Medicaid Provider Spending

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

CLARK REGIONAL PHYSICIAN PRACTICES LLC

NPI: 1831852771 · WINCHESTER, KY 40391 · Rural Health Clinic/Center · NPI assigned 10/18/2021

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

Authorized official LAWRENCE, CHARLOTTE controls 20+ related entities in our dataset. Read more

$413K
Total Medicaid Paid
38,577
Total Claims
33,353
Beneficiaries
51
Codes Billed
2022-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLAWRENCE, CHARLOTTE (SECRETARY)
NPI Enumeration Date10/18/2021

Related Entities

Other providers sharing the same authorized official: LAWRENCE, CHARLOTTE

ProviderCityStateTotal Paid
LAKE CUMBERLAND REGIONAL HOSPITAL LLC SOMERSET KY $77.77M
DANVILLE REGIONAL MEDICAL CENTER, LLC DANVILLE VA $65.11M
PHC-LAS CRUCES INC LAS CRUCES NM $64.77M
GEORGETOWN COMMUNITY HOSPITAL LLC GEORGETOWN KY $44.03M
PINELAKE REGIONAL HOSPITAL LLC MAYFIELD KY $43.34M
RALEIGH GENERAL HOSPITAL LLC BECKLEY WV $36.44M
LOURDES HOSPITAL LLC PASCO WA $33.94M
RCHP-SIERRA VISTA INC SIERRA VISTA AZ $29.77M
CLINCH VALLEY MEDICAL CENTER INC. RICHLANDS VA $26.28M
SPRING VIEW HOSPITAL LLC LEBANON KY $23.35M
HAVASU REGIONAL MEDICAL CENTER LLC LAKE HAVASU CITY AZ $23.19M
LAS CRUCES PHYSICIAN PRACTICES, LLC LAS CRUCES NM $22.78M
MEADOWVIEW REGIONAL MEDICAL CENTER LLC MAYSVILLE KY $22.57M
LOURDES HOSPITAL LLC RICHLAND WA $22.38M
DANVILLE REGIONAL MEDICAL CENTER LLC MARTINSVILLE VA $21.09M
PHC-FORT MOHAVE INC FORT MOHAVE AZ $19.95M
WYTHE COUNTY COMMUNITY HOSPITAL LLC WYTHEVILLE VA $18.30M
DLP CONEMAUGH MEMORIAL MEDICAL CENTER LLC JOHNSTOWN PA $18.22M
BOURBON COMMUNITY HOSPITAL LLC PARIS KY $18.14M
WILLAMETTE VALLEY MEDICAL CENTER LLC MCMINNVILLE OR $17.29M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 10,655 $201K
2023 17,330 $135K
2024 10,592 $77K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,391 2,937 $173K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,582 3,199 $136K
90460 Immunization administration through 18 years of age via any route, first or only component 427 417 $21K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 298 266 $19K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 231 229 $18K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 72 69 $9K
90461 205 202 $7K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 347 319 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 326 314 $4K
90472 Immunization administration, each additional vaccine (list separately) 167 138 $4K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 130 116 $3K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 45 42 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 91 72 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 16 16 $1K
36415 Collection of venous blood by venipuncture 421 363 $1K
87430 77 73 $1K
83036 Hemoglobin; glycosylated (A1C) 131 118 $987.49
96127 208 141 $641.17
83655 38 36 $493.34
96110 Developmental screening, with scoring and documentation, per standardized instrument 15 15 $487.36
87400 42 34 $466.22
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 104 92 $205.19
90680 51 49 $77.46
82043 14 12 $59.53
82570 14 12 $53.16
85018 13 13 $28.95
90686 62 60 $21.52
1159F 4,463 3,848 $0.00
3725F 1,790 1,526 $0.00
1160F 4,463 3,848 $0.00
3078F 2,878 2,474 $0.00
90710 12 12 $0.00
3077F 90 77 $0.00
90648 34 30 $0.00
4013F 35 26 $0.00
G0444 Annual depression screening, 5 to 15 minutes 16 16 $0.00
90682 18 18 $0.00
90670 135 131 $0.00
90633 25 25 $0.00
3074F 3,476 2,966 $0.00
1035F 130 105 $0.00
3008F 5,558 4,764 $0.00
1036F 2,312 1,898 $0.00
3079F 1,039 900 $0.00
3044F 138 120 $0.00
1034F 1,081 902 $0.00
3075F 166 142 $0.00
4010F 99 78 $0.00
90723 31 27 $0.00
90697 24 24 $0.00
3080F 46 42 $0.00