Physician
Lake Cumberland Regional Hospital, LLC
Lake Cumberland Regional Hospital, LLC was paid $15.55M by Medicaid between Jan 2018 and Dec 2024, across 141 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoLAKE CUMBERLAND REGIONAL HOSPITAL, LLC
SOMERSET, KY 42503
SOMERSET, KY 42503
33aNPI1447330451assigned 10/16/2006
33bProvider typeFamily Medicine Physician
28Total paid$15.55M
24GClaims988,032
24DCodes billed141
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Kentucky
Rank by total paid#3 of 352
Median peer was paid$90K
This provider vs. median174×
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 LAWRENCE, CHARLOTTE 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 | |
|---|---|---|---|
| 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 | |
| 2024incomplete | 172,332 | $2.30M |
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 | 46% | 206,783 | 182,399 | $7.22M |
| 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 | 9.5% | 31,118 | 26,542 | $1.48M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.9% | 25,712 | 23,342 | $762K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.5% | 8,058 | 7,574 | $541K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.8% | 16,488 | 15,449 | $443K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.4% | 6,596 | 6,097 | $380K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.8% | 21,908 | 20,516 | $288K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.7% | 3,733 | 3,576 | $260K |
| 87430 | 1.6% | 18,077 | 17,088 | $254K | |
| 87400 | 1.4% | 19,344 | 9,815 | $224K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.4% | 15,586 | 8,194 | $223K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 1.4% | 1,658 | 1,613 | $218K |
129 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.3% | 15,553 | $207K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.3% | 13,468 | $206K |
| 99203 | Doctor's office visit, new patient (routine) | 1.3% | 3,581 | $201K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.2% | 4,108 | $189K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.1% | 13,185 | $173K |
| 99460 | <1% | 3,887 | $155K | |
| 80050 | General health panel | <1% | 3,399 | $140K |
| 80061 | Lipid panel | <1% | 13,124 | $136K |
| 99243 | <1% | 1,915 | $136K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 1,426 | $133K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 1,129 | $130K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,429 | $119K |
| 80053 | Comprehensive metabolic panel | <1% | 15,049 | $110K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 12,541 | $104K |
| 36415 | Collection of venous blood by venipuncture | <1% | 42,340 | $100K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 2,978 | $97K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 14,107 | $82K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 364 | $71K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 382 | $59K |
| 99462 | <1% | 2,596 | $56K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 4,805 | $56K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 7,756 | $56K |
| 99441 | <1% | 1,793 | $53K | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 1,942 | $41K |
| 99307 | <1% | 1,110 | $32K | |
| 90474 | <1% | 3,562 | $29K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 225 | $26K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 3,927 | $25K |
| 82607 | <1% | 2,050 | $23K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 882 | $20K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 579 | $18K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 214 | $18K |
| 31231 | <1% | 339 | $16K | |
| 87807 | <1% | 1,187 | $14K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 745 | $13K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 868 | $12K |
| 43999 | <1% | 321 | $12K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 310 | $12K |
| 93016 | <1% | 1,299 | $11K | |
| 84439 | <1% | 1,322 | $10K | |
| 99381 | <1% | 149 | $10K | |
| 99442 | <1% | 233 | $10K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 1,482 | $10K |
| 31575 | <1% | 234 | $9K | |
| 69210 | <1% | 563 | $8K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 740 | $8K |
| 85027 | <1% | 1,361 | $7K | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 52 | $7K |
| 90670 | <1% | 5,392 | $6K | |
| 90734 | <1% | 961 | $6K | |
| 90710 | <1% | 638 | $5K | |
| 81001 | <1% | 2,135 | $4K | |
| 0011A | <1% | 168 | $4K | |
| 0012A | <1% | 137 | $4K | |
| 87428 | <1% | 120 | $4K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 104 | $3K |
| 90686 | <1% | 1,706 | $3K | |
| 99217 | <1% | 58 | $2K | |
| 99219 | <1% | 31 | $2K | |
| S2083 | Adjustment of gastric band diameter via subcutaneous port by injection or aspiration of saline | <1% | 137 | $2K |
| 0001A | <1% | 63 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 61 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 28 | $2K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 107 | $2K |
| 99223 | Prolong inpt eval add15 m | <1% | 31 | $2K |
| 82746 | <1% | 140 | $2K | |
| 90633 | <1% | 5,047 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 34 | $2K |
| 0013A | <1% | 48 | $2K | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 167 | $2K |
| 0071A | <1% | 48 | $2K | |
| 82043 | <1% | 297 | $1K | |
| 81003 | <1% | 2,223 | $1K | |
| 90715 | <1% | 552 | $1K | |
| 0072A | <1% | 37 | $1K | |
| 90680 | <1% | 3,451 | $1K | |
| 99383 | <1% | 14 | $1K | |
| 0002A | <1% | 33 | $1K | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 596 | $1K |
| 90651 | <1% | 338 | $1K | |
| 90697 | <1% | 1,288 | $1K | |
| 99384 | <1% | 15 | $1K | |
| 90688 | <1% | 242 | $1K | |
| 90696 | <1% | 461 | $902.04 | |
| 90677 | <1% | 453 | $858.99 | |
| 90698 | <1% | 953 | $847.31 | |
| 90619 | <1% | 450 | $767.31 | |
| 99318 | <1% | 32 | $719.20 | |
| 82570 | <1% | 147 | $677.28 | |
| 84436 | <1% | 116 | $622.01 | |
| 83550 | <1% | 93 | $615.14 | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 22 | $557.36 |
| 80076 | <1% | 60 | $551.04 | |
| 83540 | <1% | 109 | $532.11 | |
| 97597 | <1% | 20 | $339.62 | |
| T1015 | A visit at a community health center or clinic (one all-in rate) | <1% | 947 | $178.44 |
| 74019 | <1% | 13 | $161.28 | |
| 83735 | <1% | 26 | $148.79 | |
| 86308 | <1% | 35 | $142.69 | |
| 74018 | <1% | 13 | $133.16 | |
| 36416 | <1% | 269 | $131.37 | |
| 90473 | <1% | 14 | $120.00 | |
| 90661 | <1% | 94 | $103.58 | |
| 90648 | <1% | 448 | $102.22 | |
| 90744 | <1% | 400 | $97.63 | |
| 86140 | <1% | 26 | $80.48 | |
| 90723 | <1% | 1,980 | $53.04 | |
| 90647 | <1% | 1,677 | $44.47 | |
| 85651 | <1% | 14 | $43.97 | |
| 90685 | <1% | 328 | $13.20 | |
| 3079F | <1% | 26,440 | $10.14 | |
| 3077F | <1% | 14,694 | $10.13 | |
| 90672 | <1% | 43 | $10.00 | |
| 3075F | <1% | 11,668 | $1.15 | |
| 3074F | <1% | 56,323 | $0.02 | |
| 1159F | <1% | 53,967 | $0.01 | |
| 1160F | <1% | 53,197 | $0.01 | |
| 3078F | <1% | 47,444 | $0.01 | |
| 3725F | 0% | 3,534 | $0.00 | |
| 90700 | 0% | 162 | $0.00 | |
| 90671 | 0% | 195 | $0.00 | |
| 91300 | 0% | 16 | $0.00 | |
| 90707 | 0% | 170 | $0.00 | |
| 3080F | 0% | 9,564 | $0.00 | |
| 3008F | 0% | 69,834 | $0.00 | |
| 1036F | 0% | 23,034 | $0.00 | |
| 99050 | 0% | 168 | $0.00 | |
| 90716 | 0% | 195 | $0.00 | |
| 91301 | 0% | 65 | $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 officialLAWRENCE, CHARLOTTE (SECRETARY)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.