Clinic
Lake Cumberland Surgery Center LP
Lake Cumberland Surgery Center LP was paid $8.72M by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is 41899, Unlisted procedure, dentoalveolar structures — 63% of everything it billed.
33Billing provider infoLAKE CUMBERLAND SURGERY CENTER LP
SOMERSET, KY 42503
SOMERSET, KY 42503
33aNPI1720143779assigned 12/27/2006
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$8.72M
24GClaims21,301
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Kentucky
Rank by total paid#1 of 30
Median peer was paid$964K
This provider vs. median9.0×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official DILLON, TERRANCE controls 20+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 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 | |
| 2024incomplete | 2,299 | $1.45M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 41899 | Unlisted procedure, dentoalveolar structures | 63% | 6,855 | 5,607 | $5.53M |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 14% | 3,460 | 2,555 | $1.23M |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 7.0% | 3,961 | 2,827 | $611K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 4.5% | 1,886 | 1,393 | $396K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 4.0% | 1,859 | 1,342 | $346K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 2.2% | 190 | 158 | $196K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 1.7% | 608 | 451 | $147K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 1.6% | 488 | 197 | $143K |
| 41874 | <1% | 58 | 45 | $45K | |
| 43249 | <1% | 289 | 195 | $44K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 81 | 70 | $32K |
| L8699 | Prosthetic implant, not otherwise specified | 0% | 19 | 13 | $0.00 |
2 more codes
| 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 | 0% | 1,421 | $0.00 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 0% | 126 | $0.00 |
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 officialDILLON, TERRANCE (ASSISTANT SECRETARY)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.