Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

LAKE CUMBERLAND PHYSICIAN PRACTICES, LLC

NPI: 1124441274 · SOMERSET, KY 42503 · Physician Assistant · NPI assigned 01/27/2014

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official BOWMAN, MONICA controls 20+ related entities in our dataset. Read more

$529K
Total Medicaid Paid
42,554
Total Claims
27,625
Beneficiaries
21
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBOWMAN, MONICA (DIRECTOR)
NPI Enumeration Date01/27/2014

Related Entities

Other providers sharing the same authorized official: BOWMAN, MONICA

ProviderCityStateTotal Paid
DLP MARQUETTE PHYSICIAN PRACTICES INC MARQUETTE MI $17.80M
CLARK REGIONAL PHYSICIAN PRACTICES, LLC WINCHESTER KY $9.45M
KENTUCKY MSO, LLC GEORGETOWN KY $6.59M
CLARK REGIONAL PHYSICIAN PRACTICES LLC WINCHESTER KY $2.97M
PINELAKE PHYSICIAN PRACTICE, LLC MAYFIELD KY $2.26M
PORTAGE PHYSICIAN PRACTICES INC HANCOCK MI $1.63M
SPRING VIEW PHYSICIAN PRACTICES, LLC LEBANON KY $1.39M
COLORADO PLAINS PHYSICIAN PRACTICES LLC FORT MORGAN CO $1.28M
SPRING VIEW PHYSICIAN PRACTICES, LLC LEBANON KY $1.27M
NORTHWEST ALABAMA EMERGENCY MEDICINE LLC FLORENCE AL $1.24M
DLP MARIA PARHAM PHYSICIAN PRACTICES, LLC HENDERSON NC $897K
BOURBON PHYSICIAN PRACTICE LLC PARIS KY $847K
PORTAGE PHYSICIAN PRACTICES INC. HOUGHTON MI $763K
DLP CONEMAUGH PHYSICIAN PRACTICES LLC ROARING SPRING PA $761K
KENTUCKY MSO LLC GEORGETOWN KY $406K
RCCH TRIOS PHYSICIANS LLC KENNEWICK WA $401K
NATIONAL PARK CARDIOLOGY SERVICES, LLC HOT SPRINGS AR $341K
LAKE CUMBERLAND PHYSICIAN PRACTICES, LLC SOMERSET KY $331K
KENTUCKY MSO LLC GEORGETOWN KY $282K
BOURBON PHYSICIAN PRACTICE LLC PARIS KY $266K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,913 $44K
2019 5,273 $75K
2020 5,635 $98K
2021 7,310 $102K
2022 5,360 $64K
2023 7,825 $85K
2024 7,238 $62K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 2,952 1,249 $209K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,035 2,572 $97K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 982 859 $64K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 12,563 7,728 $55K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,826 1,539 $37K
96367 1,154 466 $21K
36415 Collection of venous blood by venipuncture 9,427 6,987 $14K
J2469 Injection, palonosetron hcl, 25 mcg 250 124 $8K
J7050 Infusion, normal saline solution, 250 cc 3,554 1,414 $8K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,198 450 $8K
96368 902 359 $7K
96523 18 12 $213.87
1159F 263 236 $0.00
1160F 402 338 $0.00
3078F 1,014 754 $0.00
3077F 124 105 $0.00
3074F 916 730 $0.00
3075F 121 108 $0.00
3079F 309 257 $0.00
1036F 482 432 $0.00
3008F 1,062 906 $0.00