Medicaid Provider Spending

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

T J HEALTH COLUMBIA INC

NPI: 1952953432 · SCOTTSVILLE, KY 42164 · Rural Health Clinic/Center · NPI assigned 07/15/2019

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

Authorized official THORNBURY, NEIL controls 17+ related entities in our dataset. Read more

$611K
Total Medicaid Paid
21,663
Total Claims
18,827
Beneficiaries
18
Codes Billed
2019-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTHORNBURY, NEIL (CEO)
Parent OrganizationT J REGIONAL HEALTH INC
NPI Enumeration Date07/15/2019

Related Entities

Other providers sharing the same authorized official: THORNBURY, NEIL

ProviderCityStateTotal Paid
T J SAMSON COMMUNITY HOSPITAL GLASGOW KY $95.74M
T J SAMSON COMMUNITY HOSPITAL GLASGOW KY $15.53M
T J HEALTH COLUMBIA INC COLUMBIA KY $11.51M
T J HEALTH COLUMBIA INC COLUMBIA KY $1.40M
T J SAMSON COMMUNITY HOSPITAL GLASGOW KY $1.22M
T J HEALTH COLUMBIA INC EDMONTON KY $1.20M
T J HEALTH COLUMBIA INC COLUMBIA KY $682K
T J HEALTH COLUMBIA INC RUSSELL SPRINGS KY $630K
T J SAMSON COMMUNITY HOSPITAL CAVE CITY KY $567K
T J SAMSON COMMUNITY HOSPITAL GLASGOW KY $549K
T J SAMSON COMMUNITY HOSPITAL GLASGOW KY $524K
T J HEALTH COLUMBIA INC TOMPKINSVILLE KY $312K
T J HEALTH COLUMBIA INC GREENSBURG KY $277K
T J HEALTH COLUMBIA INC COLUMBIA KY $125K
T J SAMSON COMMUNITY HOSPITAL GLASGOW KY $36K
T J SAMSON COMMUNITY HOSPITAL GLASGOW KY $1K
T J SAMSON COMMUNITY HOSPITAL GLASGOW KY $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 238 $10K
2020 2,320 $78K
2021 5,302 $155K
2022 5,076 $144K
2023 5,106 $133K
2024 3,621 $91K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13,081 11,284 $378K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,099 2,766 $132K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 700 673 $37K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,088 1,623 $26K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 970 911 $21K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 155 152 $6K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 59 54 $4K
J0696 Injection, ceftriaxone sodium, per 250 mg 357 331 $3K
36415 Collection of venous blood by venipuncture 429 394 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 25 24 $1K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 151 139 $927.96
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 101 60 $347.72
87428 16 15 $310.52
99441 12 12 $272.34
99406 34 30 $137.16
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 14 14 $94.10
96127 14 14 $38.78
1126F 358 331 $1.40