LAKE CUMBERLAND COMMUNITY ACTION AGENCY, INC.
NPI: 1336591510
· SOMERSET, KY 42501
· Respite Care
· NPI assigned 07/12/2016
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
95% of spending on code S5108 with only 3 total codes billed. Highly concentrated billing profile.
$1.62M
Total Medicaid Paid
Provider Details
| Authorized Official | POLSTON, ALICIA (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 07/12/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
712 |
$41K |
| 2020 |
2,870 |
$264K |
| 2021 |
4,223 |
$310K |
| 2022 |
4,286 |
$466K |
| 2023 |
3,858 |
$474K |
| 2024 |
501 |
$66K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5108 |
Home care training to home care client, per 15 minutes |
14,533 |
1,884 |
$1.53M |
| S5100 |
Day care services, adult; per 15 minutes |
1,114 |
113 |
$68K |
| S5170 |
Home delivered meals, including preparation; per meal |
803 |
124 |
$19K |