Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Uofl Health-louisville INC

Psychiatric Hospital·Louisville, KY·NPI: 1639711294SharePrint Report
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Red Flags Explained

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Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:

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Rate Outlier

Rate Outlier means this provider charges above the 90th percentile for multiple different procedure codes simultaneously. While one high-cost code could reflect specialization, consistently high rates across many codes may indicate systematic overbilling.

These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.

Risk Assessment

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Bills $274.68 per claim for 99284 (Emergency dept visit, high complexity) — 4.0× the national median of $69.51.

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Bills $193.68 per claim for 99283 (Emergency dept visit, moderate complexity) — 4.6× the national median of $42.48.

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Bills $369.73 per claim for 99285 (Emergency dept visit, high/urgent complexity) — 4.3× the national median of $85.65.

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Billing above the 90th percentile for 15 procedure codes simultaneously.

This is a statistical summary, not an accusation. See our methodology.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$283.2M

$283,151,941

Total Claims

4.5M

Beneficiaries

3.2M

1.4 claims/patient

Avg Cost/Claim

$63

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

🔍 Analysis

Provider Overview

Uofl Health-louisville INC is a Psychiatric Hospital provider based in Louisville, KY. From the 2018–2024 period, this provider received $283.2M in Medicaid payments across 4.5M claims.

Why This Matters

This provider received $283.2M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 35,393 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 8% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$37.8M
+5%
2019
$39.7M
-23%
2020
$30.7M
+27%
2021
$38.9M
+18%
2022
$45.7M
+9%
2023
$49.7M
-18%
2024
$40.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 12% of total spending.

99284Top 5%

Emergency dept visit, high complexity

$35.0M

128K claims · 12.4%

Your Cost: $274.68/claim|Median: $69.51
4.0× median
99283Top 5%

Emergency dept visit, moderate complexity

$32.5M

168K claims · 11.5%

Your Cost: $193.68/claim|Median: $42.48
4.6× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$30.8M

83K claims · 10.9%

Your Cost: $369.73/claim|Median: $85.65
4.3× median
74177Top 10%

CT abdomen and pelvis with contrast

$11.2M

25K claims · 4.0%

Your Cost: $443.95/claim|Median: $65.76
6.8× median
H0035Normal range

Mental health partial hospitalization, treatment, per hour

$9.5M

68K claims · 3.3%

Your Cost: $138.28/claim|Median: $148.53
0.9× median
99282Top 25%

Emergency dept visit, low complexity

$6.5M

51K claims · 2.3%

Your Cost: $125.73/claim|Median: $37.72
3.3× median
97110Top 25%

Therapeutic exercises, each 15 min

$4.7M

108K claims · 1.6%

Your Cost: $43.25/claim|Median: $24.49
1.8× median
87631Top 25%

Respiratory virus detection, 3-5 targets, multiplex

$4.4M

37K claims · 1.5%

Your Cost: $117.77/claim|Median: $65.45
1.8× median
74176Top 10%

CT abdomen and pelvis without contrast

$4.4M

16K claims · 1.5%

Your Cost: $274.26/claim|Median: $60.19
4.6× median
70450Top 25%

CT head/brain without contrast

$4.2M

26K claims · 1.5%

Your Cost: $164.34/claim|Median: $45.53
3.6× median
C1713Top 25%

Anchor or screw for tissue to bone fixation

$4.0M

5K claims · 1.4%

Your Cost: $877.75/claim|Median: $123.40
7.1× median
96375Top 10%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$4.0M

58K claims · 1.4%

Your Cost: $68.58/claim|Median: $14.92
4.6× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$3.9M

103K claims · 1.4%

Your Cost: $37.96/claim|Median: $21.76
1.7× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$3.9M

9K claims · 1.4%

Your Cost: $428.36/claim|Median: $54.68
7.8× median
96361Normal range

IV infusion, hydration, each additional hour

$3.8M

87K claims · 1.3%

Your Cost: $44.05/claim|Median: $38.92
1.1× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$3.8M

87K claims · 1.3%

Your Cost: $43.48/claim|Median: $7.50
5.8× median
71045Top 5%

Chest X-ray, single view

$3.7M

67K claims · 1.3%

Your Cost: $55.33/claim|Median: $4.93
11.2× median
G0378Normal range

Hospital observation service, per hour

$3.6M

40K claims · 1.3%

Your Cost: $89.21/claim|Median: $99.39
0.9× median
43239Top 10%

Upper GI endoscopy with biopsy

$3.4M

6K claims · 1.2%

Your Cost: $541.13/claim|Median: $151.68
3.6× median
78452Top 10%

Myocardial perfusion imaging, SPECT, multiple studies

$2.9M

6K claims · 1.0%

Your Cost: $500.13/claim|Median: $106.14
4.7× median
H0015Normal range

Alcohol and/or drug abuse, intensive outpatient, per hour

$2.9M

29K claims · 1.0%

Your Cost: $99.27/claim|Median: $129.75
0.8× median
93458Top 10%

Left heart catheterization with imaging

$2.6M

2K claims · 0.9%

Your Cost: $1,486.99/claim|Median: $183.33
8.1× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$2.4M

57K claims · 0.9%

Your Cost: $42.66/claim|Median: $35.43
1.2× median
71260Top 10%

CT chest with contrast

$2.3M

9K claims · 0.8%

Your Cost: $255.66/claim|Median: $48.36
5.3× median
71046Top 5%

Chest X-ray, 2 views

$2.3M

29K claims · 0.8%

Your Cost: $78.69/claim|Median: $8.92
8.8× median
S9480Normal range

Intensive outpatient psychiatric services, per diem

$2.1M

27K claims · 0.8%

Your Cost: $80.63/claim|Median: $135.70
0.6× median
72125Top 10%

CT cervical spine without contrast

$1.9M

8K claims · 0.7%

Your Cost: $234.34/claim|Median: $32.30
7.3× median
45378Top 5%

Colonoscopy, diagnostic

$1.9M

2K claims · 0.7%

Your Cost: $940.43/claim|Median: $225.49
4.2× median
97530Normal range

Therapeutic activities, each 15 min

$1.8M

45K claims · 0.7%

Your Cost: $40.94/claim|Median: $33.11
1.2× median
G0480Top 25%

Drug test, definitive, 1-7 drug classes

$1.8M

27K claims · 0.6%

Your Cost: $67.55/claim|Median: $37.56
1.8× median

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