Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Lake Cumberland Physician Practices, LLC

Lake Cumberland Physician Practices, LLC was paid $331K by Medicaid between Jun 2020 and Dec 2024, across 26 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 29% of everything it billed.

33Billing provider infoLAKE CUMBERLAND PHYSICIAN PRACTICES, LLC
SOMERSET, KY 42503
33aNPI1811356892assigned 02/18/2016
28Total paid$331K
24GClaims32,077
24DCodes billed26
24AFirst – last monthJun 2020 – Dec 2024
Compared with peers

Next to other Foot & Ankle Surgery Podiatrist providers in Kentucky

Rank by total paid#8 of 30
Median peer was paid$43K
This provider vs. median7.8×

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 BOWMAN, MONICA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20201,035$26K
20211,714$44K
20223,752$88K
202314,079$98K
2024incomplete11,497$74K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 29% 1,316 1,183 $96K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 25% 3,772 3,074 $84K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 23% 1,543 1,338 $76K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15% 1,459 1,252 $49K
20610 3.9% 454 310 $13K
73560 1.4% 395 302 $5K
73630 <1% 164 132 $3K
73562 <1% 174 132 $2K
73110 <1% 52 40 $760.68
73564 <1% 37 27 $714.30
J1040 Injection, methylprednisolone acetate, 80 mg <1% 61 48 $446.83
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 66 64 $296.66
14 more codes
73100 <1% 15 $263.35
73610 <1% 12 $192.85
1036F <1% 2,704 $0.93
3008F 0% 4,117 $0.00
3079F 0% 1,221 $0.00
3074F 0% 1,819 $0.00
1125F 0% 3,882 $0.00
3080F 0% 762 $0.00
3075F 0% 485 $0.00
1126F 0% 468 $0.00
1160F 0% 1,949 $0.00
1159F 0% 1,949 $0.00
3077F 0% 1,384 $0.00
3078F 0% 1,817 $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 officialBOWMAN, MONICA (PRESIDENT)
Same official

Other billing entities under BOWMAN, MONICA

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.