Medicaid Provider Spending

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

LAKE CUMBERLAND PHYSICIAN PRACTICES LLC

NPI: 1386999027 · SOMERSET, KY 42503 · Sleep Medicine (Psychiatry & Neurology) Physician · NPI assigned 07/18/2012

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official TEAGUE, KATHY controls 20+ related entities in our dataset. Read more

$57K
Total Medicaid Paid
5,538
Total Claims
5,019
Beneficiaries
18
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialTEAGUE, KATHY (DIRECTOR)
NPI Enumeration Date07/18/2012

Related Entities

Other providers sharing the same authorized official: TEAGUE, KATHY

ProviderCityStateTotal Paid
RCHP-WILMINGTON, LLC WILMINGTON OH $13.53M
PROVIDENCE HOSPITAL, LLC COLUMBIA SC $12.68M
VAUGHAN REGIONAL MEDICAL CENTER LLC SELMA AL $8.15M
KERSHAW HOSPITAL LLC CAMDEN SC $7.93M
BOLIVAR PHYSICIAN PRACTICES LLC CLEVELAND MS $3.05M
WILMINGTON PHYSICIANS GROUP LLC WILMINGTON OH $3.04M
PHC-MORGAN CITY LP MORGAN CITY LA $2.37M
COMMUNITY HOSPITAL OF ANDALUSIA LLC ANDALUSIA AL $2.27M
VAUGHAN REGIONAL MEDICAL CENTER LLC MARION AL $2.15M
PRHC ENNIS LP ENNIS TX $1.81M
ANDALUSIA PHYSICIAN PRACTICES LLC ANDALUSIA AL $847K
MEADOWVIEW PHYSICIAN PRACTICE LLC MAYSVILLE KY $783K
LOGAN PHYSICIAN PRACTICE LLC AUBURN KY $458K
LOGAN PHYSICIAN PRACTICE LLC RUSSELLVILLE KY $317K
KENTUCKY MSO LLC GEORGETOWN KY $248K
RCHP-WILMINGTON, LLC WILMINGTON OH $165K
MEADOWVIEW PHYSICIAN PRACTICE LLC MAYSVILLE KY $140K
AMG-SOUTHERN TENNESSEE LLC MONTEAGLE TN $136K
LAKE CUMBERLAND PHYSICIAN PRACTICES LLC SOMERSET KY $135K
KERSHAW HOSPITAL LLC LUGOFF SC $49K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 216 $12K
2021 81 $6K
2022 931 $19K
2023 2,913 $14K
2024 1,397 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99205 Prolong outpt/office vis 277 226 $21K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 542 457 $13K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 143 114 $10K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 240 195 $8K
99222 Initial hospital care, per day, moderate complexity 48 40 $2K
99223 Prolong inpt eval add15 m 30 26 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 21 13 $793.88
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 18 16 $256.11
1160F 651 617 $0.00
3078F 478 447 $0.00
3077F 54 53 $0.00
1159F 651 617 $0.00
3725F 90 85 $0.00
3079F 104 100 $0.00
1036F 705 609 $0.00
3074F 572 545 $0.00
3008F 885 832 $0.00
3080F 29 27 $0.00