Medicaid Provider Spending

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

CUMBERLAND GI, PSC

NPI: 1578557708 · CORBIN, KY 40701 · Nurse Practitioner · NPI assigned 09/02/2005

$920K
Total Medicaid Paid
10,314
Total Claims
9,190
Beneficiaries
16
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSIMONS, MICHAEL (OWNER/PRESIDENT)
NPI Enumeration Date09/02/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,622 $122K
2019 1,691 $145K
2020 1,721 $145K
2021 1,786 $173K
2022 1,432 $140K
2023 1,253 $130K
2024 809 $66K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,618 1,325 $338K
99443 4,306 3,965 $228K
45380 Colonoscopy, flexible; with biopsy, single or multiple 717 586 $159K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 226 185 $68K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 793 728 $28K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 370 349 $25K
88305 Level IV - Surgical pathology, gross and microscopic examination 192 163 $18K
J2704 Injection, propofol, 10 mg 528 459 $14K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 581 524 $12K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 291 271 $11K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 255 227 $7K
99442 150 146 $6K
99441 151 142 $4K
88312 26 26 $1K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 95 81 $560.47
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 15 13 $237.33