LAKE CUMBERLAND PHYSICIAN PRACTICES
NPI: 1417214669
· SOMERSET, KY 42503
· Surgery Physician
· NPI assigned 04/12/2012
$247K
Total Medicaid Paid
Provider Details
| Authorized Official | VAUGHN, TIMOTHY (VICE PRESIDENT) |
| NPI Enumeration Date | 04/12/2012 |
Related Entities
Other providers sharing the same authorized official: VAUGHN, TIMOTHY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
2,880 |
$131K |
| 2019 |
2,341 |
$71K |
| 2020 |
1,978 |
$44K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| S2083 |
Adjustment of gastric band diameter via subcutaneous port by injection or aspiration of saline |
1,303 |
949 |
$86K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,613 |
2,727 |
$78K |
| 43999 |
|
973 |
637 |
$41K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,116 |
901 |
$33K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
60 |
57 |
$6K |
| 99442 |
|
112 |
86 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
22 |
18 |
$1K |