Medicaid Provider Spending

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

LAKE CUMBERLAND SURGERY CENTER LP

NPI: 1720143779 · SOMERSET, KY 42503 · Ambulatory Surgical Clinic/Center · NPI assigned 12/27/2006

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

Authorized official DILLON, TERRANCE controls 20+ related entities in our dataset. Read more

$8.72M
Total Medicaid Paid
21,301
Total Claims
16,322
Beneficiaries
14
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDILLON, TERRANCE (ASSISTANT SECRETARY)
NPI Enumeration Date12/27/2006

Related Entities

Other providers sharing the same authorized official: DILLON, TERRANCE

ProviderCityStateTotal Paid
RCHP BILLINGS - MISSOULA LLC MISSOULA MT $13.10M
CROCKETT HOSPITAL LLC LAWRENCEBURG TN $4.56M
LOHMAN ENDOSCOPY CENTER, LLC LAS CRUCES NM $4.45M
PHC-FORT MORGAN INC FORT MORGAN CO $1.30M
DODGE CITY HEALTHCARE GROUP LLC DODGE CITY KS $737K
KERSHAW HOSPITAL LLC ELGIN SC $695K
KENTUCKY HOSPITAL, LLC STANTON KY $431K
PINELAKE PHYSICIAN PRACTICE LLC HICKMAN KY $263K
REHABCARE GROUP EAST, LLC GREENFIELD WI $208K
ST. MARY'S SPECIALTY LLC RUSSELLVILLE AR $136K
REHABCARE GROUP EAST LLC KIRKWOOD MO $29K
REHABCARE GROUP EAST, LLC ASHEVILLE NC $23K
DLP MARQUETTE GENERAL HOSPITAL LLC MARQUETTE MI $23K
SJRMC INTERVENTIONAL RADIOLOGY SERVICES LLC LEWISTON ID $19K
DLP MARQUETTE GENERAL HOSPITAL LLC MARQUETTE MI $16K
THE THERAPY GROUP, LLC HOUMA LA $10K
HAVASU REGIONAL MEDICAL CENTER LLC LAKE HAVASU CITY AZ $6K
PEOPLEFIRST VIRGINIA, LLC TIMONIUM MD $3K
AMG-SOUTHERN TENNESSEE LLC ESTILL SPRINGS TN $1K
REHABCARE GROUP EAST, LLC SHALIMAR FL $471.77

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,488 $530K
2019 2,550 $846K
2020 2,783 $1.01M
2021 4,178 $1.49M
2022 3,185 $1.55M
2023 3,818 $1.83M
2024 2,299 $1.45M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
41899 Unlisted procedure, dentoalveolar structures 6,855 5,607 $5.53M
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 3,460 2,555 $1.23M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 3,961 2,827 $611K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 1,886 1,393 $396K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1,859 1,342 $346K
42820 Tonsillectomy and adenoidectomy; younger than age 12 190 158 $196K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 608 451 $147K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 488 197 $143K
41874 58 45 $45K
43249 289 195 $44K
D0150 Comprehensive oral evaluation - new or established patient 81 70 $32K
L8699 Prosthetic implant, not otherwise specified 19 13 $0.00
G8907 Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility 1,421 1,350 $0.00
G8918 Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis 126 119 $0.00