 | $17K |
| 76801 | <1% | 314 | $17K | |
| 90710 | <1% | 2,189 | $16K | |
| 93018 | <1% | 1,135 | $16K | |
| 11721 | <1% | 1,732 | $14K | |
| 96130 | <1% | 209 | $13K | |
| 31575 | <1% | 338 | $13K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 430 | $12K |
| 81025 | <1% | 1,653 | $12K | |
| 92579 | <1% | 826 | $12K | |
| 90648 | <1% | 7,638 | $12K | |
| 90837 | Psychotherapy session, about an hour | <1% | 172 | $11K |
| 59515 | <1% | 19 | $10K | |
| 85610 | <1% | 4,250 | $10K | |
| 87428 | <1% | 277 | $9K | |
| 88307 | <1% | 182 | $9K | |
| 93350 | <1% | 152 | $9K | |
| 97597 | <1% | 686 | $9K | |
| 99441 | <1% | 504 | $8K | |
| 93923 | <1% | 539 | $8K | |
| 94727 | <1% | 459 | $8K | |
| 87807 | <1% | 715 | $8K | |
| 69210 | <1% | 485 | $8K | |
| 88141 | <1% | 506 | $7K | |
| 99406 | <1% | 1,261 | $7K | |
| 99381 | <1% | 121 | $7K | |
| 94726 | <1% | 922 | $7K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 184 | $7K |
| 72100 | <1% | 337 | $7K | |
| 93298 | <1% | 388 | $7K | |
| 90649 | <1% | 135 | $6K | |
| 99459 | <1% | 509 | $6K | |
| 95251 | <1% | 524 | $5K | |
| 90633 | <1% | 4,826 | $5K | |
| 88342 | <1% | 204 | $5K | |
| 93793 | <1% | 1,049 | $5K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 728 | $5K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 327 | $5K |
| G2066 | Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results | <1% | 283 | $5K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 473 | $5K |
| 88304 | <1% | 600 | $5K | |
| 99307 | <1% | 450 | $4K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 384 | $4K |
| 94010 | <1% | 288 | $4K | |
| 93356 | <1% | 587 | $4K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,585 | $3K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 707 | $3K |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 419 | $3K |
| 92552 | <1% | 274 | $3K | |
| 93352 | <1% | 110 | $3K | |
| 90715 | <1% | 243 | $2K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 52 | $2K |
| 90716 | <1% | 769 | $2K | |
| 93248 | <1% | 143 | $2K | |
| 99225 | <1% | 62 | $2K | |
| 75574 | <1% | 29 | $2K | |
| 99255 | <1% | 13 | $2K | |
| 90647 | <1% | 3,203 | $2K | |
| 90732 | <1% | 30 | $2K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 38 | $2K |
| 0124A | <1% | 60 | $2K | |
| 64483 | <1% | 14 | $2K | |
| 90474 | <1% | 159 | $1K | |
| 95811 | <1% | 13 | $1K | |
| 82962 | <1% | 646 | $1K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 12 | $1K |
| 73560 | <1% | 163 | $1K | |
| 92555 | <1% | 279 | $1K | |
| 90734 | <1% | 415 | $1K | |
| 90656 | <1% | 293 | $1K | |
| 73565 | <1% | 148 | $1K | |
| 92556 | <1% | 92 | $1K | |
| 90707 | <1% | 699 | $1K | |
| 95800 | <1% | 28 | $1K | |
| 99383 | <1% | 14 | $1K | |
| 94618 | <1% | 62 | $1K | |
| 95115 | <1% | 158 | $1K | |
| 99422 | <1% | 56 | $918.73 | |
| 93924 | <1% | 48 | $893.60 | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 14 | $864.37 |
| 93016 | <1% | 52 | $862.96 | |
| 92553 | <1% | 90 | $836.67 | |
| 90696 | <1% | 598 | $832.21 | |
| 95250 | <1% | 31 | $823.24 | |
| 95816 | <1% | 30 | $802.96 | |
| 96127 | <1% | 228 | $762.64 | |
| 90700 | <1% | 539 | $760.05 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 92 | $747.32 |
| 51798 | <1% | 114 | $731.18 | |
| 93296 | <1% | 58 | $723.44 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 33 | $713.73 |
| 99221 | <1% | 49 | $660.69 | |
| 88142 | <1% | 27 | $645.49 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 32 | $596.97 |
| 87420 | <1% | 45 | $565.50 | |
| 92551 | <1% | 122 | $564.76 | |
| 99217 | <1% | 15 | $561.80 | |
| 90651 | <1% | 416 | $545.22 | |
| 97014 | <1% | 68 | $538.77 | |
| 0071A | <1% | 13 | $520.00 | |
| 0072A | <1% | 14 | $520.00 | |
| 93246 | <1% | 65 | $478.69 | |
| 87210 | <1% | 107 | $470.39 | |
| 82465 | <1% | 102 | $410.29 | |
| 0001A | <1% | 15 | $400.00 | |
| 98927 | <1% | 12 | $364.50 | |
| 0053A | <1% | 14 | $360.00 | |
| 88300 | <1% | 76 | $342.84 | |
| 76536 | <1% | 12 | $316.80 | |
| 92504 | <1% | 29 | $314.02 | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 20 | $302.24 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 29 | $301.60 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 85 | $273.50 |
| 74019 | <1% | 19 | $224.81 | |
| 99462 | <1% | 13 | $224.51 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 126 | $212.95 |
| 92558 | <1% | 76 | $210.36 | |
| 73630 | <1% | 18 | $187.07 | |
| 11056 | <1% | 58 | $184.40 | |
| 92570 | <1% | 29 | $155.10 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 15 | $138.89 |
| 73030 | <1% | 16 | $133.84 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 163 | $130.27 |
| 36416 | <1% | 229 | $93.14 | |
| 0298T | <1% | 55 | $93.08 | |
| 99195 | <1% | 15 | $71.92 | |
| 0296T | <1% | 29 | $70.49 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 13 | $66.36 |
| 90685 | <1% | 37 | $63.88 | |
| 81001 | <1% | 96 | $60.30 | |
| 81003 | <1% | 51 | $32.30 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 89 | $29.75 |
| 93325 | <1% | 16 | $27.97 | |
| 3008F | <1% | 7,081 | $2.07 | |
| 2014F | <1% | 3,709 | $0.54 | |
| 0503F | <1% | 13 | $0.01 | |
| 1159F | 0% | 2,057 | $0.00 | |
| 1160F | 0% | 2,051 | $0.00 | |
| 3078F | 0% | 27 | $0.00 | |
| 4004F | 0% | 21 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 13 | $0.00 |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 0% | 210 | $0.00 |
| 1123F | 0% | 265 | $0.00 | |
| 1126F | 0% | 88 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 67 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 65 | $0.00 |
| 3074F | 0% | 33 | $0.00 | |
| 3044F | 0% | 24 | $0.00 | |
| 1125F | 0% | 17 | $0.00 | |
| 59514 | 0% | 13 | $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 (VP, REVENUE CYCLE)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.