Medicaid Provider Spending

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

BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION

NPI: 1992170112 · HORSE CAVE, KY 42749 · Internal Medicine Physician · NPI assigned 12/14/2015

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

Authorized official LAWLESS, MICHELE controls 20+ related entities in our dataset. Read more

$410K
Total Medicaid Paid
32,439
Total Claims
26,633
Beneficiaries
39
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLAWLESS, MICHELE (EXECUTIVE VICE PRESIDENT/CFO)
NPI Enumeration Date12/14/2015

Related Entities

Other providers sharing the same authorized official: LAWLESS, MICHELE

ProviderCityStateTotal Paid
BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION BOWLING GREEN KY $112.19M
BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION SCOTTSVILLE KY $14.40M
BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION HORSE CAVE KY $13.47M
BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION FRANKLIN KY $13.22M
BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION ALBANY KY $8.82M
COMMONWEALTH HEALTH CORPORATION BOWLING GREEN KY $6.78M
COMMONWEALTH HEALTH CORPORATION, INC. SCOTTSVILLE KY $4.99M
BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION SCOTTSVILLE KY $2.35M
BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION BOWLING GREEN KY $2.25M
COMMONWEALTH HEALTH CORPORATION, INC BOWLING GREEN KY $1.89M
COMMONWEALTH HEALTH CORPORATION, INC. BOWLING GREEN KY $1.82M
BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION BOWLING GREEN KY $1.68M
COMMONWEALTH HEALTH CORPORATION, INC. BOWLING GREEN KY $1.63M
BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION MUNFORDVILLE KY $1.02M
COMMONWEALTH HEALTH CORPORATION, INC. BOWLING GREEN KY $1.02M
COMMONWEALTH HEALTH CORPORATION, INC. BOWLING GREEN KY $965K
BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION BOWLING GREEN KY $895K
COMMONWEALTH HEALTH CORPORATION, INC BOWLING GREEN KY $480K
COMMONWEALTH HEALTH CORPORATION, INC ALBANY KY $441K
COMMONWEALTH HEALTH CORPORATION, INC. SCOTTSVILLE KY $403K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,411 $43K
2019 1,572 $50K
2020 1,798 $60K
2021 3,761 $60K
2022 8,574 $60K
2023 9,372 $90K
2024 5,951 $48K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,318 3,400 $171K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,028 4,127 $147K
99309 Subsequent nursing facility care, per day, low to moderate complexity 729 447 $31K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 166 154 $16K
99308 Subsequent nursing facility care, per day, straightforward 394 241 $11K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 127 112 $9K
99490 Ccm add 20min 409 378 $9K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 38 33 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 83 75 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 125 99 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 30 26 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 14 13 $1K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 25 24 $965.31
99439 31 29 $928.21
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 42 38 $881.81
99215 Prolong outpt/office vis 16 14 $618.91
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 41 39 $616.62
90686 32 30 $541.52
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 13 13 $407.70
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 13 13 $218.70
G0444 Annual depression screening, 5 to 15 minutes 111 101 $106.20
3078F 3,354 2,789 $8.99
3074F 2,691 2,266 $7.87
3008F 4,172 3,417 $6.05
1126F 975 838 $3.16
1125F 992 840 $2.56
3075F 654 564 $1.79
3079F 601 532 $1.74
3077F 660 571 $1.70
1159F 1,959 1,617 $1.33
1160F 1,428 1,188 $1.25
3080F 131 115 $0.33
3044F 89 77 $0.19
1036F 1,714 1,407 $0.17
1034F 1,102 886 $0.15
1170F 33 29 $0.14
1124F 60 54 $0.04
G8510 Screening for depression is documented as negative, a follow-up plan is not required 14 13 $0.00
3288F 25 24 $0.00