NP / PA
Pinelake Physician Practice LLC
Pinelake Physician Practice LLC was paid $351K by Medicaid between Mar 2019 and Dec 2024, across 48 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 74% of everything it billed.
33Billing provider infoPINELAKE PHYSICIAN PRACTICE LLC
CLINTON, KY 42031
CLINTON, KY 42031
33aNPI1437614633assigned 02/01/2019
33bProvider typeNurse Practitioner
28Total paid$351K
24GClaims45,323
24DCodes billed48
24AFirst – last monthMar 2019 – Dec 2024
Compared with peers
Next to other Nurse Practitioner providers in Kentucky
Rank by total paid#74 of 260
Median peer was paid$89K
This provider vs. median3.9×
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.
Entity ProliferationAuthorized official LEBLEU, SHARLEE controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 848 | $15K | |
| 2020 | 3,733 | $57K | |
| 2021 | 5,383 | $62K | |
| 2022 | 10,899 | $67K | |
| 2023 | 16,159 | $87K | |
| 2024incomplete | 8,301 | $63K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 74% | 10,307 | 8,356 | $259K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 8.8% | 293 | 267 | $31K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 4.8% | 1,551 | 1,059 | $17K |
| 87428 | 4.0% | 349 | 303 | $14K | |
| 99205 | Prolong outpt/office vis | 2.4% | 98 | 84 | $9K |
| 99334 | <1% | 150 | 114 | $2K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 428 | 398 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 686 | 607 | $2K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 79 | 64 | $2K |
| 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 | <1% | 39 | 38 | $2K |
| 87430 | <1% | 121 | 117 | $2K | |
| 99336 | <1% | 49 | 39 | $1K |
36 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 95 | $1K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 100 | $1K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 65 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 209 | $846.78 |
| 90461 | <1% | 74 | $691.88 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 24 | $605.06 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 16 | $484.91 |
| 96127 | <1% | 189 | $473.46 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 76 | $237.52 |
| 99335 | <1% | 15 | $222.67 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 379 | $148.46 |
| 99307 | <1% | 38 | $138.80 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 15 | $27.10 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 12 | $22.91 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 62 | $22.86 |
| 81003 | <1% | 27 | $15.42 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 159 | $10.00 |
| 3008F | <1% | 6,765 | $9.22 | |
| 3074F | <1% | 3,132 | $4.68 | |
| 3079F | <1% | 1,991 | $3.30 | |
| 3078F | <1% | 2,039 | $3.21 | |
| 3077F | <1% | 971 | $1.95 | |
| 3080F | <1% | 809 | $1.47 | |
| 3075F | <1% | 776 | $1.45 | |
| 1159F | <1% | 3,059 | $0.86 | |
| 1160F | <1% | 3,061 | $0.86 | |
| 1036F | <1% | 3,315 | $0.72 | |
| 1034F | <1% | 1,432 | $0.21 | |
| 3725F | 0% | 313 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,112 | $0.00 |
| 90670 | 0% | 47 | $0.00 | |
| 99000 | 0% | 47 | $0.00 | |
| 1000F | 0% | 620 | $0.00 | |
| 1035F | 0% | 82 | $0.00 | |
| 90723 | 0% | 25 | $0.00 | |
| 90647 | 0% | 22 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialLEBLEU, SHARLEE (SR DIRECTOR, PROVIDER ENROLLMENT)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.