Medicaid Provider Spending

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

BAPTIST HEALTH MEDICAL GROUP INC

NPI: 1972158475 · GEORGETOWN, KY 40324 · Rural Health Clinic/Center · NPI assigned 08/02/2019

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

Authorized official CLAY, DANYEL controls 20+ related entities in our dataset. Read more

$758K
Total Medicaid Paid
17,865
Total Claims
15,980
Beneficiaries
15
Codes Billed
2020-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCLAY, DANYEL (VP REVENUE CYCLE)
Parent OrganizationBAPTIST HEALTH MEDICAL GROUP INC
NPI Enumeration Date08/02/2019

Related Entities

Other providers sharing the same authorized official: CLAY, DANYEL

ProviderCityStateTotal Paid
BAPTIST HEALTH MEDICAL GROUP INC LEXINGTON KY $54.04M
BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY $28.00M
BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY $26.58M
BAPTIST HEALTH MEDICAL GROUP INC PADUCAH KY $21.94M
BAPTIST HEALTH MEDICAL GROUP INC ELIZABETHTOWN KY $13.60M
BAPTIST HEALTH MEDICAL GROUP INC CORBIN KY $1.91M
BAPTIST HEALTH MEDICAL GROUP INC RICHMOND KY $1.84M
BAPTIST HEALTH MEDICAL GROUP INC BARBOURVILLE KY $1.60M
BAPTIST HEALTH MEDICAL GROUP INC RICHMOND KY $1.59M
BAPTIST HEALTH DEACONESS MEDICAL GROUP INC MADISONVILLE KY $1.53M
BAPTIST HEALTH DEACONESS MEDICAL GROUP INC MADISONVILLE KY $1.41M
BAPTIST HEALTH MEDICAL GROUP INC POWDERLY KY $1.29M
BAPTIST HEALTH DEACONESS MEDICAL GROUP INC POWDERLY KY $1.14M
BAPTIST HEALTH MEDICAL GROUP INC RICHMOND KY $1.06M
BAPTIST HEALTH MEDICAL GROUP INC BRANDENBURG KY $925K
BAPTIST HEALTH MEDICAL GROUP INC BEREA KY $914K
BAPTIST HEALTH DEACONESS MEDICAL GROUP INC HOPKINSVILLE KY $680K
BAPTIST HEALTH MEDICAL GROUP, INC. JEFFERSONVILLE IN $637K
BAPTIST HEALTH MEDICAL GROUP INC HOPKINSVILLE KY $514K
BAPTIST HEALTH MEDICAL GROUP INC MADISONVILLE KY $417K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 2,218 $101K
2021 3,745 $145K
2022 3,638 $154K
2023 4,739 $195K
2024 3,525 $162K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,837 8,880 $496K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,470 6,582 $248K
90792 Psychiatric diagnostic evaluation with medical services 66 55 $4K
90834 Psychotherapy, 45 minutes with patient 73 64 $4K
87428 101 91 $3K
90686 31 31 $490.10
90832 Psychotherapy, 30 minutes with patient 12 12 $477.42
90656 24 24 $416.75
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 29 29 $393.90
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 17 14 $244.42
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 14 12 $158.01
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 13 13 $140.51
3008F 18 17 $0.00
1159F 80 78 $0.00
1160F 80 78 $0.00