NP / PA
Lake Cumberland Physician Practices, LLC
Lake Cumberland Physician Practices, LLC was paid $380K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 62323, — 51% of everything it billed.
33Billing provider infoLAKE CUMBERLAND PHYSICIAN PRACTICES, LLC
SOMERSET, KY 42503
SOMERSET, KY 42503
33aNPI1730489840assigned 10/25/2010
33bProvider typeNurse Practitioner
28Total paid$380K
24GClaims7,491
24DCodes billed10
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Nurse Practitioner providers in Kentucky
Rank by total paid#71 of 260
Median peer was paid$89K
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official MILLER, SARA 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 | 1,016 | $67K | |
| 2019 | 1,261 | $77K | |
| 2020 | 1,131 | $46K | |
| 2021 | 1,300 | $66K | |
| 2022 | 1,213 | $50K | |
| 2023 | 946 | $48K | |
| 2024incomplete | 624 | $26K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 62323 | 51% | 2,889 | 2,517 | $196K | |
| 27096 | 15% | 337 | 277 | $57K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 2,540 | 2,143 | $48K |
| 62321 | 9.0% | 446 | 389 | $34K | |
| 64493 | 4.8% | 311 | 251 | $18K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.4% | 661 | 570 | $17K |
| 64494 | 2.0% | 245 | 195 | $8K | |
| 64635 | <1% | 13 | 13 | $2K | |
| 64636 | <1% | 13 | 13 | $579.04 | |
| 95991 | <1% | 36 | 28 | $94.96 |
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 officialMILLER, SARA (DIRECTOR)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.