Lake Cumberland Community Action Agency, INC.
Lake Cumberland Community Action Agency, INC. was paid $1.62M by Medicaid between Sep 2019 and Mar 2024, across 3 billing codes. Its largest line is S5108, Home care training to home care client, per 15 minutes — 95% of everything it billed.
33Billing provider infoLAKE CUMBERLAND COMMUNITY ACTION AGENCY, INC.
SOMERSET, KY 42501
SOMERSET, KY 42501
33aNPI1336591510assigned 07/12/2016
33bProvider typeRespite Care
28Total paid$1.62M
24GClaims16,450
24DCodes billed3
24AFirst – last monthSep 2019 – Mar 2024
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration95% of spending on code S5108 with only 3 total codes billed. Highly concentrated billing profile.
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 | |
|---|---|---|---|
| 2019 | 712 | $41K | |
| 2020 | 2,870 | $264K | |
| 2021 | 4,223 | $310K | |
| 2022 | 4,286 | $466K | |
| 2023 | 3,858 | $474K | |
| 2024incomplete | 501 | $66K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S5108 | Home care training to home care client, per 15 minutes | 95% | 14,533 | 1,884 | $1.53M |
| S5100 | Day care services, adult; per 15 minutes | 4.2% | 1,114 | 113 | $68K |
| S5170 | Home delivered meals, including preparation; per meal | 1.2% | 803 | 124 | $19K |
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 officialPOLSTON, ALICIA (EXECUTIVE DIRECTOR)