NP / PA
Lake Cumberland Physician Practices LLC
Lake Cumberland Physician Practices LLC was paid $1.31M by Medicaid between Jan 2018 and Dec 2024, across 50 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.
33Billing provider infoLAKE CUMBERLAND PHYSICIAN PRACTICES LLC
SOMERSET, KY 42503
SOMERSET, KY 42503
33aNPI1811396195assigned 08/22/2014
33bProvider typeSurgical Physician Assistant
28Total paid$1.31M
24GClaims42,030
24DCodes billed50
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Surgical Physician Assistant providers in Kentucky
Rank by total paid#2 of 8
Median peer was paid$4K
This provider vs. median295×
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 TEAGUE, KATHY 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 | 8,763 | $303K | |
| 2019 | 5,508 | $263K | |
| 2020 | 2,994 | $154K | |
| 2021 | 3,769 | $218K | |
| 2022 | 2,593 | $70K | |
| 2023 | 11,956 | $182K | |
| 2024incomplete | 6,447 | $124K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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% | 13,476 | 11,788 | $325K |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | 11% | 773 | 700 | $150K |
| 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 | 11% | 3,448 | 3,038 | $150K |
| 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 | 11% | 2,167 | 1,957 | $143K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 6.9% | 736 | 590 | $91K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 6.8% | 1,264 | 964 | $89K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.7% | 2,316 | 1,994 | $87K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 6.3% | 770 | 714 | $83K |
| 47563 | 2.3% | 68 | 63 | $30K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 2.1% | 149 | 117 | $28K |
| 72141 | 1.5% | 105 | 93 | $20K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.5% | 1,126 | 403 | $19K |
38 more codes
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.3% | 496 | $18K |
| 43775 | 1.1% | 43 | $15K | |
| 99243 | <1% | 164 | $11K | |
| 76376 | <1% | 397 | $8K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 300 | $7K |
| 43235 | <1% | 52 | $7K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 605 | $5K |
| 47562 | <1% | 12 | $4K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 95 | $3K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 61 | $3K |
| 22853 | <1% | 14 | $3K | |
| 95819 | <1% | 27 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 90 | $2K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 79 | $2K |
| 99221 | <1% | 54 | $2K | |
| 99223 | Prolong inpt eval add15 m | <1% | 55 | $2K |
| 99335 | <1% | 38 | $2K | |
| 43249 | <1% | 17 | $942.40 | |
| 72131 | <1% | 13 | $796.18 | |
| A9579 | Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml | <1% | 33 | $458.94 |
| 99441 | <1% | 36 | $272.22 | |
| 99442 | <1% | 25 | $214.95 | |
| 72110 | <1% | 15 | $199.31 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 73 | $105.72 |
| S9981 | Medical records copying fee, administrative | <1% | 39 | $3.75 |
| 3080F | <1% | 125 | $0.01 | |
| 3077F | <1% | 444 | $0.01 | |
| 3075F | 0% | 57 | $0.00 | |
| 3008F | 0% | 3,482 | $0.00 | |
| 3074F | 0% | 1,407 | $0.00 | |
| 3079F | 0% | 440 | $0.00 | |
| 1125F | 0% | 502 | $0.00 | |
| 1036F | 0% | 1,360 | $0.00 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | 0% | 40 | $0.00 |
| 99000 | 0% | 27 | $0.00 | |
| 1159F | 0% | 1,824 | $0.00 | |
| 1160F | 0% | 1,824 | $0.00 | |
| 3078F | 0% | 1,267 | $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 officialTEAGUE, KATHY (AVP)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.