Physician
Cumberland Foot & Ankle Centers
Cumberland Foot & Ankle Centers was paid $5.71M by Medicaid between Jan 2018 and Apr 2023, across 60 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 16% of everything it billed.
33Billing provider infoCUMBERLAND FOOT & ANKLE CENTERS
SOMERSET, KY 42503
SOMERSET, KY 42503
33aNPI1093901100assigned 09/21/2007
33bProvider typeOrthopaedic Surgery Physician
28Total paid$5.71M
24GClaims176,632
24DCodes billed60
24AFirst – last monthJan 2018 – Apr 2023
Compared with peers
Next to other Orthopaedic Surgery Physician providers in Kentucky
Rank by total paid#2 of 23
Median peer was paid$54K
This provider vs. median105×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 33,274 | $1.12M | |
| 2019 | 32,764 | $1.11M | |
| 2020 | 28,571 | $982K | |
| 2021 | 36,641 | $1.28M | |
| 2022 | 36,408 | $990K | |
| 2023 | 8,974 | $217K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 36,134 | 30,826 | $934K |
| L3000 | Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each | 14% | 6,249 | 3,110 | $818K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 11% | 11,085 | 10,191 | $648K |
| 11721 | 8.1% | 39,119 | 34,137 | $461K | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 7.4% | 10,930 | 9,330 | $420K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 5.5% | 4,213 | 3,702 | $313K |
| A5500 | For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe | 5.2% | 9,205 | 5,118 | $295K |
| L4361 | Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf | 3.9% | 1,071 | 1,022 | $221K |
| 73630 | 3.4% | 9,486 | 8,009 | $192K | |
| A5513 | For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each | 3.3% | 2,089 | 1,196 | $187K |
| L1902 | Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf | 3.2% | 3,601 | 2,496 | $183K |
| L2330 | Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only | 2.6% | 836 | 519 | $150K |
48 more codes
| A5512 | For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each | 2.2% | 2,968 | $126K |
| 20550 | 2.1% | 2,602 | $121K | |
| L4397 | Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf | 1.9% | 812 | $108K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 1.6% | 4,887 | $94K |
| 11056 | 1.2% | 8,896 | $67K | |
| 17110 | 1.1% | 3,190 | $63K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 2,506 | $50K |
| A5514 | For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each | <1% | 1,405 | $46K |
| 11750 | <1% | 598 | $44K | |
| L1970 | Ankle foot orthosis, plastic with ankle joint, custom fabricated | <1% | 75 | $29K |
| L2820 | Addition to lower extremity orthosis, soft interface for molded plastic, below knee section | <1% | 683 | $27K |
| L1940 | Ankle foot orthosis, plastic or other material, custom fabricated | <1% | 93 | $22K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 168 | $11K |
| 20600 | <1% | 517 | $10K | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 1,243 | $10K |
| 93923 | <1% | 228 | $10K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 367 | $7K |
| 20610 | <1% | 140 | $6K | |
| K0903 | For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each | <1% | 44 | $5K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 127 | $5K |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | <1% | 86 | $3K |
| 73610 | <1% | 82 | $3K | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 6,657 | $3K |
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | <1% | 97 | $2K |
| 11730 | <1% | 78 | $2K | |
| L3020 | Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each | <1% | 18 | $2K |
| 99205 | Prolong outpt/office vis | <1% | 15 | $2K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 2,524 | $2K |
| 97162 | <1% | 55 | $2K | |
| L2275 | Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined | <1% | 16 | $1K |
| 11055 | <1% | 212 | $1K | |
| 87481 | <1% | 94 | $1K | |
| 73650 | <1% | 42 | $1K | |
| A6212 | Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing | <1% | 217 | $929.98 |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 66 | $542.68 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 83 | $395.03 |
| A6010 | Collagen based wound filler, dry form, sterile, per gram of collagen | <1% | 14 | $247.22 |
| 20605 | <1% | 19 | $244.96 | |
| 73560 | <1% | 13 | $240.14 | |
| A6545 | Gradient compression wrap, non-elastic, below knee, 30-50 mmhg, used as a surgical dressing, each | <1% | 227 | $231.96 |
| 17250 | <1% | 62 | $162.44 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 15 | $154.04 |
| 11720 | <1% | 23 | $74.24 | |
| 11719 | <1% | 41 | $62.19 | |
| G0127 | Trimming of dystrophic nails, any number | <1% | 24 | $10.73 |
| 1100F | 0% | 231 | $0.00 | |
| A6216 | Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | 0% | 27 | $0.00 |
| A6219 | Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing | 0% | 27 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialLEE, MARTHA (OFFICE/BUSINESS MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Maxima Group Behavioral Services INC | Harvey, LA | $383K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.