Medicaid Provider Spending

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

PINELAKE PHYSICIAN PRACTICE LLC

NPI: 1679061071 · MAYFIELD, KY 42066 · Rural Health Clinic/Center · NPI assigned 05/01/2018

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

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

$236K
Total Medicaid Paid
9,277
Total Claims
6,634
Beneficiaries
24
Codes Billed
2019-05
First Month
2021-01
Last Month

Provider Details

Authorized OfficialMILLER, SARA (DIRECTOR)
NPI Enumeration Date05/01/2018

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
LAKE CUMBERLAND PHYSICIAN PRACTICES, LLC SOMERSET KY $671K
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
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
2019 4,084 $86K
2020 5,127 $148K
2021 66 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,896 3,815 $154K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 926 606 $42K
95117 957 340 $10K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 119 105 $8K
36415 Collection of venous blood by venipuncture 827 645 $4K
99307 213 185 $3K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 28 25 $2K
99441 84 78 $2K
99050 84 77 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 129 93 $2K
99442 39 28 $1K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 82 67 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 118 57 $1K
99232 Subsequent hospital care, per day, moderate complexity 132 25 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 50 50 $620.37
99308 Subsequent nursing facility care, per day, straightforward 22 19 $440.93
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 39 24 $421.72
81000 220 196 $416.62
G0071 Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only 69 46 $336.46
95115 20 12 $117.15
99336 17 14 $58.20
81002 29 25 $13.05
T1015 Clinic visit/encounter, all-inclusive 102 51 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 75 51 $0.00