Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › KY › BURKESVILLE › CUMBERLAND FAMILY MEDICAL CENTER INC

CUMBERLAND FAMILY MEDICAL CENTER INC

NPI: 1306873500 · BURKESVILLE, KY 42717 · Federally Qualified Health Center (FQHC) · NPI assigned 06/26/2006

$72.46M
Total Medicaid Paid
2,678,733
Total Claims
2,184,770
Beneficiaries
206
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLOY, ERIC (CEO)
NPI Enumeration Date06/26/2006

Related Entities

Other providers sharing the same authorized official: LOY, ERIC

ProviderCityStateTotal Paid
CUMBERLAND FAMILY MEDICAL CENTER INC ALBANY KY $2K
CUMBERLAND FAMILY MEDICAL CENTER INC GAMALIEL KY $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 266,248 $6.71M
2019 339,531 $8.07M
2020 289,564 $8.06M
2021 390,484 $10.28M
2022 449,128 $12.50M
2023 500,225 $14.52M
2024 443,553 $12.33M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 890,614 757,098 $29.59M
90832 Psychotherapy, 30 minutes with patient 138,622 80,343 $5.67M
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 378,942 242,199 $5.04M
T2023 Targeted case management; per month 9,465 9,114 $3.04M
87428 64,275 60,018 $2.55M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 83,918 74,901 $2.09M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 30,193 29,515 $1.92M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 33,481 30,249 $1.84M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 28,391 27,434 $1.68M
90834 Psychotherapy, 45 minutes with patient 26,254 18,684 $1.40M
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 101,638 94,727 $1.31M
90837 Psychotherapy, 53 minutes with patient 15,995 9,872 $1.22M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 21,680 19,871 $1.11M
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 105,825 50,751 $1.02M
D1120 Prophylaxis - child 22,588 21,108 $921K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 12,490 12,100 $835K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 22,094 20,874 $808K
90460 Immunization administration through 18 years of age via any route, first or only component 45,424 44,068 $579K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 27,920 25,649 $574K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 44,133 41,842 $570K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 42,609 39,403 $550K
D0150 Comprehensive oral evaluation - new or established patient 17,198 16,135 $548K
90686 29,767 28,409 $478K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 9,678 7,869 $459K
J0696 Injection, ceftriaxone sodium, per 250 mg 14,378 12,610 $377K
D0120 Periodic oral evaluation - established patient 16,040 15,068 $355K
D1206 Topical application of fluoride varnish 25,318 23,779 $320K
90887 6,675 4,866 $311K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 4,739 4,583 $308K
90791 Psychiatric diagnostic evaluation 3,684 3,458 $305K
D1110 Prophylaxis - adult 6,766 6,350 $300K
59025 Fetal non-stress test 9,146 7,480 $241K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 5,643 4,761 $237K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 5,148 4,745 $202K
J1050 Injection, medroxyprogesterone acetate, 1 mg 2,568 2,435 $185K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 247 222 $178K
D0140 Limited oral evaluation - problem focused 1,814 1,689 $152K
99238 Hospital discharge day management, 30 minutes or less 2,940 2,759 $149K
99218 3,402 3,059 $139K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 18,932 17,196 $130K
80305 13,163 8,336 $129K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1,968 1,840 $111K
D0274 Bitewings - four radiographic images 4,058 3,695 $106K
87807 9,291 8,706 $106K
76830 Ultrasound, transvaginal 1,937 1,809 $105K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,247 1,181 $90K
99174 6,854 6,627 $90K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,952 1,636 $88K
59410 133 101 $86K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1,260 907 $82K
76820 1,673 1,333 $68K
99231 Subsequent hospital care, per day, straightforward or low complexity 2,194 2,047 $68K
99221 1,439 1,342 $65K
90671 1,780 1,763 $64K
90674 3,042 2,985 $60K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 768 730 $58K
76819 Fetal biophysical profile; without non-stress testing 1,227 979 $55K
95115 5,592 3,414 $54K
99383 959 884 $53K
D1351 Sealant - per tooth 3,359 954 $51K
76801 1,015 967 $50K
90688 3,545 3,471 $49K
D2391 Resin-based composite - one surface, posterior, primary or permanent 926 698 $48K
D0210 Intraoral - complete series of radiographic images 1,050 969 $48K
90853 Group psychotherapy (other than of a multiple-family group) 2,852 1,149 $44K
D0272 Bitewings - two radiographic images 2,437 2,268 $39K
99239 Hospital discharge day management, more than 30 minutes 444 442 $34K
90685 2,250 2,146 $33K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 459 310 $32K
95117 2,770 1,463 $31K
D1208 Topical application of fluoride, excluding varnish 2,560 2,282 $30K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,255 1,866 $26K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 2,053 1,786 $25K
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 2,192 2,104 $25K
J1040 Injection, methylprednisolone acetate, 80 mg 2,983 2,633 $24K
90670 17,619 16,999 $24K
77067 Screening mammography, bilateral, including computer-aided detection 317 304 $24K
D0220 Intraoral - periapical first radiographic image 2,496 2,244 $23K
99460 536 497 $22K
90633 11,478 11,021 $21K
81025 3,514 3,319 $21K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 6,536 5,874 $19K
0071A 524 508 $18K
0001A 538 515 $18K
D0230 Intraoral - periapical each additional radiographic image 3,194 918 $17K
99215 Prolong outpt/office vis 235 224 $16K
54150 232 205 $15K
J1885 Injection, ketorolac tromethamine, per 15 mg 4,744 4,235 $14K
99384 221 193 $14K
90734 3,786 3,610 $14K
36415 Collection of venous blood by venipuncture 2,498 2,328 $13K
0072A 382 376 $13K
0012A 421 375 $13K
0002A 333 327 $11K
90698 10,657 10,230 $11K
77063 Screening digital breast tomosynthesis, bilateral 285 274 $11K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 244 235 $11K
J0561 Injection, penicillin g benzathine, 100,000 units 86 86 $11K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 20,569 18,060 $11K
99222 Initial hospital care, per day, moderate complexity 177 166 $10K
0011A 466 422 $10K
96137 245 194 $10K
G0466 Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 1,014 513 $10K
76813 170 154 $9K
83655 798 780 $9K
90680 10,927 10,587 $9K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 139 130 $8K
D4341 485 125 $8K
90697 3,649 3,588 $8K
83036 Hemoglobin; glycosylated (A1C) 1,176 1,130 $7K
D0330 Panoramic radiographic image 208 192 $7K
90687 659 651 $7K
99219 164 146 $7K
99232 Subsequent hospital care, per day, moderate complexity 246 91 $6K
96136 270 210 $6K
D1330 23,394 21,549 $6K
99217 125 110 $5K
99235 50 41 $5K
90632 144 139 $5K
J1020 Injection, methylprednisolone acetate, 20 mg 893 741 $5K
90715 1,470 1,415 $5K
99381 74 74 $5K
99408 2,645 2,550 $5K
99173 178 176 $5K
71046 Radiologic examination, chest; 2 views 324 283 $4K
99462 208 164 $4K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 13 12 $4K
90839 47 33 $4K
90651 587 551 $4K
90649 1,347 1,302 $3K
D7140 Extraction, erupted tooth or exposed root 89 37 $3K
J2010 Injection, lincomycin hcl, up to 300 mg 301 265 $3K
81003 7,448 6,650 $3K
90619 147 147 $3K
90847 Family psychotherapy with the patient present, 50 minutes 46 42 $3K
H0001 Alcohol and/or drug assessment 43 41 $3K
D2335 28 13 $3K
90744 3,580 3,438 $3K
86580 480 428 $2K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 1,746 1,380 $2K
96130 34 33 $2K
90710 516 503 $2K
59430 31 30 $2K
99385 26 26 $2K
96131 33 33 $2K
90716 708 693 $2K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 150 140 $2K
90707 630 614 $1K
99382 29 28 $1K
99224 89 38 $1K
D2332 16 12 $1K
90792 Psychiatric diagnostic evaluation with medical services 15 13 $1K
96127 245 236 $1K
90723 1,159 1,112 $848.64
J1010 Injection, methylprednisolone acetate, 1 mg 195 186 $843.68
90846 Family psychotherapy without the patient present, 50 minutes 15 13 $767.87
86308 125 115 $691.98
90461 48 47 $660.30
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 166 133 $633.97
81000 329 286 $616.90
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 81 78 $603.49
90696 617 597 $599.80
96138 34 34 $594.33
93000 40 36 $529.32
99441 16 15 $510.00
90620 25 25 $491.79
0064A 21 12 $450.00
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 24 15 $351.44
90672 15 15 $319.80
90647 95 95 $287.44
90677 113 111 $282.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 300 262 $217.76
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 361 138 $183.63
90648 921 892 $130.23
90634 12 12 $107.05
D9420 109 98 $52.00
J0290 Injection, ampicillin sodium, 500 mg 18 15 $51.02
J2405 Injection, ondansetron hydrochloride, per 1 mg 12 12 $45.23
3074F 15,465 14,324 $32.59
3078F 14,405 13,412 $30.05
82948 17 12 $28.54
81002 29 29 $10.44
3079F 3,359 3,103 $9.52
3075F 1,780 1,659 $4.90
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 202 81 $4.82
D0603 17,080 15,701 $2.26
3077F 386 364 $1.25
3080F 186 176 $0.56
1159F 5,344 4,821 $0.43
1160F 4,861 4,339 $0.38
3044F 57 56 $0.19
1036F 17,319 15,626 $0.04
D1320 94 85 $0.03
D0602 2,234 2,053 $0.00
1034F 1,450 1,267 $0.00
D0601 318 310 $0.00
D0604 1,355 1,296 $0.00
G0008 Administration of influenza virus vaccine 59 57 $0.00
99308 Subsequent nursing facility care, per day, straightforward 48 48 $0.00
4004F 1,199 1,038 $0.00
G0470 Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit 1,419 736 $0.00
888888 658 628 $0.00
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 18 12 $0.00
90662 22 21 $0.00
D9430 15 15 $0.00
90621 15 15 $0.00