Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › KY › SOMERSET › LAKE CUMBERLAND REG MHMR BOARD, INC.

LAKE CUMBERLAND REG MHMR BOARD, INC.

NPI: 1477680262 · SOMERSET, KY 42501 · Community/Behavioral Health Agency · NPI assigned 02/27/2007

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

92% of spending on code 97535 with only 3 total codes billed. Highly concentrated billing profile.

$2.11M
Total Medicaid Paid
12,075
Total Claims
1,342
Beneficiaries
3
Codes Billed
2019-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLEWIS, JACK (HUMAN RESOURCES DIR)
NPI Enumeration Date02/27/2007

Related Entities

Other providers sharing the same authorized official: LEWIS, JACK

ProviderCityStateTotal Paid
LAKE CUMBERLAND REG MHMR BOARD, INC. SOMERSET KY $140.90M
LAKE CUMBERLAND REGIONAL MHMR BOARD OUTPATIENT SOMERSET KY $31.14M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 196 $21K
2020 2,886 $327K
2021 1,721 $237K
2022 2,026 $383K
2023 2,725 $527K
2024 2,521 $613K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97535 Self-care/home management training, each 15 minutes 11,409 682 $1.94M
T2022 Case management, per month 314 314 $133K
T2040 Financial management, self-directed, waiver; per 15 minutes 352 346 $38K