NP / PA
Ohana Care of Lake Cumberland, LLC
Ohana Care of Lake Cumberland, LLC was paid $82K by Medicaid between Feb 2023 and Dec 2024, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 73% of everything it billed.
33Billing provider infoOHANA CARE OF LAKE CUMBERLAND, LLC
SOMERSET, KY 42501
SOMERSET, KY 42501
33aNPI1609586122assigned 11/28/2022
33bProvider typeFamily Nurse Practitioner
28Total paid$82K
24GClaims2,912
24DCodes billed9
24AFirst – last monthFeb 2023 – Dec 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Kentucky
Rank by total paid#135 of 424
Median peer was paid$19K
This provider vs. median4.3×
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 | |
|---|---|---|---|
| 2023 | 1,673 | $41K | |
| 2024incomplete | 1,239 | $41K |
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 | 73% | 1,655 | 1,277 | $60K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 472 | 368 | $11K |
| 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 | 11% | 197 | 158 | $9K |
| 36415 | Collection of venous blood by venipuncture | <1% | 425 | 328 | $745.82 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 67 | 41 | $655.79 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 37 | 28 | $205.12 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 15 | 12 | $191.20 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 27 | 13 | $115.85 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 17 | 15 | $95.71 |
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 officialPENCE, SARA (OWNER/APRN)