Lake Cumberland Physician Practices LLC
Lake Cumberland Physician Practices LLC was paid $135K by Medicaid between Jan 2018 and May 2021, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 67% of everything it billed.
SOMERSET, KY 42503
Next to other Internal Medicine Physician providers in Kentucky
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,315 | $43K | |
| 2019 | 1,058 | $37K | |
| 2020 | 2,457 | $36K | |
| 2021 | 1,064 | $20K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 67% | 2,636 | 2,214 | $90K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 1,806 | 1,292 | $35K |
| 99442 | 3.4% | 169 | 110 | $5K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.2% | 33 | 32 | $3K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.1% | 794 | 436 | $1K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 96 | 60 | $535.59 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 207 | 140 | $324.82 |
| 90674 | <1% | 22 | 19 | $178.13 | |
| 80061 | Lipid panel | <1% | 18 | 13 | $155.05 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 51 | 38 | $140.71 |
| 90694 | <1% | 23 | 15 | $66.23 | |
| G0008 | Administration of influenza virus vaccine | <1% | 39 | 32 | $6.25 |
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.
Who's on the registration
| Provider | Location | 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 | $57K |
| Kershaw Hospital LLC | Lugoff, SC | $49K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.