Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › KY › Gamaliel › NPI 1528464385
Clinic

Cumberland Family Medical Center INC

Cumberland Family Medical Center INC was paid $1K by Medicaid between Aug 2019 and Jan 2020, across 1 billing code. Its largest line is G0467, community health center visit, returning patient — 100% of everything it billed.

33Billing provider infoCUMBERLAND FAMILY MEDICAL CENTER INC
GAMALIEL, KY 42140
33aNPI1528464385assigned 11/06/2014
28Total paid$1K
24GClaims52
24DCodes billed1
24AFirst – last monthAug 2019 – Jan 2020
Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in Kentucky

Rank by total paid#35 of 37
Median peer was paid$1.29M
This provider vs. median0.0×

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

$0$200$400$6002018201920202021202220232024
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
YearClaimsPaid
201935$865.35
202017$386.40
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0467 Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 100% 52 42 $1K

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 officialLOY, ERIC (CEO)
Same official

Other billing entities under LOY, ERIC

Full network →
ProviderLocationPaid
Cumberland Family Medical Center INCBurkesville, KY$72.46M
Cumberland Family Medical Center INCAlbany, KY$2K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.