Physician
Twin Lakes Medical Foundation INC
Twin Lakes Medical Foundation INC was paid $1.59M by Medicaid between Jan 2018 and Dec 2020, across 51 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.
33Billing provider infoTWIN LAKES MEDICAL FOUNDATION INC
LEITCHFIELD, KY 42754
LEITCHFIELD, KY 42754
33aNPI1205870862assigned 06/15/2006
33bProvider typeObstetrics & Gynecology Physician
28Total paid$1.59M
24GClaims62,848
24DCodes billed51
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Kentucky
Rank by total paid#1 of 53
Median peer was paid$23K
This provider vs. median70×
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 | 24,870 | $596K | |
| 2019 | 19,902 | $519K | |
| 2020 | 18,076 | $477K |
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 | 45% | 22,753 | 17,509 | $724K |
| 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 | 27% | 11,215 | 9,553 | $428K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.8% | 2,632 | 2,167 | $61K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 3.7% | 786 | 721 | $58K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 2.8% | 368 | 357 | $44K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.3% | 630 | 569 | $36K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 1.9% | 441 | 403 | $30K |
| 95886 | 1.4% | 260 | 229 | $22K | |
| 20610 | 1.4% | 737 | 567 | $22K | |
| 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 | 1.3% | 266 | 243 | $21K |
| 81002 | 1.3% | 9,977 | 6,482 | $20K | |
| 76801 | <1% | 261 | 220 | $15K |
39 more codes
| 90686 | <1% | 734 | $11K | |
| 95117 | <1% | 1,138 | $11K | |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 18 | $10K |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,113 | $10K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 1,785 | $10K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 664 | $9K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 427 | $6K |
| 92567 | <1% | 601 | $6K | |
| 99406 | <1% | 656 | $5K | |
| 95115 | <1% | 471 | $4K | |
| 81025 | <1% | 533 | $3K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 59 | $3K |
| 99245 | <1% | 16 | $2K | |
| 92557 | <1% | 144 | $2K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 30 | $2K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 39 | $2K |
| 59025 | Fetal non-stress test | <1% | 92 | $2K |
| 99443 | <1% | 71 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 240 | $2K |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 659 | $1K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 59 | $1K |
| 20611 | <1% | 24 | $1K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 12 | $881.43 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 184 | $878.40 |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 13 | $557.24 |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 36 | $540.56 |
| 90715 | <1% | 12 | $498.08 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 134 | $400.88 |
| 99442 | <1% | 22 | $324.22 | |
| 99408 | <1% | 14 | $296.00 | |
| 92579 | <1% | 16 | $282.94 | |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 15 | $153.92 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 13 | $129.25 |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 68 | $66.35 |
| 96160 | <1% | 19 | $30.42 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 0% | 24 | $0.00 |
| 99024 | 0% | 243 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 95 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 29 | $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 officialCLEMONS, DENEACE (COO)