Medicaid Provider Spending

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

LAKE CUMBERLAND REGIONAL HOSPITAL, LLC

NPI: 1447330451 · SOMERSET, KY 42503 · Family Medicine Physician · NPI assigned 10/16/2006

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

Authorized official LAWRENCE, CHARLOTTE controls 20+ related entities in our dataset. Read more

$15.55M
Total Medicaid Paid
988,032
Total Claims
877,316
Beneficiaries
141
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLAWRENCE, CHARLOTTE (SECRETARY)
NPI Enumeration Date10/16/2006

Related Entities

Other providers sharing the same authorized official: LAWRENCE, CHARLOTTE

ProviderCityStateTotal Paid
LAKE CUMBERLAND REGIONAL HOSPITAL LLC SOMERSET KY $77.77M
DANVILLE REGIONAL MEDICAL CENTER, LLC DANVILLE VA $65.11M
PHC-LAS CRUCES INC LAS CRUCES NM $64.77M
GEORGETOWN COMMUNITY HOSPITAL LLC GEORGETOWN KY $44.03M
PINELAKE REGIONAL HOSPITAL LLC MAYFIELD KY $43.34M
RALEIGH GENERAL HOSPITAL LLC BECKLEY WV $36.44M
LOURDES HOSPITAL LLC PASCO WA $33.94M
RCHP-SIERRA VISTA INC SIERRA VISTA AZ $29.77M
CLINCH VALLEY MEDICAL CENTER INC. RICHLANDS VA $26.28M
SPRING VIEW HOSPITAL LLC LEBANON KY $23.35M
HAVASU REGIONAL MEDICAL CENTER LLC LAKE HAVASU CITY AZ $23.19M
LAS CRUCES PHYSICIAN PRACTICES, LLC LAS CRUCES NM $22.78M
MEADOWVIEW REGIONAL MEDICAL CENTER LLC MAYSVILLE KY $22.57M
LOURDES HOSPITAL LLC RICHLAND WA $22.38M
DANVILLE REGIONAL MEDICAL CENTER LLC MARTINSVILLE VA $21.09M
PHC-FORT MOHAVE INC FORT MOHAVE AZ $19.95M
WYTHE COUNTY COMMUNITY HOSPITAL LLC WYTHEVILLE VA $18.30M
DLP CONEMAUGH MEMORIAL MEDICAL CENTER LLC JOHNSTOWN PA $18.22M
BOURBON COMMUNITY HOSPITAL LLC PARIS KY $18.14M
WILLAMETTE VALLEY MEDICAL CENTER LLC MCMINNVILLE OR $17.29M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 113,941 $2.36M
2019 106,454 $2.21M
2020 80,429 $1.74M
2021 99,996 $2.15M
2022 133,434 $2.29M
2023 281,446 $2.49M
2024 172,332 $2.30M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 206,783 182,399 $7.22M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 31,118 26,542 $1.48M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 25,712 23,342 $762K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 8,058 7,574 $541K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 16,488 15,449 $443K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 6,596 6,097 $380K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 21,908 20,516 $288K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,733 3,576 $260K
87430 18,077 17,088 $254K
87400 19,344 9,815 $224K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 15,586 8,194 $223K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 1,658 1,613 $218K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 15,553 14,487 $207K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 13,468 10,219 $206K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,581 3,309 $201K
99238 Hospital discharge day management, 30 minutes or less 4,108 3,816 $189K
90472 Immunization administration, each additional vaccine (list separately) 13,185 12,424 $173K
99460 3,887 3,630 $155K
80050 General health panel 3,399 3,244 $140K
80061 Lipid panel 13,124 12,045 $136K
99243 1,915 1,720 $136K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,426 1,376 $133K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 1,129 1,051 $130K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,429 1,392 $119K
80053 Comprehensive metabolic panel 15,049 13,294 $110K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 12,541 9,631 $104K
36415 Collection of venous blood by venipuncture 42,340 36,057 $100K
99233 Prolong inpt eval add15 m 2,978 555 $97K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 14,107 12,319 $82K
42820 Tonsillectomy and adenoidectomy; younger than age 12 364 354 $71K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 382 374 $59K
99462 2,596 2,127 $56K
84443 Thyroid stimulating hormone (TSH) 4,805 4,275 $56K
83036 Hemoglobin; glycosylated (A1C) 7,756 7,132 $56K
99441 1,793 1,609 $53K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,942 1,809 $41K
99307 1,110 1,032 $32K
90474 3,562 3,377 $29K
99244 Office or other outpatient consultation, moderate to high complexity 225 216 $26K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 3,927 3,617 $25K
82607 2,050 1,926 $23K
99232 Subsequent hospital care, per day, moderate complexity 882 195 $20K
99308 Subsequent nursing facility care, per day, straightforward 579 531 $18K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 214 203 $18K
31231 339 311 $16K
87807 1,187 1,090 $14K
96110 Developmental screening, with scoring and documentation, per standardized instrument 745 732 $13K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 868 770 $12K
43999 321 218 $12K
99309 Subsequent nursing facility care, per day, low to moderate complexity 310 283 $12K
93016 1,299 1,068 $11K
84439 1,322 1,237 $10K
99381 149 140 $10K
99442 233 219 $10K
80048 Basic metabolic panel (calcium, ionized) 1,482 1,255 $10K
31575 234 206 $9K
69210 563 503 $8K
71046 Radiologic examination, chest; 2 views 740 706 $8K
85027 1,361 1,157 $7K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 52 52 $7K
90670 5,392 5,022 $6K
90734 961 930 $6K
90710 638 578 $5K
81001 2,135 1,922 $4K
0011A 168 151 $4K
0012A 137 128 $4K
87428 120 120 $4K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 104 98 $3K
90686 1,706 1,560 $3K
99217 58 54 $2K
99219 31 29 $2K
S2083 Adjustment of gastric band diameter via subcutaneous port by injection or aspiration of saline 137 90 $2K
0001A 63 62 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 61 49 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 28 26 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity 107 40 $2K
99223 Prolong inpt eval add15 m 31 26 $2K
82746 140 134 $2K
90633 5,047 4,847 $2K
99215 Prolong outpt/office vis 34 27 $2K
0013A 48 46 $2K
J0696 Injection, ceftriaxone sodium, per 250 mg 167 150 $2K
0071A 48 45 $2K
82043 297 261 $1K
81003 2,223 2,059 $1K
90715 552 535 $1K
0072A 37 35 $1K
90680 3,451 3,280 $1K
99383 14 14 $1K
0002A 33 33 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg 596 530 $1K
90651 338 330 $1K
90697 1,288 1,242 $1K
99384 15 15 $1K
90688 242 242 $1K
90696 461 424 $902.04
90677 453 450 $858.99
90698 953 796 $847.31
90619 450 449 $767.31
99318 32 32 $719.20
82570 147 140 $677.28
84436 116 109 $622.01
83550 93 87 $615.14
99239 Hospital discharge day management, more than 30 minutes 22 17 $557.36
80076 60 52 $551.04
83540 109 101 $532.11
97597 20 12 $339.62
T1015 Clinic visit/encounter, all-inclusive 947 712 $178.44
74019 13 12 $161.28
83735 26 25 $148.79
86308 35 30 $142.69
74018 13 12 $133.16
36416 269 244 $131.37
90473 14 13 $120.00
90661 94 94 $103.58
90648 448 432 $102.22
90744 400 344 $97.63
86140 26 24 $80.48
90723 1,980 1,944 $53.04
90647 1,677 1,654 $44.47
85651 14 12 $43.97
90685 328 326 $13.20
3079F 26,440 24,566 $10.14
3077F 14,694 13,528 $10.13
90672 43 35 $10.00
3075F 11,668 10,902 $1.15
3074F 56,323 52,221 $0.02
1159F 53,967 49,713 $0.01
1160F 53,197 49,000 $0.01
3078F 47,444 43,880 $0.01
3725F 3,534 3,231 $0.00
90700 162 159 $0.00
90671 195 194 $0.00
91300 16 16 $0.00
90707 170 165 $0.00
3080F 9,564 9,003 $0.00
3008F 69,834 64,545 $0.00
1036F 23,034 20,984 $0.00
99050 168 163 $0.00
90716 195 194 $0.00
91301 65 62 $0.00