Medicaid Provider Spending

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

LAKE CUMBERLAND PHYSICIAN PRACTICES, LLC

NPI: 1811356892 · SOMERSET, KY 42503 · Foot & Ankle Surgery Podiatrist · NPI assigned 02/18/2016

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

Authorized official BOWMAN, MONICA controls 20+ related entities in our dataset. Read more

$331K
Total Medicaid Paid
32,077
Total Claims
27,007
Beneficiaries
26
Codes Billed
2020-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBOWMAN, MONICA (PRESIDENT)
NPI Enumeration Date02/18/2016

Related Entities

Other providers sharing the same authorized official: BOWMAN, MONICA

ProviderCityStateTotal Paid
DLP MARQUETTE PHYSICIAN PRACTICES INC MARQUETTE MI $17.80M
CLARK REGIONAL PHYSICIAN PRACTICES, LLC WINCHESTER KY $9.45M
KENTUCKY MSO, LLC GEORGETOWN KY $6.59M
CLARK REGIONAL PHYSICIAN PRACTICES LLC WINCHESTER KY $2.97M
PINELAKE PHYSICIAN PRACTICE, LLC MAYFIELD KY $2.26M
PORTAGE PHYSICIAN PRACTICES INC HANCOCK MI $1.63M
SPRING VIEW PHYSICIAN PRACTICES, LLC LEBANON KY $1.39M
COLORADO PLAINS PHYSICIAN PRACTICES LLC FORT MORGAN CO $1.28M
SPRING VIEW PHYSICIAN PRACTICES, LLC LEBANON KY $1.27M
NORTHWEST ALABAMA EMERGENCY MEDICINE LLC FLORENCE AL $1.24M
DLP MARIA PARHAM PHYSICIAN PRACTICES, LLC HENDERSON NC $897K
BOURBON PHYSICIAN PRACTICE LLC PARIS KY $847K
PORTAGE PHYSICIAN PRACTICES INC. HOUGHTON MI $763K
DLP CONEMAUGH PHYSICIAN PRACTICES LLC ROARING SPRING PA $761K
LAKE CUMBERLAND PHYSICIAN PRACTICES, LLC SOMERSET KY $529K
KENTUCKY MSO LLC GEORGETOWN KY $406K
RCCH TRIOS PHYSICIANS LLC KENNEWICK WA $401K
NATIONAL PARK CARDIOLOGY SERVICES, LLC HOT SPRINGS AR $341K
KENTUCKY MSO LLC GEORGETOWN KY $282K
BOURBON PHYSICIAN PRACTICE LLC PARIS KY $266K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 1,035 $26K
2021 1,714 $44K
2022 3,752 $88K
2023 14,079 $98K
2024 11,497 $74K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,316 1,183 $96K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,772 3,074 $84K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,543 1,338 $76K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,459 1,252 $49K
20610 454 310 $13K
73560 395 302 $5K
73630 164 132 $3K
73562 174 132 $2K
73110 52 40 $760.68
73564 37 27 $714.30
J1040 Injection, methylprednisolone acetate, 80 mg 61 48 $446.83
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 66 64 $296.66
73100 15 13 $263.35
73610 12 12 $192.85
1036F 2,704 2,192 $0.93
3008F 4,117 3,446 $0.00
3079F 1,221 1,074 $0.00
3074F 1,819 1,534 $0.00
1125F 3,882 3,250 $0.00
3080F 762 680 $0.00
3075F 485 439 $0.00
1126F 468 402 $0.00
1160F 1,949 1,658 $0.00
1159F 1,949 1,658 $0.00
3077F 1,384 1,208 $0.00
3078F 1,817 1,539 $0.00