Medicaid Provider Spending

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

NORTON CHILDREN'S MEDICAL GROUP, LLC

NPI: 1932740487 · LOUISVILLE, KY 40241 · Physical Medicine & Rehabilitation Physician · NPI assigned 10/07/2019

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

Authorized official GAST, SHELLEY controls 20+ related entities in our dataset. Read more

$189K
Total Medicaid Paid
3,362
Total Claims
1,670
Beneficiaries
8
Codes Billed
2020-04
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGAST, SHELLEY (SYST VP OF MNGD CARE & PAYOR STRAT)
NPI Enumeration Date10/07/2019

Related Entities

Other providers sharing the same authorized official: GAST, SHELLEY

ProviderCityStateTotal Paid
NORTON HOSPITALS INC LOUISVILLE KY $419.58M
NORTON HOSPITALS, INC LOUISVILLE KY $299.00M
COMMUNITY MEDICAL ASSOCIATES, INC. LOUISVILLE KY $135.33M
NORTON CHILDRENS MEDICAL GROUP, LLC LOUISVILLE KY $107.36M
COMMUNITY MEDICAL ASSOCIATES, INC. LOUISVILLE KY $48.97M
NORTON CLARK HOSPITAL, LLC JEFFERSONVILLE IN $19.62M
NORTON - KINGS DAUGHTERS HEALTH INC MADISON IN $11.81M
NORTON SCOTT HOSPITAL, LLC SCOTTSBURG IN $9.17M
NORTON CLARK PHYSICIAN PRACTICES, LLC CLARKSVILLE IN $7.07M
NORTON HOSPITALS INC LOUISVILLE KY $3.38M
COMMUNITY MEDICAL ASSOCIATES, INC. LOUISVILLE KY $1.21M
NORTON CHILDREN'S MEDICAL GROUP, LLC LOUISVILLE KY $1.15M
COMMUNITY MEDICAL ASSOCIATES, INC. LOUISVILLE KY $957K
COMMUNITY MEDICAL ASSOCIATES, INC. LOUISVILLE KY $808K
NORTON SCOTT HOSPITAL, LLC SCOTTSBURG IN $560K
NORTON HOSPITALS, INC LOUISVILLE KY $438K
COMMUNITY MEDICAL ASSOCIATES, INC. LOUISVILLE KY $357K
NORTON CLARK PHYSICIAN PRACTICES, LLC SELLERSBURG IN $273K
NORTON CHILDREN'S MEDICAL GROUP, LLC LOUISVILLE KY $260K
NORTON CHILDREN'S MEDICAL GROUP, LLC LOUISVILLE KY $238K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 339 $25K
2021 1,098 $60K
2022 771 $49K
2023 215 $14K
2024 939 $41K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97530 Therapeutic activities, direct patient contact, each 15 minutes 2,338 883 $130K
96112 604 494 $40K
97535 Self-care/home management training, each 15 minutes 185 74 $7K
97166 96 91 $5K
97165 89 79 $5K
97167 25 24 $1K
99238 Hospital discharge day management, 30 minutes or less 12 12 $166.32
99460 13 13 $143.12