Kentucky Medicaid Spending
Kentucky's Medicaid program paid $5.68B across 24 providers from 2018–2024. 21 providers in Kentucky are flagged on our risk watchlist. The top procedure code is 97535 (Self-care/home management training, per 15 minutes) at $670.1M.
Total Spending
$5.68B
Total Claims
77.5M
Top Providers
24
Beneficiaries
49.0M
Flagged Providers
21
on risk watchlist
Avg Per Provider
$236.8M
across 24 providers
Yearly Spending Trend
Top Providers in Kentucky
University of Kentucky
General Acute Care Hospital · Lexington
$716.4M
8.8M claims
Norton Hospitals INC
General Acute Care Hospital · Louisville
$419.6M
5.9M claims
Seven Counties Services Inc.
Clinic/Center Developmental Disabilities · Louisville
$375.8M
2.7M claims
Cumberland River Behavioral Health INC
Community/Behavioral Health · Corbin
$349.2M
2.7M claims
Addiction Recovery Care LLC
Community Based Residential Treatment Facility, Me · Louisa
$309.0M
2.4M claims
Norton Hospitals, INC
General Acute Care Hospital · Louisville
$299.0M
3.2M claims
Uofl Health-louisville INC
Psychiatric Hospital · Louisville
$283.2M
4.5M claims
Mountain Comprehensive Care Center, Inc.
Counselor, Mental Health · Prestonsburg
$243.1M
2.6M claims
Ashland Hospital Corporation
Clinic/Center, Rural Health · Ashland
$222.8M
6.5M claims
Southeastern Emergency Physicians LLC
Emergency Medicine, Pediatric Emergency Medicine · Maysville
$208.9M
4.2M claims
Communicare INC
Community/Behavioral Health · Elizabethtown
$206.1M
1.8M claims
Seven Counties Services, Inc.
Counselor · Louisville
$194.2M
2.4M claims
St Elizabeth Medical Center, INC
Portable X-Ray and/or Other Portable Diagnostic Im · Edgewood
$188.3M
4.3M claims
Pikeville Medical Center INC
General Acute Care Hospital · Pikeville
$181.4M
4.3M claims
University Medical Center, INC
Student in an Organized Health Care Education/Trai · Louisville
$179.4M
2.4M claims
Lifeskills INC
Community/Behavioral Health · Bowling Green
$168.9M
1.4M claims
New Vista of the Bluegrass INC
Clinic/Center Mental Health (Including Community · Versailles
$166.4M
1.3M claims
Spero Health of Kentucky LLC
Family Medicine Addiction Medicine · Danville
$154.2M
2.6M claims
Owensboro Health INC
General Acute Care Hospital · Owensboro
$148.8M
3.3M claims
Freedom Senior Share, LLC
In Home Supportive Care · Louisville
$142.7M
1.1M claims
Lake Cumberland Reg Mhmr Board Inc.
Community/Behavioral Health · Somerset
$140.9M
899K claims
Community Medical Associates, Inc.
Clinical Neuropsychologist · Louisville
$135.3M
5.2M claims
Personal Touch Home Care of Ky, Inc.
Home Health · Fort Thomas
$127.2M
358K claims
Baptist Healthcare System INC
General Acute Care Hospital · Corbin
$121.5M
2.5M claims
Flagged Providers in Kentucky
University of Kentucky
$716.4M
2 flags
Cumberland River Behavioral Health INC
$349.2M
2 flags
Norton Hospitals, INC
$299.0M
2 flags
Addiction Recovery Care LLC
$24.7M
2 flags
Norton Hospitals INC
$419.6M
1 flag
Uofl Health-louisville INC
$283.2M
1 flag
Ashland Hospital Corporation
$222.8M
1 flag
Seven Counties Services Inc.
$215.2M
1 flag
Seven Counties Services, Inc.
$194.2M
1 flag
St Elizabeth Medical Center, INC
$188.3M
1 flag
Showing 10 of 21 flagged providers. View full risk watchlist
Spending by Top Procedures
Top Procedures in Kentucky
| Code | Total Paid |
|---|---|
| 97535 Self-care/home management training, per 15 minutes | $670.1M |
| 99284 Emergency dept visit, high complexity | $347.9M |
| T1019 Personal care services, per 15 min | $280.2M |
| 99285 Emergency dept visit, high/urgent complexity | $264.6M |
| S5108 Home care training to home care client, per 15 minutes | $226.7M |
| 99283 Emergency dept visit, moderate complexity | $215.4M |
| T2022 Case management, per month | $113.6M |
| 90837 Psychotherapy, 60 minutes | $105.7M |
| T2023 Community transition, waiver; per service | $102.8M |
| H0011 Alcohol and/or drug services, acute detoxification, per diem | $94.0M |
| 74177 CT abdomen and pelvis with contrast | $86.8M |
| T2016 Habilitation, residential, waiver; per diem | $86.0M |
| J9271 Injection, pembrolizumab, 1 mg | $77.3M |
| H2027 Psychoeducational service, per 15 minutes | $74.8M |
| 99214 Office/outpatient visit, est. patient, mod-high complexity | $71.1M |