PINELAKE PHYSICIAN PRACTICE, LLC

NPI: 1437623337 · FULTON, KY 42041 · Rural Health Clinic/Center · NPI assigned 01/14/2019

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

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

$152K

Total Medicaid Paid

21,458

Total Claims

18,061

Beneficiaries

Codes Billed

2019-07

First Month

2024-11

Last Month

Provider Details

Authorized Official	LEBLEU, SHARLEE (SR DIRECTOR, PROVIDER ENROLLMENT)
NPI Enumeration Date	01/14/2019

Other providers sharing the same authorized official: LEBLEU, SHARLEE

Provider	City	State	Total 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

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	4,469	3,720	$112K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	383	299	$13K
87428		304	278	$11K
36415	Collection of venous blood by venipuncture	1,378	1,126	$4K
87430		215	192	$3K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	219	96	$3K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	47	40	$1K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	79	63	$1K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	84	76	$1K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	78	66	$809.18
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	49	41	$736.77
96127		282	261	$649.63
83036	Hemoglobin; glycosylated (A1C)	199	184	$359.41
G0444	Annual depression screening, 5 to 15 minutes	154	137	$214.97
81002		15	14	$11.47
3074F		1,400	1,198	$2.77
3079F		858	761	$2.15
3078F		1,049	922	$1.91
99000		71	54	$1.90
3008F		2,487	2,121	$1.71
3077F		354	315	$0.87
3075F		319	287	$0.82
3080F		248	215	$0.58
1159F		1,787	1,500	$0.33
1160F		1,787	1,500	$0.33
1036F		1,490	1,196	$0.15
1034F		804	654	$0.09
36416		62	59	$0.01
3725F		748	656	$0.00
T1015	Clinic visit/encounter, all-inclusive	39	30	$0.00