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Community Medical Associates, Inc.

Clinical Neuropsychologist·Louisville, KY·NPI: 1588614994Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$135.3M

$135,327,304

Total Claims

5.2M

Beneficiaries

4.3M

1.2 claims/patient

Avg Cost/Claim

$26

#836 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

Community Medical Associates, Inc. is a Clinical Neuropsychologist provider based in Louisville, KY. From the 2018–2024 period, this provider received $135.3M in Medicaid payments across 5.2M claims.

Why This Matters

This provider received $135.3M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 16,915 Medicaid beneficiaries for a full year at average per-enrollee costs.

↓ 11% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$20.9M
+12%
2019
$23.5M
-33%
2020
$15.8M
+12%
2021
$17.7M
+1%
2022
$18.0M
+16%
2023
$20.8M
-11%
2024
$18.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 23% of total spending.

99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$30.5M

721K claims · 22.5%

Your Cost: $42.27/claim|Median: $53.41
0.8× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$17.4M

525K claims · 12.9%

Your Cost: $33.18/claim|Median: $37.81
0.9× median
99233Normal range

Subsequent hospital care, per day, high complexity

$8.5M

237K claims · 6.3%

Your Cost: $36.00/claim|Median: $35.30
1.0× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$5.6M

209K claims · 4.1%

Your Cost: $26.74/claim|Median: $23.99
1.1× median
99223Normal range

Initial hospital care, per day, high complexity

$3.5M

46K claims · 2.6%

Your Cost: $76.15/claim|Median: $67.32
1.1× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$3.1M

46K claims · 2.3%

Your Cost: $66.90/claim|Median: $58.55
1.1× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$2.6M

23K claims · 1.9%

Your Cost: $115.47/claim|Median: $106.79
1.1× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$2.6M

57K claims · 1.9%

Your Cost: $45.02/claim|Median: $43.85
1.0× median
76819Normal range

Fetal biophysical profile with non-stress test

$2.5M

48K claims · 1.8%

Your Cost: $51.51/claim|Median: $49.45
1.0× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$2.4M

33K claims · 1.8%

Your Cost: $73.16/claim|Median: $84.03
0.9× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$2.4M

84K claims · 1.8%

Your Cost: $28.38/claim|Median: $17.85
1.6× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$2.3M

33K claims · 1.7%

Your Cost: $67.54/claim|Median: $69.35
1.0× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$2.1M

47K claims · 1.6%

Your Cost: $44.91/claim|Median: $54.68
0.8× median
99392Normal range

Preventive medicine, established patient, age 1-4

$2.1M

29K claims · 1.6%

Your Cost: $73.76/claim|Median: $75.18
1.0× median
99284Normal range

Emergency dept visit, high complexity

$1.9M

30K claims · 1.4%

Your Cost: $63.39/claim|Median: $69.51
0.9× median
82306Normal range

Vitamin D, 25 hydroxy

$1.9M

81K claims · 1.4%

Your Cost: $22.78/claim|Median: $18.18
1.3× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$1.8M

32K claims · 1.3%

Your Cost: $57.15/claim|Median: $57.85
1.0× median
80061Normal range

Lipid panel

$1.8M

172K claims · 1.3%

Your Cost: $10.52/claim|Median: $8.41
1.3× median
93010Normal range

Electrocardiogram, interpretation and report only

$1.7M

263K claims · 1.3%

Your Cost: $6.52/claim|Median: $5.60
1.2× median
84443Normal range

Thyroid stimulating hormone (TSH)

$1.6M

118K claims · 1.2%

Your Cost: $13.91/claim|Median: $9.87
1.4× median
80053Normal range

Comprehensive metabolic panel

$1.4M

177K claims · 1.1%

Your Cost: $8.15/claim|Median: $7.24
1.1× median
36415Top 25%

Collection of venous blood by venipuncture

$1.4M

393K claims · 1.0%

Your Cost: $3.49/claim|Median: $1.57
2.2× median
99285Normal range

Emergency dept visit, high/urgent complexity

$1.3M

15K claims · 1.0%

Your Cost: $86.54/claim|Median: $85.65
1.0× median
99291Normal range

Critical care, first 30-74 minutes

$1.3M

14K claims · 1.0%

Your Cost: $91.09/claim|Median: $101.24
0.9× median
80050Normal range

General health panel

$1.2M

31K claims · 0.9%

Your Cost: $39.51/claim|Median: $25.59
1.5× median
76820Top 25%

$1.0M

22K claims · 0.7%

Your Cost: $45.64/claim|Median: $31.79
1.4× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$962K

137K claims · 0.7%

Your Cost: $7.01/claim|Median: $5.50
1.3× median
76821Normal range

$936K

16K claims · 0.7%

Your Cost: $58.04/claim|Median: $46.75
1.2× median
99215Normal range

Office/outpatient visit, high complexity

$796K

12K claims · 0.6%

Your Cost: $67.23/claim|Median: $74.09
0.9× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$696K

18K claims · 0.5%

Your Cost: $38.43/claim|Median: $29.03
1.3× median

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