Medicaid Provider Spending

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

ST ELIZABETH MEDICAL CENTER, INC

NPI: 1932187937 · ERLANGER, KY 41018 · Internal Medicine Physician · NPI assigned 01/09/2006

$3.75M
Total Medicaid Paid
117,608
Total Claims
99,630
Beneficiaries
47
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialRITCHEY-BALDWIN, LORI (CFO)
NPI Enumeration Date01/09/2006

Related Entities

Other providers sharing the same authorized official: RITCHEY-BALDWIN, LORI

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 12,121 $476K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
88305 Level IV - Surgical pathology, gross and microscopic examination 29,414 26,838 $1.26M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13,412 10,818 $438K
88307 5,028 4,660 $298K
76818 9,355 7,752 $276K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 9,050 8,234 $259K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,775 4,753 $190K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 2,938 2,546 $148K
77014 5,332 1,415 $134K
88342 4,161 3,652 $118K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 2,768 2,671 $105K
99215 Prolong outpt/office vis 1,741 1,452 $85K
88112 2,257 1,984 $76K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 9,368 7,566 $64K
76801 1,563 1,477 $54K
77427 434 269 $43K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,400 1,291 $33K
88304 4,310 4,079 $32K
88141 1,400 1,219 $20K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 651 569 $16K
84165 1,935 1,760 $14K
59025 Fetal non-stress test 408 321 $11K
99233 Prolong inpt eval add15 m 226 112 $9K
99205 Prolong outpt/office vis 144 109 $8K
94726 864 816 $7K
88341 161 146 $7K
93971 366 347 $6K
94010 574 540 $6K
88173 106 90 $6K
85060 434 371 $5K
77334 60 49 $5K
76820 251 192 $5K
94729 812 766 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 69 69 $4K
99232 Subsequent hospital care, per day, moderate complexity 84 50 $3K
77263 30 27 $2K
93970 119 110 $2K
93880 52 50 $944.70
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 14 12 $816.07
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 30 28 $600.27
88312 15 13 $468.49
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 12 12 $397.30
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 24 13 $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) 227 198 $328.90
88311 30 26 $201.41
G8484 Influenza immunization was not administered, reason not given 34 28 $0.00
G8432 Depression screening not documented, reason not given 124 92 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 46 38 $0.00