Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › KY › Russell Springs › NPI 1205987542
NP / PA

Lily Creek Medical Group, PSC

Lily Creek Medical Group, PSC was paid $3K by Medicaid between Jan 2018 and Jan 2018, across 3 billing codes. Its largest line is 99050, — 59% of everything it billed.

33Billing provider infoLILY CREEK MEDICAL GROUP, PSC
RUSSELL SPRINGS, KY 42642
33aNPI1205987542assigned 01/15/2007
28Total paid$3K
24GClaims86
24DCodes billed3
24AFirst – last monthJan 2018 – Jan 2018
Compared with peers

Next to other Family Nurse Practitioner providers in Kentucky

Rank by total paid#301 of 424
Median peer was paid$19K
This provider vs. median0.2×

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.

Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K2018201920202021202220232024
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
201886$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99050 59% 50 50 $2K
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 23% 16 16 $754.88
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19% 20 16 $621.36

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 officialBERTRAM, ROBERT (PRESIDENT)