Kentucky
#15 in Medicaid spending (2.15% of national total)
Total Spending
$23.53B
Total Claims
419.3M
Providers
10,244
Avg Cost/Claim
$56
Data Coverage Note: Kentucky has 90% of Medicaid enrollees in managed care. This data covers only fee-for-service (FFS) claims (est. 10% of enrollees). Actual total Medicaid spending in Kentucky is significantly higher than shown.
Enrollment (Latest)
1.4M
Managed Care
90%
ACA Expansion
Yes (2014)
FFS $/Enrollee
$2,768
Yearly Spending Trend
Year-over-Year Growth
Top Providers
| Provider | Total Paid▼ |
|---|---|
UNIVERSITY OF KENTUCKY Ambulance | $716.4M |
NORTON HOSPITALS INC Psychiatric Unit | $419.6M |
SEVEN COUNTIES SERVICES, INC. Supports Brokerage | $375.8M |
CUMBERLAND RIVER BEHAVIORAL HEALTH, INC Clinic/Center | $349.2M |
ADDICTION RECOVERY CARE LLC Community Based Residential Treatment Facility, Mental Illness | $309.0M |
NORTON HOSPITALS, INC General Acute Care Hospital | $299.0M |
UOFL HEALTH-LOUISVILLE INC Psychiatric Hospital | $283.2M |
MOUNTAIN COMPREHENSIVE CARE CENTER, INC. Counselor | $243.1M |
ASHLAND HOSPITAL CORPORATION Clinic/Center | $222.8M |
SOUTHEASTERN EMERGENCY PHYSICIANS LLC Emergency Medicine | $208.9M |
COMMUNICARE INC Community/Behavioral Health | $206.1M |
SEVEN COUNTIES SERVICES, INC. Counselor | $194.2M |
ST ELIZABETH MEDICAL CENTER, INC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | $188.3M |
PIKEVILLE MEDICAL CENTER INC General Acute Care Hospital | $181.4M |
UNIVERSITY MEDICAL CENTER, INC Student in an Organized Health Care Education/Training Program | $179.4M |
LIFESKILLS, INC Clinic/Center | $168.9M |
NEW VISTA OF THE BLUEGRASS INC Clinic/Center | $166.4M |
SPERO HEALTH OF KENTUCKY, LLC Family Medicine | $154.2M |
OWENSBORO HEALTH INC General Acute Care Hospital | $148.8M |
FREEDOM SENIOR SHARE, LLC In Home Supportive Care | $142.7M |
20 rows
Top Procedures
| Code | Description | Total Paid▼ |
|---|---|---|
| S5108 | Homecare train pt 15 min | $1.67B |
| T2016 | Habil res waiver per diem | $1.66B |
| 97535 | Self care mngment training | $1.12B |
| 99213 | Office o/p est low 20 min | $990.8M |
| 99284 | Emergency dept visit mod mdm | $859.5M |
| 99285 | Emergency dept visit hi mdm | $611.2M |
| 99214 | Office o/p est mod 30 min | $603.7M |
| 90837 | Psytx w pt 60 minutes | $566.4M |
| T1019 | Personal care ser per 15 min | $565.2M |
| 99283 | Emergency dept visit low mdm | $565.0M |
| T2023 | Targeted case mgmt per month | $553.6M |
| H0011 | Alcohol and/or drug services | $506.1M |
| H0004 | Alcohol and/or drug services | $331.8M |
| T2022 | Case management, per month | $328.3M |
| 74177 | Ct abd & pelvis w/contrast | $266.4M |
| T2021 | Day habil waiver per 15 min | $258.9M |
| H2027 | Psychoed svc, per 15 min | $247.2M |
| 80307 | Drug test prsmv chem anlyzr | $232.9M |
| H0038 | Self-help/peer svc per 15min | $226.7M |
| S5100 | Adult daycare services 15min | $196.7M |
20 rows
Provider Classification Breakdown
| Classification | Total Paid▼ | Providers |
|---|---|---|
| Clinic/Center | $3.91B | 898 |
| General Acute Care Hospital | $2.59B | 64 |
| Counselor | $1.57B | 628 |
| Community/Behavioral Health | $1.16B | 152 |
| Supports Brokerage | $981.9M | 23 |
| Ambulance | $897.8M | 201 |
| Case Management | $736.9M | 94 |
| Dentist | $669.0M | 1,068 |
| Family Medicine | $612.4M | 400 |
| Day Training, Developmentally Disabled Services | $573.0M | 65 |
| Substance Abuse Rehabilitation Facility | $507.8M | 52 |
| Nurse Practitioner | $473.8M | 905 |
| Emergency Medicine | $452.2M | 98 |
| Physician Assistant | $433.7M | 267 |
| Clinical Medical Laboratory | $431.9M | 73 |
| Psychiatric Unit | $431.7M | 2 |
| Durable Medical Equipment & Medical Supplies | $409.0M | 452 |
| Psychologist | $378.8M | 88 |
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $344.6M | 27 |
| Social Worker | $336.1M | 312 |