Medicaid Provider Spending

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

LAKE CUMBERLAND PHYSICIAN PRACTICES LLC

NPI: 1811396195 · SOMERSET, KY 42503 · Surgical Physician Assistant · NPI assigned 08/22/2014

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

Authorized official TEAGUE, KATHY controls 20+ related entities in our dataset. Read more

$1.31M
Total Medicaid Paid
42,030
Total Claims
36,332
Beneficiaries
50
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTEAGUE, KATHY (AVP)
NPI Enumeration Date08/22/2014

Related Entities

Other providers sharing the same authorized official: TEAGUE, KATHY

ProviderCityStateTotal Paid
RCHP-WILMINGTON, LLC WILMINGTON OH $13.53M
PROVIDENCE HOSPITAL, LLC COLUMBIA SC $12.68M
VAUGHAN REGIONAL MEDICAL CENTER LLC SELMA AL $8.15M
KERSHAW HOSPITAL LLC CAMDEN SC $7.93M
BOLIVAR PHYSICIAN PRACTICES LLC CLEVELAND MS $3.05M
WILMINGTON PHYSICIANS GROUP LLC WILMINGTON OH $3.04M
PHC-MORGAN CITY LP MORGAN CITY LA $2.37M
COMMUNITY HOSPITAL OF ANDALUSIA LLC ANDALUSIA AL $2.27M
VAUGHAN REGIONAL MEDICAL CENTER LLC MARION AL $2.15M
PRHC ENNIS LP ENNIS TX $1.81M
ANDALUSIA PHYSICIAN PRACTICES LLC ANDALUSIA AL $847K
MEADOWVIEW PHYSICIAN PRACTICE LLC MAYSVILLE KY $783K
LOGAN PHYSICIAN PRACTICE LLC RUSSELLVILLE KY $317K
KENTUCKY MSO LLC GEORGETOWN KY $248K
RCHP-WILMINGTON, LLC WILMINGTON OH $165K
MEADOWVIEW PHYSICIAN PRACTICE LLC MAYSVILLE KY $140K
AMG-SOUTHERN TENNESSEE LLC MONTEAGLE TN $136K
LAKE CUMBERLAND PHYSICIAN PRACTICES LLC SOMERSET KY $135K
LAKE CUMBERLAND PHYSICIAN PRACTICES LLC SOMERSET KY $57K
KERSHAW HOSPITAL LLC LUGOFF SC $49K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,763 $303K
2019 5,508 $263K
2020 2,994 $154K
2021 3,769 $218K
2022 2,593 $70K
2023 11,956 $182K
2024 6,447 $124K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13,476 11,788 $325K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 773 700 $150K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,448 3,038 $150K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,167 1,957 $143K
45380 Colonoscopy, flexible; with biopsy, single or multiple 736 590 $91K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,264 964 $89K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,316 1,994 $87K
99244 Office or other outpatient consultation, moderate to high complexity 770 714 $83K
47563 68 63 $30K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 149 117 $28K
72141 105 93 $20K
99232 Subsequent hospital care, per day, moderate complexity 1,126 403 $19K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 496 462 $18K
43775 43 25 $15K
99243 164 138 $11K
76376 397 325 $8K
99238 Hospital discharge day management, 30 minutes or less 300 245 $7K
43235 52 51 $7K
99231 Subsequent hospital care, per day, straightforward or low complexity 605 188 $5K
47562 12 12 $4K
99222 Initial hospital care, per day, moderate complexity 95 67 $3K
99215 Prolong outpt/office vis 61 42 $3K
22853 14 12 $3K
95819 27 27 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 90 76 $2K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 79 62 $2K
99221 54 50 $2K
99223 Prolong inpt eval add15 m 55 38 $2K
99335 38 38 $2K
43249 17 16 $942.40
72131 13 12 $796.18
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 33 31 $458.94
99441 36 36 $272.22
99442 25 20 $214.95
72110 15 14 $199.31
36415 Collection of venous blood by venipuncture 73 69 $105.72
S9981 Medical records copying fee, administrative 39 38 $3.75
3080F 125 118 $0.01
3077F 444 415 $0.01
3075F 57 54 $0.00
3008F 3,482 3,211 $0.00
3074F 1,407 1,305 $0.00
3079F 440 406 $0.00
1125F 502 467 $0.00
1036F 1,360 1,236 $0.00
99308 Subsequent nursing facility care, per day, straightforward 40 40 $0.00
99000 27 25 $0.00
1159F 1,824 1,692 $0.00
1160F 1,824 1,692 $0.00
3078F 1,267 1,156 $0.00