Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Baptist Health Medical Group INC

Baptist Health Medical Group INC was paid $758K by Medicaid between Apr 2020 and Dec 2024, across 15 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 66% of everything it billed.

33Billing provider infoBAPTIST HEALTH MEDICAL GROUP INC
GEORGETOWN, KY 40324
33aNPI1972158475assigned 08/02/2019
28Total paid$758K
24GClaims17,865
24DCodes billed15
24AFirst – last monthApr 2020 – Dec 2024
Compared with peers

Next to other Rural Health Clinic/Center providers in Kentucky

Rank by total paid#77 of 265
Median peer was paid$400K
This provider vs. median1.9×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official CLAY, DANYEL controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20202,218$101K
20213,745$145K
20223,638$154K
20234,739$195K
2024incomplete3,525$162K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 66% 9,837 8,880 $496K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 33% 7,470 6,582 $248K
90792 Psychiatric diagnostic evaluation with medical services <1% 66 55 $4K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient <1% 73 64 $4K
87428 <1% 101 91 $3K
90686 <1% 31 31 $490.10
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient <1% 12 12 $477.42
90656 <1% 24 24 $416.75
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 29 29 $393.90
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 17 14 $244.42
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 14 12 $158.01
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 13 13 $140.51
3 more codes
3008F 0% 18 $0.00
1159F 0% 80 $0.00
1160F 0% 80 $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 officialCLAY, DANYEL (VP REVENUE CYCLE)
Parent organizationBAPTIST HEALTH MEDICAL GROUP INC
Same official

Other billing entities under CLAY, DANYEL

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.