Medicaid Provider Spending

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

PINELAKE PHYSICIAN PRACTICE LLC

NPI: 1437614633 · CLINTON, KY 42031 · Nurse Practitioner · NPI assigned 02/01/2019

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

Authorized official LEBLEU, SHARLEE controls 20+ related entities in our dataset. Read more

$351K
Total Medicaid Paid
45,323
Total Claims
36,578
Beneficiaries
48
Codes Billed
2019-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLEBLEU, SHARLEE (SR DIRECTOR, PROVIDER ENROLLMENT)
NPI Enumeration Date02/01/2019

Related Entities

Other providers sharing the same authorized official: LEBLEU, SHARLEE

ProviderCityStateTotal Paid
COLUMBUS RADIOLOGY CORP COLUMBUS OH $49.90M
SHELIN AGRAWAL AND HYER PLLC LAS VEGAS NV $20.28M
ELLIS BANDT BIRKIN KOLLINS & WONG PLLC LAS VEGAS NV $18.10M
SINGLETON ASSOCIATES, PA AUSTIN TX $16.30M
JEFFERSON RADIOLOGY, PC HARTFORD CT $14.04M
RADIOLOGY SPECIALISTS LTD MARASSO-MILLER LAS VEGAS NV $13.93M
RADIOLOGY ALLIANCE PC NASHVILLE TN $12.95M
MORI, BEAN AND BROOKS, INC. JACKSONVILLE FL $10.28M
IMAGING ASSOCIATES OF INDIANA, PC CROWN POINT IN $9.70M
EMPIRE STATE RADIOLOGY P C ROCKVILLE CENTRE NY $9.41M
GREENSBORO RADIOLOGY, PA GREENSBORO NC $7.59M
SYNERGY RADIOLOGY ASSOCIATES PLLC HOUSTON TX $6.04M
CONNECTICUT IMAGING PARTNERS, LLC WETHERSFIELD CT $4.59M
LOUISVILLE RADIOLOGY IMAGING CONSULTANTS, PLLC OWENSBORO KY $4.25M
ALASKA RADIOLOGY ASSOCIATES INC ANCHORAGE AK $3.83M
RADIOLOGY ASSOCIATES OF CANTON, INC. CANTON OH $3.79M
WESTERN COLORADO RADIOLOGIC ASSOCIATES, PC GRAND JUNCTION CO $3.35M
RADIOLOGY AFFILIATES OF CENTRAL NEW JERSEY PC HAMILTON NJ $3.32M
IMAGING ASSOCIATES OF NEW MEXICO LLC LAS CRUCES NM $3.19M
RADIOLOGY ASSOCIATES OF SOUTH FLORIDA LLC MIAMI FL $2.73M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 848 $15K
2020 3,733 $57K
2021 5,383 $62K
2022 10,899 $67K
2023 16,159 $87K
2024 8,301 $63K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,307 8,356 $259K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 293 267 $31K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,551 1,059 $17K
87428 349 303 $14K
99205 Prolong outpt/office vis 98 84 $9K
99334 150 114 $2K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 428 398 $2K
36415 Collection of venous blood by venipuncture 686 607 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 79 64 $2K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 39 38 $2K
87430 121 117 $2K
99336 49 39 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 95 88 $1K
90460 Immunization administration through 18 years of age via any route, first or only component 100 74 $1K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 65 46 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 209 147 $846.78
90461 74 51 $691.88
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 24 17 $605.06
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 16 13 $484.91
96127 189 169 $473.46
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 76 59 $237.52
99335 15 14 $222.67
99308 Subsequent nursing facility care, per day, straightforward 379 125 $148.46
99307 38 21 $138.80
J1100 Injection, dexamethasone sodium phosphate, 1 mg 15 13 $27.10
J1885 Injection, ketorolac tromethamine, per 15 mg 12 12 $22.91
G0444 Annual depression screening, 5 to 15 minutes 62 60 $22.86
81003 27 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 159 37 $10.00
3008F 6,765 5,514 $9.22
3074F 3,132 2,644 $4.68
3079F 1,991 1,723 $3.30
3078F 2,039 1,739 $3.21
3077F 971 796 $1.95
3080F 809 668 $1.47
3075F 776 680 $1.45
1159F 3,059 2,583 $0.86
1160F 3,061 2,582 $0.86
1036F 3,315 2,429 $0.72
1034F 1,432 1,101 $0.21
3725F 313 285 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,112 811 $0.00
90670 47 29 $0.00
99000 47 36 $0.00
1000F 620 457 $0.00
1035F 82 56 $0.00
90723 25 13 $0.00
90647 22 13 $0.00