Physician
Lake Cumberland Physician Practices, LLC
Lake Cumberland Physician Practices, LLC was paid $671K by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 39% of everything it billed.
33Billing provider infoLAKE CUMBERLAND PHYSICIAN PRACTICES, LLC
SOMERSET, KY 42503
SOMERSET, KY 42503
33aNPI1538594668assigned 09/09/2013
33bProvider typeInternal Medicine Physician
28Total paid$671K
24GClaims56,540
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Kentucky
Rank by total paid#47 of 231
Median peer was paid$77K
This provider vs. median8.8×
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 MILLER, SARA 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 | 6,764 | $81K | |
| 2019 | 6,172 | $78K | |
| 2020 | 4,663 | $91K | |
| 2021 | 6,903 | $146K | |
| 2022 | 6,232 | $108K | |
| 2023 | 15,365 | $88K | |
| 2024incomplete | 10,441 | $79K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 39% | 8,842 | 7,280 | $260K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 26% | 2,469 | 2,087 | $173K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 10,373 | 8,430 | $155K |
| 83036 | Hemoglobin; glycosylated (A1C) | 5.4% | 8,166 | 6,846 | $36K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.5% | 1,023 | 789 | $30K |
| 95251 | 1.4% | 990 | 816 | $9K | |
| 76536 | <1% | 51 | 41 | $2K | |
| 82962 | <1% | 1,402 | 1,192 | $2K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 1,212 | 776 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 93 | 70 | $1K |
| 99441 | <1% | 31 | 29 | $252.43 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 182 | 76 | $156.51 |
20 more codes
| 99335 | <1% | 136 | $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) | <1% | 336 | $46.78 |
| 3074F | 0% | 1,633 | $0.00 | |
| 3008F | 0% | 3,766 | $0.00 | |
| 99232 | Hospital visit by a doctor, follow-up day | 0% | 482 | $0.00 |
| 3080F | 0% | 306 | $0.00 | |
| 3075F | 0% | 727 | $0.00 | |
| 1036F | 0% | 3,484 | $0.00 | |
| 3079F | 0% | 1,151 | $0.00 | |
| 95819 | 0% | 13 | $0.00 | |
| 1125F | 0% | 14 | $0.00 | |
| 1160F | 0% | 3,059 | $0.00 | |
| 3725F | 0% | 360 | $0.00 | |
| 3077F | 0% | 1,096 | $0.00 | |
| 1159F | 0% | 3,058 | $0.00 | |
| 3078F | 0% | 1,894 | $0.00 | |
| 99238 | Hospital discharge day management, 30 minutes or less | 0% | 103 | $0.00 |
| 99222 | Initial hospital care, per day, moderate complexity | 0% | 45 | $0.00 |
| 99334 | 0% | 14 | $0.00 | |
| 99221 | 0% | 29 | $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 officialMILLER, SARA (DIRECTOR)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.