Medicaid Provider Spending

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

LAKE CUMBERLAND GASTROENTEROLOGY AND INTERNAL MEDICINE ASSOC. INC.

NPI: 1407993074 · SOMERSET, KY 42503 · Family Nurse Practitioner · NPI assigned 01/31/2007

$123K
Total Medicaid Paid
21,175
Total Claims
19,137
Beneficiaries
29
Codes Billed
2018-01
First Month
2019-11
Last Month

Provider Details

Authorized OfficialROBACK, BRENDA (OFFICE MANAGER)
NPI Enumeration Date01/31/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12,615 $82K
2019 8,560 $41K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,252 2,037 $58K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 259 257 $23K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 212 205 $23K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 272 260 $10K
99309 Subsequent nursing facility care, per day, low to moderate complexity 599 480 $2K
99308 Subsequent nursing facility care, per day, straightforward 741 702 $2K
80061 Lipid panel 198 193 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 436 405 $2K
83036 Hemoglobin; glycosylated (A1C) 291 269 $1K
3044F 162 151 $40.04
81000 18 15 $20.18
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 2,854 2,530 $2.96
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 725 674 $0.00
1036F 1,685 1,518 $0.00
3017F 1,646 1,475 $0.00
3014F 164 144 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 1,073 979 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 675 604 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 60 59 $0.00
G0008 Administration of influenza virus vaccine 17 15 $0.00
4040F 434 377 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 488 454 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 1,846 1,661 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 1,856 1,681 $0.00
G8484 Influenza immunization was not administered, reason not given 450 401 $0.00
4004F 972 863 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 731 677 $0.00
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) 17 15 $0.00
G8482 Influenza immunization administered or previously received 42 36 $0.00