Medicaid Provider Spending

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

LAKE CUMBERLAND PHYSICIAN PRACTICES, LLC

NPI: 1538594668 · SOMERSET, KY 42503 · Internal Medicine Physician · NPI assigned 09/09/2013

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

Authorized official MILLER, SARA controls 20+ related entities in our dataset. Read more

$671K
Total Medicaid Paid
56,540
Total Claims
48,244
Beneficiaries
32
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMILLER, SARA (DIRECTOR)
NPI Enumeration Date09/09/2013

Related Entities

Other providers sharing the same authorized official: MILLER, SARA

ProviderCityStateTotal Paid
MEXIA PRINCIPAL HEALTHCARE LIMITED PARTNERSHIP MEXIA TX $2.41M
VAUGHAN PHYSICIAN PRACTICES LLC SELMA AL $783K
CASTLEVIEW PHYSICIAN PRACTICE, LLC PRICE UT $654K
MEADOWVIEW PHYSICIAN PRACTICE LLC FLEMINGSBURG KY $564K
LAKE CUMBERLAND PHYSICIAN PRACTICES LLC SOMERSET KY $450K
LAKE CUMBERLAND PHYSICIAN PRACTICES, LLC SOMERSET KY $437K
LAKE CUMBERLAND PHYSICIAN PRACTICES, LLC SOMERSET KY $380K
PINELAKE PHYSICIAN PRACTICE LLC MAYFIELD KY $236K
MEADOWVIEW PHYSICIAN PRACTICE LLC SHARPSBURG KY $142K
HRMC, LLC LAKE HAVASU CITY AZ $137K
CLARK REGIONAL PHYSICIAN PRACTICES LLC WINCHESTER KY $116K
LITTLE LEAF THERAPY LLC NAMPA ID $108K
DLP TWIN COUNTY PHYSICIAN PRACTICES, LLC GALAX VA $89K
CLARK REGIONAL PHYSICIAN PRACTICES LLC WINCHESTER KY $72K
DLP MARIA PARHAM PHYSICIAN PRACTICES LLC HENDERSON NC $70K
AMG CROCKETT LLC LAWRENCEBURG TN $61K
DLP TWIN COUNTY PHYSICIAN PRACTICES LLC GALAX VA $59K
RALEIGH GENERAL HOSPITAL LLC BECKLEY WV $55K
DLP MARIA PARHAM PHYSICIAN PRACTICES LLC LOUISBURG NC $52K
LAKE CUMBERLAND PHYSICIAN PRACTICES LLC SOMERSET KY $42K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,764 $81K
2019 6,172 $78K
2020 4,663 $91K
2021 6,903 $146K
2022 6,232 $108K
2023 15,365 $88K
2024 10,441 $79K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,842 7,280 $260K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,469 2,087 $173K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,373 8,430 $155K
83036 Hemoglobin; glycosylated (A1C) 8,166 6,846 $36K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,023 789 $30K
95251 990 816 $9K
76536 51 41 $2K
82962 1,402 1,192 $2K
99308 Subsequent nursing facility care, per day, straightforward 1,212 776 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 93 70 $1K
99441 31 29 $252.43
99231 Subsequent hospital care, per day, straightforward or low complexity 182 76 $156.51
99335 136 111 $105.98
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 336 278 $46.78
3074F 1,633 1,546 $0.00
3008F 3,766 3,547 $0.00
99232 Subsequent hospital care, per day, moderate complexity 482 193 $0.00
3080F 306 291 $0.00
3075F 727 684 $0.00
1036F 3,484 3,084 $0.00
3079F 1,151 1,080 $0.00
95819 13 12 $0.00
1125F 14 12 $0.00
1160F 3,059 2,843 $0.00
3725F 360 311 $0.00
3077F 1,096 1,028 $0.00
1159F 3,058 2,842 $0.00
3078F 1,894 1,786 $0.00
99238 Hospital discharge day management, 30 minutes or less 103 88 $0.00
99222 Initial hospital care, per day, moderate complexity 45 37 $0.00
99334 14 13 $0.00
99221 29 26 $0.00