Behavioral
Lake Cumberland Pediatric Therapy, LLC
Lake Cumberland Pediatric Therapy, LLC was paid $1.17M by Medicaid between Apr 2021 and Dec 2024, across 4 billing codes. Its largest line is H0004, Behavioral health counseling and therapy, per 15 minutes — 85% of everything it billed.
33Billing provider infoLAKE CUMBERLAND PEDIATRIC THERAPY, LLC
SOMERSET, KY 42501
SOMERSET, KY 42501
33aNPI1811503337assigned 09/21/2020
33bProvider typeBehavioral Analyst
28Total paid$1.17M
24GClaims6,187
24DCodes billed4
24AFirst – last monthApr 2021 – Dec 2024
Compared with peers
Next to other Behavioral Analyst providers in Kentucky
Rank by total paid#9 of 23
Median peer was paid$860K
This provider vs. median1.4×
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.
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 | |
|---|---|---|---|
| 2021 | 740 | $195K | |
| 2022 | 1,124 | $279K | |
| 2023 | 1,182 | $276K | |
| 2024incomplete | 3,141 | $415K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 85% | 3,848 | 708 | $991K |
| 97153 | Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes | 10% | 1,773 | 286 | $121K |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | 3.0% | 334 | 113 | $35K |
| 97151 | 1.6% | 232 | 114 | $18K |
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 officialJONES, CYNTHIA (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Connecticut Phlebology PC | Fairfield, CT | $3.23M |
| Lake Cumberland Pediatric Therapy, LLC | Somerset, KY | $201K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.