Is UHS OF BOWLING GREEN LLC flagged for Medicaid fraud?

UHS OF BOWLING GREEN LLC (NPI: 1396715967) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does UHS OF BOWLING GREEN LLC bill Medicaid?

UHS OF BOWLING GREEN LLC received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Psychiatric Hospital provider. Located in BOWLING GREEN, KY.

What is NPI 1396715967?

NPI 1396715967 is the National Provider Identifier for UHS OF BOWLING GREEN LLC. They are a Psychiatric Hospital provider based in BOWLING GREEN, KY. This NPI is registered with the CMS NPI Registry.

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UHS OF BOWLING GREEN LLC

Psychiatric Hospital·BOWLING GREEN, KY·NPI: 1396715967Share

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

Total Paid

$41.2M

$41,212,689

Total Claims

169K

Beneficiaries

76K

2.2 claims/patient

Avg Cost/Claim

$244

Monthly Spending Trend

Yearly Spending

2018

$5.5M

+13%

2019

$6.2M

+5%

2020

$6.5M

+3%

2021

$6.7M

-13%

2022

$5.8M

+19%

2023

$6.9M

-48%

2024

$3.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (H2029) accounts for 68% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

H2029 See all providers →

$28.2M

6,163 claims

$4,575.09

$450.00

10.2×

Top 1%

H2029Top 1%

$28.2M

6,163 claims · 68.4%

Your Cost: $4,575.09/claim|Median: $450.00

10.2× median

H2036Alcohol/drug treatment, per hourSee all providers →

$5.4M

1,770 claims

$3,034.33

$253.79

12.0×

Top 5%

H2036Top 5%

Alcohol/drug treatment, per hour

$5.4M

1,770 claims · 13.0%

Your Cost: $3,034.33/claim|Median: $253.79

12.0× median

99232Subsequent hospital care, per day, moderate complexitySee all providers →

$2.7M

78K claims

$34.56

$23.99

1.4×

Normal range

99232Normal range

Subsequent hospital care, per day, moderate complexity

$2.7M

78K claims · 6.5%

Your Cost: $34.56/claim|Median: $23.99

1.4× median

H0035Mental health partial hospitalization, treatment, per hourSee all providers →

$1.5M

7,245 claims

$204.91

$148.53

1.4×

Normal range

H0035Normal range

Mental health partial hospitalization, treatment, per hour

$1.5M

7,245 claims · 3.6%

Your Cost: $204.91/claim|Median: $148.53

1.4× median

99214Office/outpatient visit, est. patient, mod-high complexitySee all providers →

$1.3M

29K claims

$43.46

$53.41

0.8×

Normal range

99214Normal range

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

$1.3M

29K claims · 3.1%

Your Cost: $43.46/claim|Median: $53.41

0.8× median

99223Initial hospital care, per day, high complexitySee all providers →

$724K

7,148 claims

$101.26

$67.32

1.5×

Top 25%

99223Top 25%

Initial hospital care, per day, high complexity

$724K

7,148 claims · 1.8%

Your Cost: $101.26/claim|Median: $67.32

1.5× median

H0015Alcohol and/or drug abuse, intensive outpatient, per hourSee all providers →

$376K

4,150 claims

$90.57

$129.75

0.7×

Normal range

H0015Normal range

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

$376K

4,150 claims · 0.9%

Your Cost: $90.57/claim|Median: $129.75

0.7× median

99238Hospital discharge day management, 30 minutes or lessSee all providers →

$322K

7,194 claims

$44.70

$37.22

1.2×

Normal range

99238Normal range

Hospital discharge day management, 30 minutes or less

$322K

7,194 claims · 0.8%

Your Cost: $44.70/claim|Median: $37.22

1.2× median

99233Subsequent hospital care, per day, high complexitySee all providers →

$245K

5,036 claims

$48.70

$35.30

1.4×

Normal range

99233Normal range

Subsequent hospital care, per day, high complexity

$245K

5,036 claims · 0.6%

Your Cost: $48.70/claim|Median: $35.30

1.4× median

99213Office/outpatient visit, est. patient, low-mod complexitySee all providers →

$244K

8,639 claims

$28.28

$37.81

0.7×

Normal range

99213Normal range

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

$244K

8,639 claims · 0.6%

Your Cost: $28.28/claim|Median: $37.81

0.7× median

99231Subsequent hospital care, per day, low complexitySee all providers →

$219K

11K claims

$20.59

$16.77

1.2×

Normal range

99231Normal range

Subsequent hospital care, per day, low complexity

$219K

11K claims · 0.5%

Your Cost: $20.59/claim|Median: $16.77

1.2× median

90792Psychiatric diagnostic evaluation with medical servicesSee all providers →

$45K

833 claims

$54.28

$108.91

0.5×

Normal range

90792Normal range

Psychiatric diagnostic evaluation with medical services

$45K

833 claims · 0.1%

Your Cost: $54.28/claim|Median: $108.91

0.5× median

99307 See all providers →

$16K

3,023 claims

$5.14

$6.57

0.8×

Normal range

99307Normal range

$16K

3,023 claims · 0.0%

Your Cost: $5.14/claim|Median: $6.57

0.8× median

99215Office/outpatient visit, high complexitySee all providers →

$7K

108 claims

$61.29

$74.09

0.8×

Normal range

99215Normal range

Office/outpatient visit, high complexity

$7K

108 claims · 0.0%

Your Cost: $61.29/claim|Median: $74.09

0.8× median

99442Telephone E/M by physician, 11-20 minutesSee all providers →

$3K

170 claims

$16.56

$22.44

0.7×

Normal range

99442Normal range

Telephone E/M by physician, 11-20 minutes

$3K

170 claims · 0.0%

Your Cost: $16.56/claim|Median: $22.44

0.7× median

96112Developmental test administrationSee all providers →

$1K

12 claims

$84.37

$102.95

0.8×

Normal range

96112Normal range

Developmental test administration

$1K

12 claims · 0.0%

Your Cost: $84.37/claim|Median: $102.95

0.8× median

90791Psychiatric diagnostic evaluationSee all providers →

$981

13 claims

$75.46

$99.21

0.8×

Normal range

90791Normal range

Psychiatric diagnostic evaluation

$981

13 claims · 0.0%

Your Cost: $75.46/claim|Median: $99.21

0.8× median

96113Developmental test admin, each additional 30 minSee all providers →

$905

12 claims

$75.41

$77.06

1.0×

Normal range

96113Normal range

Developmental test admin, each additional 30 min

$905

12 claims · 0.0%

Your Cost: $75.41/claim|Median: $77.06

1.0× median

99308Nursing facility care, subsequent, straightforwardSee all providers →

$84

47 claims

$1.80

$9.79

0.2×

Normal range

99308Normal range

Nursing facility care, subsequent, straightforward

$84

47 claims · 0.0%

Your Cost: $1.80/claim|Median: $9.79

0.2× median

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