Medicaid Provider Spending

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

BAPTIST HEALTH MEDICAL GROUP INC

NPI: 1922401611 · PADUCAH, KY 42003 · Psychologist · NPI assigned 10/08/2014

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

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

$21.94M
Total Medicaid Paid
739,676
Total Claims
643,783
Beneficiaries
222
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCLAY, DANYEL (VP, REVENUE CYCLE)
NPI Enumeration Date10/08/2014

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 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 RICHMOND KY $1.06M
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
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
2024 67,337 $2.34M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 191,649 165,768 $5.94M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 144,443 126,437 $5.85M
90460 Immunization administration through 18 years of age via any route, first or only component 22,591 22,018 $981K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 15,571 14,952 $913K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 13,010 12,666 $884K
90461 17,546 17,135 $547K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 8,947 8,243 $540K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 5,842 5,323 $473K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 65,530 50,570 $439K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 6,206 6,042 $425K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 3,984 3,314 $344K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 5,037 4,500 $279K
99232 Subsequent hospital care, per day, moderate complexity 11,495 4,316 $266K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 9,811 7,620 $236K
76830 Ultrasound, transvaginal 3,749 3,582 $235K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1,316 1,188 $228K
J0585 Injection, onabotulinumtoxina, 1 unit 352 179 $186K
88305 Level IV - Surgical pathology, gross and microscopic examination 3,672 3,273 $170K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,563 1,528 $126K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 7,423 7,099 $121K
93000 7,962 7,227 $109K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 686 632 $97K
99223 Prolong inpt eval add15 m 1,092 961 $93K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 4,360 2,267 $88K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 907 886 $83K
90791 Psychiatric diagnostic evaluation 1,211 993 $80K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,873 2,912 $76K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 5,650 5,275 $75K
93880 2,271 2,064 $74K
99238 Hospital discharge day management, 30 minutes or less 1,683 1,501 $71K
99233 Prolong inpt eval add15 m 2,134 499 $68K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 5,165 4,404 $64K
99215 Prolong outpt/office vis 1,267 1,080 $63K
92567 8,019 6,742 $62K
20610 1,923 1,563 $60K
90670 10,493 10,260 $59K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 819 771 $52K
43248 426 361 $50K
95810 Polysomnography; sleep staging with 4 or more additional parameters 466 440 $50K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 1,273 703 $45K
92588 1,210 936 $44K
93970 1,337 1,240 $39K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 247 228 $38K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 558 509 $38K
90677 169 163 $37K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 167 155 $37K
85018 16,467 16,000 $36K
92557 2,567 2,134 $35K
42820 Tonsillectomy and adenoidectomy; younger than age 12 178 166 $33K
59410 48 38 $31K
93922 1,193 1,029 $27K
90686 6,600 6,378 $27K
92587 806 757 $27K
93971 1,686 1,550 $27K
90723 8,832 8,660 $26K
64615 298 283 $26K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 476 404 $26K
99442 854 676 $26K
94060 1,383 1,266 $26K
90680 7,724 7,567 $25K
83655 1,982 1,923 $23K
99243 262 257 $23K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 3,095 2,750 $23K
76819 Fetal biophysical profile; without non-stress testing 417 242 $22K
99239 Hospital discharge day management, more than 30 minutes 382 349 $22K
99460 496 480 $21K
94729 1,773 1,621 $20K
90674 1,120 1,037 $19K
77067 Screening mammography, bilateral, including computer-aided detection 327 316 $18K
90834 Psychotherapy, 45 minutes with patient 479 320 $18K
59025 Fetal non-stress test 734 512 $18K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 2,080 1,337 $18K
90472 Immunization administration, each additional vaccine (list separately) 1,123 1,099 $17K
76801 314 283 $17K
90710 2,189 2,138 $16K
93018 1,135 1,068 $16K
11721 1,732 1,574 $14K
96130 209 193 $13K
31575 338 310 $13K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 430 167 $12K
81025 1,653 1,524 $12K
92579 826 687 $12K
90648 7,638 7,443 $12K
90837 Psychotherapy, 53 minutes with patient 172 131 $11K
59515 19 12 $10K
85610 4,250 2,575 $10K
87428 277 251 $9K
88307 182 170 $9K
93350 152 144 $9K
97597 686 435 $9K
99441 504 430 $8K
93923 539 508 $8K
94727 459 392 $8K
87807 715 670 $8K
69210 485 437 $8K
88141 506 461 $7K
99406 1,261 1,061 $7K
99381 121 120 $7K
94726 922 850 $7K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 184 169 $7K
72100 337 312 $7K
93298 388 371 $7K
90649 135 133 $6K
99459 509 480 $6K
95251 524 434 $5K
90633 4,826 4,715 $5K
88342 204 193 $5K
93793 1,049 608 $5K
83036 Hemoglobin; glycosylated (A1C) 728 645 $5K
77063 Screening digital breast tomosynthesis, bilateral 327 316 $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 283 271 $5K
99308 Subsequent nursing facility care, per day, straightforward 473 440 $5K
88304 600 539 $5K
99307 450 328 $4K
71046 Radiologic examination, chest; 2 views 384 352 $4K
94010 288 269 $4K
93356 587 539 $4K
36415 Collection of venous blood by venipuncture 1,585 1,267 $3K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 707 451 $3K
J1030 Injection, methylprednisolone acetate, 40 mg 419 366 $3K
92552 274 258 $3K
93352 110 104 $3K
90715 243 233 $2K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 52 48 $2K
90716 769 752 $2K
93248 143 132 $2K
99225 62 37 $2K
75574 29 28 $2K
99255 13 13 $2K
90647 3,203 3,160 $2K
90732 30 26 $2K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 38 38 $2K
0124A 60 60 $2K
64483 14 14 $2K
90474 159 156 $1K
95811 13 12 $1K
82962 646 583 $1K
99244 Office or other outpatient consultation, moderate to high complexity 12 12 $1K
73560 163 91 $1K
92555 279 225 $1K
90734 415 402 $1K
90656 293 290 $1K
73565 148 93 $1K
92556 92 85 $1K
90707 699 683 $1K
95800 28 26 $1K
99383 14 13 $1K
94618 62 57 $1K
95115 158 90 $1K
99422 56 52 $918.73
93924 48 45 $893.60
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 14 13 $864.37
93016 52 51 $862.96
92553 90 79 $836.67
90696 598 583 $832.21
95250 31 27 $823.24
95816 30 29 $802.96
96127 228 215 $762.64
90700 539 520 $760.05
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 92 85 $747.32
51798 114 111 $731.18
93296 58 54 $723.44
99231 Subsequent hospital care, per day, straightforward or low complexity 33 13 $713.73
99221 49 47 $660.69
88142 27 27 $645.49
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 32 27 $596.97
87420 45 42 $565.50
92551 122 88 $564.76
99217 15 14 $561.80
90651 416 403 $545.22
97014 68 32 $538.77
0071A 13 13 $520.00
0072A 14 14 $520.00
93246 65 55 $478.69
87210 107 101 $470.39
82465 102 98 $410.29
0001A 15 15 $400.00
98927 12 12 $364.50
0053A 14 13 $360.00
88300 76 60 $342.84
76536 12 12 $316.80
92504 29 25 $314.02
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 20 14 $302.24
J0696 Injection, ceftriaxone sodium, per 250 mg 29 28 $301.60
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 85 75 $273.50
74019 19 17 $224.81
99462 13 12 $224.51
J1885 Injection, ketorolac tromethamine, per 15 mg 126 110 $212.95
92558 76 65 $210.36
73630 18 16 $187.07
11056 58 46 $184.40
92570 29 12 $155.10
J1040 Injection, methylprednisolone acetate, 80 mg 15 15 $138.89
73030 16 14 $133.84
J1100 Injection, dexamethasone sodium phosphate, 1 mg 163 151 $130.27
36416 229 159 $93.14
0298T 55 45 $93.08
99195 15 12 $71.92
0296T 29 26 $70.49
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 13 12 $66.36
90685 37 34 $63.88
81001 96 90 $60.30
81003 51 45 $32.30
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 89 82 $29.75
93325 16 12 $27.97
3008F 7,081 6,837 $2.07
2014F 3,709 3,547 $0.54
0503F 13 12 $0.01
1159F 2,057 2,011 $0.00
1160F 2,051 2,005 $0.00
3078F 27 27 $0.00
4004F 21 19 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 13 13 $0.00
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 210 98 $0.00
1123F 265 233 $0.00
1126F 88 85 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 67 62 $0.00
G0008 Administration of influenza virus vaccine 65 52 $0.00
3074F 33 33 $0.00
3044F 24 24 $0.00
1125F 17 17 $0.00
59514 13 12 $0.00