Medicaid Provider Spending

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

LAKE CUMBERLAND PHYSICIAN PRACTICES LLC

NPI: 1437440054 · SOMERSET, KY 42503 · Internal Medicine Physician · NPI assigned 04/30/2011

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

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

$135K
Total Medicaid Paid
5,894
Total Claims
4,401
Beneficiaries
12
Codes Billed
2018-01
First Month
2021-05
Last Month

Provider Details

Authorized OfficialTEAGUE, KATHY (SECRETARY / AUTHORIZED OFFICIAL)
NPI Enumeration Date04/30/2011

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 $57K
KERSHAW HOSPITAL LLC LUGOFF SC $49K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,315 $43K
2019 1,058 $37K
2020 2,457 $36K
2021 1,064 $20K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,636 2,214 $90K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,806 1,292 $35K
99442 169 110 $5K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 33 32 $3K
99308 Subsequent nursing facility care, per day, straightforward 794 436 $1K
99309 Subsequent nursing facility care, per day, low to moderate complexity 96 60 $535.59
85025 Blood count; complete (CBC), automated, and automated differential WBC count 207 140 $324.82
90674 22 19 $178.13
80061 Lipid panel 18 13 $155.05
83036 Hemoglobin; glycosylated (A1C) 51 38 $140.71
90694 23 15 $66.23
G0008 Administration of influenza virus vaccine 39 32 $6.25