Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Cardinal Medical Group, LLC

Cardinal Medical Group, LLC was paid $586K by Medicaid between Oct 2020 and Aug 2024, across 4 billing codes. Its largest line is L0650, Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf — 53% of everything it billed.

33Billing provider infoCARDINAL MEDICAL GROUP, LLC
SOMERSET, KY 42501
33aNPI1639695539assigned 08/22/2017
28Total paid$586K
24GClaims1,262
24DCodes billed4
24AFirst – last monthOct 2020 – Aug 2024
Compared with peers

Next to other Durable Medical Equipment & Medical Supplies providers in Kentucky

Rank by total paid#58 of 362
Median peer was paid$5K
This provider vs. median118×

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$20K$40K$60K2018201920202021202220232024
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
2020174$96K
2021399$221K
2022383$187K
2023281$77K
2024incomplete25$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
L0650 Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf 53% 427 386 $308K
L1833 Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf 39% 522 417 $227K
L3809 Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type 6.1% 231 173 $36K
L4361 Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf 2.6% 82 78 $15K

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 officialPIERCE, JEFFREY (PRESIDENT)
Same official

Other billing entities under PIERCE, JEFFREY

Full network →
ProviderLocationPaid
New Image Dental CareAlva, OK$19K

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