Physician
Lake Cumberland Pediatrics PLLC
Lake Cumberland Pediatrics PLLC was paid $3.13M by Medicaid between Jan 2018 and Dec 2024, across 48 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.
33Billing provider infoLAKE CUMBERLAND PEDIATRICS PLLC
MONTICELLO, KY 42633
MONTICELLO, KY 42633
33aNPI1518406859assigned 02/20/2017
33bProvider typeInternal Medicine Physician
28Total paid$3.13M
24GClaims104,426
24DCodes billed48
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Kentucky
Rank by total paid#8 of 231
Median peer was paid$77K
This provider vs. median41×
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.
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 | 8,834 | $232K | |
| 2019 | 10,413 | $294K | |
| 2020 | 9,920 | $292K | |
| 2021 | 12,592 | $378K | |
| 2022 | 18,019 | $539K | |
| 2023 | 24,273 | $754K | |
| 2024incomplete | 20,375 | $640K |
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 | 50% | 48,471 | 39,992 | $1.55M |
| 87428 | 15% | 8,723 | 8,031 | $459K | |
| 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 | 10% | 6,836 | 6,206 | $322K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.5% | 5,280 | 5,156 | $202K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.1% | 2,558 | 2,463 | $160K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.7% | 2,200 | 2,147 | $147K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 2.0% | 3,342 | 3,035 | $62K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.4% | 1,868 | 1,374 | $44K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,209 | 996 | $31K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,537 | 1,308 | $29K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 413 | 402 | $25K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,621 | 2,498 | $23K |
36 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 442 | $21K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,031 | $17K |
| 87807 | <1% | 663 | $5K | |
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | <1% | 103 | $5K |
| 99381 | <1% | 59 | $4K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,390 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 44 | $3K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 57 | $2K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 167 | $2K |
| 90686 | <1% | 170 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 139 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 31 | $1K |
| 90670 | <1% | 1,888 | $1K | |
| 95117 | <1% | 82 | $781.11 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 178 | $734.05 |
| 90698 | <1% | 1,631 | $596.52 | |
| 90633 | <1% | 398 | $552.50 | |
| 90680 | <1% | 1,232 | $509.80 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 28 | $426.01 |
| 83655 | <1% | 24 | $318.28 | |
| 90688 | <1% | 90 | $132.12 | |
| 90651 | <1% | 17 | $130.90 | |
| 90744 | <1% | 411 | $125.34 | |
| 90647 | <1% | 194 | $114.77 | |
| 90723 | <1% | 189 | $92.00 | |
| 90687 | <1% | 66 | $69.55 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 487 | $68.70 |
| 81003 | <1% | 260 | $66.89 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 43 | $60.48 |
| 85018 | <1% | 26 | $53.42 | |
| 3074F | 0% | 2,772 | $0.00 | |
| 3075F | 0% | 519 | $0.00 | |
| 3079F | 0% | 1,314 | $0.00 | |
| 91301 | 0% | 14 | $0.00 | |
| 3078F | 0% | 2,153 | $0.00 | |
| 3077F | 0% | 56 | $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 officialBROWN, JOSEPH (OWNER)
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.