Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

Lake Cumberland Physician Practices LLC

Lake Cumberland Physician Practices LLC was paid $42K by Medicaid between Jan 2018 and Feb 2019, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.

33Billing provider infoLAKE CUMBERLAND PHYSICIAN PRACTICES LLC
SOMERSET, KY 42503
33aNPI1104261403assigned 05/01/2013
28Total paid$42K
24GClaims1,665
24DCodes billed6
24AFirst – last monthJan 2018 – Feb 2019
Compared with peers

Next to other Family Nurse Practitioner providers in Kentucky

Rank by total paid#166 of 424
Median peer was paid$19K
This provider vs. median2.2×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official MILLER, SARA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
20181,469$37K
2019196$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 31% 588 453 $13K
20610 29% 458 259 $12K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 28% 237 198 $12K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 6.4% 188 151 $3K
73562 5.2% 177 144 $2K
73030 <1% 17 13 $134.92

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 officialMILLER, SARA (DIRECTOR)
Same official

Other billing entities under MILLER, SARA

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.