Physician
ST Elizabeth Medical Center, INC
ST Elizabeth Medical Center, INC was paid $3.75M by Medicaid between Jan 2018 and Nov 2024, across 47 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 34% of everything it billed.
33Billing provider infoST ELIZABETH MEDICAL CENTER, INC
ERLANGER, KY 41018
ERLANGER, KY 41018
33aNPI1932187937assigned 01/09/2006
33bProvider typeInternal Medicine Physician
28Total paid$3.75M
24GClaims117,608
24DCodes billed47
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in Kentucky
Rank by total paid#6 of 231
Median peer was paid$77K
This provider vs. median49×
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.
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 | 20,077 | $396K | |
| 2019 | 10,880 | $329K | |
| 2020 | 17,057 | $586K | |
| 2021 | 19,889 | $689K | |
| 2022 | 19,379 | $648K | |
| 2023 | 18,205 | $629K | |
| 2024incomplete | 12,121 | $476K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 34% | 29,414 | 26,838 | $1.26M |
| 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 | 12% | 13,412 | 10,818 | $438K |
| 88307 | 7.9% | 5,028 | 4,660 | $298K | |
| 76818 | 7.3% | 9,355 | 7,752 | $276K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 6.9% | 9,050 | 8,234 | $259K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.0% | 5,775 | 4,753 | $190K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 4.0% | 2,938 | 2,546 | $148K |
| 77014 | 3.6% | 5,332 | 1,415 | $134K | |
| 88342 | 3.1% | 4,161 | 3,652 | $118K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 2.8% | 2,768 | 2,671 | $105K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.3% | 1,741 | 1,452 | $85K |
| 88112 | 2.0% | 2,257 | 1,984 | $76K |
35 more codes
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.7% | 9,368 | $64K |
| 76801 | 1.4% | 1,563 | $54K | |
| 77427 | 1.1% | 434 | $43K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 1,400 | $33K |
| 88304 | <1% | 4,310 | $32K | |
| 88141 | <1% | 1,400 | $20K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 651 | $16K |
| 84165 | <1% | 1,935 | $14K | |
| 59025 | Fetal non-stress test | <1% | 408 | $11K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 226 | $9K |
| 99205 | Prolong outpt/office vis | <1% | 144 | $8K |
| 94726 | <1% | 864 | $7K | |
| 88341 | <1% | 161 | $7K | |
| 93971 | <1% | 366 | $6K | |
| 94010 | <1% | 574 | $6K | |
| 88173 | <1% | 106 | $6K | |
| 85060 | <1% | 434 | $5K | |
| 77334 | <1% | 60 | $5K | |
| 76820 | <1% | 251 | $5K | |
| 94729 | <1% | 812 | $4K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 69 | $4K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 84 | $3K |
| 77263 | <1% | 30 | $2K | |
| 93970 | <1% | 119 | $2K | |
| 93880 | <1% | 52 | $944.70 | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 14 | $816.07 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 30 | $600.27 |
| 88312 | <1% | 15 | $468.49 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 12 | $397.30 |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 24 | $376.91 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 227 | $328.90 |
| 88311 | <1% | 30 | $201.41 | |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 34 | $0.00 |
| G8432 | Depression screening not documented, reason not given | 0% | 124 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 46 | $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 officialRITCHEY-BALDWIN, LORI (CFO)
| Provider | Location | Paid |
|---|---|---|
| ST Elizabeth Medical Center, INC | Edgewood, KY | $188.25M |
| ST Elizabeth Medical Center, INC | Florence, KY | $65.44M |
| ST Elizabeth Medical Center, INC | Fort Thomas, KY | $45.99M |
| ST Elizabeth Medical Center, INC | Williamstown, KY | $35.42M |
| ST Elizabeth Medical Center, INC | Lawrenceburg, IN | $4.66M |
| ST Elizabeth Medical Center, INC | Edgewood, KY | $2.95M |
| ST. Elizabeth Medical Center, INC. | Edgewood, KY | $438.18 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.