Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CUMBERLAND FAMILY CLINIC, PLLC

NPI: 1366703159 · PINE KNOT, KY 42635 · Rural Health Clinic/Center · NPI assigned 06/07/2012

$948K
Total Medicaid Paid
60,603
Total Claims
48,445
Beneficiaries
17
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLAWSON, MONICA (PARTNER)
NPI Enumeration Date06/07/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12,732 $205K
2019 12,384 $185K
2020 7,316 $116K
2021 7,223 $106K
2022 7,896 $124K
2023 7,182 $117K
2024 5,870 $96K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26,860 20,054 $654K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,566 3,051 $74K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 6,161 4,908 $69K
J0696 Injection, ceftriaxone sodium, per 250 mg 1,728 1,443 $51K
85027 8,144 6,940 $41K
87430 1,801 1,693 $21K
36415 Collection of venous blood by venipuncture 5,615 4,913 $15K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,089 511 $13K
81001 2,292 1,965 $3K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 302 275 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,785 2,460 $2K
84703 107 93 $631.14
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12 12 $596.33
90674 34 33 $535.85
J1885 Injection, ketorolac tromethamine, per 15 mg 78 68 $252.17
J1030 Injection, methylprednisolone acetate, 40 mg 14 13 $73.22
82947 15 13 $29.22